6 Reasons Your Workers’ Comp Claim Was Denied

Personal Injury Lawyer

Being injured while working on the job can cause not only physical damage, but it can lead to serious stress and many questions. Thankfully, many workplaces are legally required to have some type of workers’ compensation insurance to help employees with medical bills and compensate them for the time they are unable to work. This might seem fairly cut and dry, but insurance companies do not always accept workers’ compensation claims the first time you submit them, and this can lead to workers feeling confused. Sometimes, workers might not even realize they can re-file their workers’ compensation claims once insurance denies them. Below are 6 reasons insurance might have denied your workers’ comp claim.

  1. You Did Not Notify Your Manager In the Right Amount Of Time.
    While telling everyone about your injury might be the last thing on your mind as you head out the door to the hospital or doctor’s office, notifying your manager as soon as possible is one of the most important things you can do. There is often a certain timeline required to notify your employer or manager of the injury that you sustained at work.
  2. You Were Not Injured At Work.
    If you filed for workers’ comp but your injury did not occur at work, it is very likely that this is the reason your claim was denied. There are many gray areas about what it means to be at work, including if you were commuting to or from work or if you were on a lunch break, but if it did not happen while you were at work it is unlikely you are eligible to make a workers’ comp claim.
  3. You Did Not Get Medical Treatment.
    One of the first things an insurance company will look for in your workers’ compensation package is whether you sought medical treatment after your injury. If your injury was serious enough to file a claim, then it is serious enough to receive medical treatment from a doctor.
  4. You Were Intoxicated While At Work.
    If the injuries you sustained happened while you were under the influence of drugs or alcohol while you were working, you will not be eligible to make a claim. In fact, if your boss suspects that you were under the influence, they can request that you undergo drug or alcohol tests after the accident.
  5. Your Injury Resulted From Roughhousing.
    An injury caused by following the rules and conducting your work is wholly different from injuries sustained while engaging in roughhousing with other employees. If you are engaging in this type of activity, it is often not seen as “working” and thus you cannot receive workers’ compensation.
  6. You Did Not File Your Workers’ Comp Papers In Time
    When filing for workers’ comp, you must abide by the specific deadlines that are set forth by the state and by the employee’s workers’ compensation insurance policy.

Who Can Help With My Workers’ Compensation Claim?

If you believe an insurance company denied your workers’ compensation claim for the wrong reasons, don’t fret. Hiring a workers compensation lawyer Milwaukee, WI trusts can be crucial in getting your claim accepted. Call today.

Thank you to our friends and contributors at Hickey & Turim, SC for their insight into workers comp and denied claims.