Once you completed your workers compensation claim, you probably waited anxiously to find out if you were going to get the financial support you need. You filled out your claim because you suffered a work-related injury or illness, and you are now dealing with medical bills and lost wages as a result. It’s important for your family to secure financial support through your employer’s workers’ compensation insurance.
Even with a valid injury and a strong case for benefits, it can be quite difficult to get approval. In fact, your claim may come back denied. This is certainly frustrating, but it is not the end of the road for you. In fact, you could have grounds to appeal and continue your pursuit of the benefits you need. With the right approach, you may be able to eventually get the money you need from your workers’ comp claim.
Understanding why
If your workers’ comp claim came back denied, there are specific steps you can take to appeal. First, you must understand why the insurance claim did not approve the claim. Some of the most common reasons why this happens include:
- You did not include enough evidence that your injuries or illness is work-related.
- Your employer is disputing the circumstances of your claim or challenging your version of events.
- You did not file your claim in enough time, or you did not report your injury to your employer in the required window of time.
- There is not enough evidence that your injuries required medical treatment or that you followed the instructions from your doctor.
After you know why the claim was not successful, you can then file an appeal. You will have a limited amount of time to do this, and it can be a complex process to successfully challenge an insurance company’s decision. This is why it is important to work with an experienced Missouri attorney at every step of the process.
Experience matters
When you are filing an insurance claim or you are disputing a denied claim, you will benefit from having the guidance of an experienced attorney who understands the process and knows what to expect. This support will be helpful as you complete your initial claim and deal with any setbacks you experience. After a work accident or after you receive a denial letter, you may want to seek an evaluation of your case to understand the legal options available to you.
