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The primary causes of workers’ compensation denials

Diefer Law Group

Imagine a situation in which you suffer an injury or illness related to your job responsibilities. This can be anything from a slip-and-fall accident in an elevator to a repetitive stress injury.

Now, imagine a situation in which you file a claim for workers’ compensation benefits, just to receive a denial letter. You have every right to feel angry, as you’ve been paying into the system and expect to have access to benefits should the time come.

Understanding the primary causes of a workers’ compensation denial can improve your odds of avoiding this stressful situation. Here’s what you need to know:

  • You weren’t injured at work: If your injury or illness isn’t work-related, you won’t qualify for workers’ compensation benefits. Additionally, if your employer argues you were injured outside of work, even if it’s not true, it can slow down the process. Protect against this by notifying your employer of your injury, as soon as it happens.
  • You didn’t receive medical treatment: Even if you don’t believe the injury to be serious, don’t hesitate to receive medical treatment to better understand your situation. You’ll never know the severity of your injury or illness until you’re thoroughly examined by a qualified medical professional.
  • You waited too long to file a workers’ compensation claim: Once you realize that you can’t return to work, take a step back and look at the big picture. This will have you wanting to learn more about filing a workers’ compensation claim, as you need the money to help you through this challenging time.

 

These are just three of the many reasons for a workers’ compensation denial. While you can do your best to protect against these circumstances, there’s no guarantee of your success. You could still receive a denial letter when you least expect it.

If you find yourself in this situation, learn more about the reason for your denial and then appeal the decision. Don’t give up until you’ve exhausted all options, as there’s a lot on the line. You have the right to receive workers’ compensation benefits if you qualify, so continue to protect your legal rights.

Abel Fernandez

Abel Fernandez

Attorney Abel Fernandez believes in the aggressive representation of injured workers. Workers’ compensation law is a very difficult and frustrating area of the law. Employees routinely have medical treatment and benefits delayed or denied by insurance companies. Mr. Fernandez fights for the rights of the injured worker to get medical treatment and the maximum amount of benefits possible. We have experience fighting the insurance company and adjusters, and we are committed to obtaining the best outcome possible for our clients.


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Irvine, CA 92614

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12636 High Bluff Drive
Suite 400
San Diego, CA 92130

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Los Angeles, CA 90071

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6670 Alessandro Blvd
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By contacting Diefer Law Group, you agree to receive emails, text messages, and phone calls regarding your legal inquiry, which may be considered advertising material. Emails, text messages, and phone calls may be automatically generated using the information from this contact form to better coordinate communication. You understand that your consent to this is not necessary to obtain legal services from Diefer Law Group. Messaging and data rates may apply.