Can Workers’ Compensation Benefits Be Denied?

Following an injury in the workplace, individuals rely on benefits as they may be unable to work in the aftermath of the damages they sustained. Luckily, there are workers’ compensation benefits to which they may be entitled. This could be a big help during a difficult time.

However, there are some instances in which workers’ compensation benefits may be denied for one reason or another. Understanding these reasons is important—especially before filing—as it could help an injured worker avoid the denial altogether.

Reasons for Denial

There are multiple reasons for workers’ comp benefits to be denied. These include the following:

  • Incorrect information: During the filing process, paperwork must be properly submitted including the report of the accident, medical records, and more. When any bit of information is inaccurate or missing, it could lead to the insurance company denying benefits.
  • Contention by the employer: In some cases, there are situations when the employer may try and contend the workers’ compensation claim. They may try and say that the injury was your own fault, or that your injury was not significant enough to miss work.
  • Doctor’s report doesn’t show a serious injury: After a work accident, the employee is supposed to see the doctor preferred by the employer and provider. If this doctor does not feel as though the worker should receive benefits, this could create some problems with the claim.

Can a Workers’ Compensation Claim Denial Be Appealed?

When a workers’ compensation claim is wrongfully denied—meaning the employee has a legitimate claim—there may be legal action available to appeal the denial. This often means employing the services of a legal advocate who understands the factors considered and can help build a strong case on your behalf.

At Kolker Law Firm, we know the rights of a worker to seek benefits and compensation following a workplace injury. Whether the injury was a result of an accident or negligence, you deserve to have someone on your side who can protect your rights.

Our Missouri workplace injury lawyers stand by your side every step of the way, working to help you understand what to expect. Trust that we’re looking after your best interests every step of the way.

Call us at (314) 684-8285 today to discuss your potential rights.

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