What to Do if Your Workers Comp Claim Is Denied

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Workers compensation insurance is purchased by companies so that their employees are covered financially in the event of an injury on the job. Ideally, an employee can make a claim for any injury or illness, so long as it was work-related. However, this isn’t always the case. There are situations where your claim is denied because of something you did; in other scenarios, your claim may be illegally denied by your employer or the company. Here’s what to do if your workers compensation claim is denied.

Why Your Claim Was Denied

There are several reasons your claim might get legally rejected by insurance. All states have statutes of limitations for the amount of time each person has to file a claim. This timeline can range from months to years, and it’s your job to make sure you know when to file by. If you miss the deadline, your chances of getting compensation are greatly decreased.

Other reasons your claim might get denied is because of something you did that resulted in your injury. If you came to work intoxicated, started a fight with another employee, got intentionally hurt, or were ignoring safety guidelines, your claim is likely to be denied.

Finally, your denied workers compensation claim Oregon could be the result of a dispute with your employer. If they refuse to acknowledge the injury or accident, or claim that your injury occurred outside of work, you may not even get to the claims process.

What You Can Do

If your claim is denied, there are several options going forward. To begin, investigate why your claim was denied. If it’s something simple, like a paperwork issue, you may be able to fix it and be well on your way. If the problem is more complicated, you may need to appeal the rejection. In this case, consider contacting a lawyer who deals specifically with workers compensation cases for guidance.

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