Denied Workers’ Comp? Here’s How a Lawyer Can Help

According to Insurancepedia, an average 20% of workers’ compensation claims across the United States are denied. This shows that submitting a claim for workers’ compensation does not guarantee that you will receive the benefits of the program.

If you have been denied a claim for workers’ compensation, you’re likely feeling very angry and even confused about where to go from here. You will want to know why the denial occurred as well as how to contest the decision effectively.

According to law firm English Lloyd & Armenta, any person who has had their medical benefits for workers’ compensation cut or denied should consult an attorney.

The lawyer can take you through the process and give you the necessary support to claim what you are entitled to. Let’s discuss the role a lawyer plays in maximizing your chances of a successful appeal.

Understanding the Reasons for Denial

When you file for workers’ compensation, you might be shocked to find that there are many reasons behind the denial. Your employer might say that your injury was not work-related. Sometimes, not reporting  the incident on time can compromise your claim.

You may discover that there are cases in which they deny the claim if the paperwork is incomplete.

According to workers’ compensation lawyer Reid Acree, Jr., if you were injured because you were working under the influence of drugs or alcohol, or if you committed some illegal act while working that resulted in your injury, the workers’ compensation insurance carrier may deny your claim.

These situations should be understood to prevent costly mistakes. You will be more confident in figuring out your next steps once you know why a claim was denied. You deserve companionship in the process, and a lawyer can help you get through the complexities of the workers’ compensation process toward winning your benefits.

Gathering Necessary Documentation

Collecting important documentation remains a major action for strengthening your workers’ compensation claim. You will want to collect every medical record that includes doctor visits, treatment plans, and diagnostic tests.

Make and keep a detailed record of how your injuries and their consequences have affected daily activities. Record any incident report or witness statement that could potentially assist in your case. Organized documentation strengthens your claims and serves as evidence through which your attorney will argue before the court in your defense. Well-documented events create a firm base for the case and show seriousness on the part of the complainant in terms of getting what he/she deserves.

Handling the Appeals Process

The appeals process can appear to be a bit tedious and overwhelming, but with the right guidance, you can adequately face the challenge of denial of the workers’ compensation claim.

First, learn the specific grounds for the denial. Your lawyer will help you gather the required evidence and documents to support your case. The legal professional will help in filling out the appeal forms correctly and in time so that you meet all deadlines.

Your lawyer can clarify to you the legal standards involved so that the process seems less frightening. The lawyer will assist you in formulating the best strategy for making your case, increasing the likelihood of a successful appeal.

The presence of a dedicated advocate by your side goes a long way in determining the outcome of your case.

Representing You in Hearings

Hearing procedures such as these can be very intimidating, but it can really make a difference when you have a good lawyer ready to fight for your cause. They understand this highly complicated workers’ compensation system and will certainly advocate strongly on your behalf.

Your lawyer will provide preparation for what to expect as far as everything else is concerned, easing your fears and making sure everything is in place for you.

You can expect that your lawyer will act as your main legal representative and diligently fight for your interests.

They will present the evidence you have gathered and cross-examine the witnesses to emphasize your case’s point.

Your lawyer knows how to interpret difficult legal terms so you will not find it difficult to tell your story. Trust your lawyer to make a difference in the handling of your case.

Maximizing Your Compensation Potential

Work closely with your lawyer at the early stages of your claim to maximize your compensation. With their legal expertise of the ins and outs of the workers’ comp system, they can guide you on what to do for documents, such as medical records or witness statements.

Your lawyer will also help clarify the entirety of your injuries and compensation. Do not hold back and provide every detail that you can to your lawyer. Maintaining open communication with your lawyer promotes trust and strengthens your case.

Your lawyer can handle negotiations with the insurers to prevent you from being taken  advantage of. Having a devoted legal partner by your side makes a huge difference as far as the compensation goes.