workers comp

Your case is not necessarily over when your workers’ comp claim is denied. Instead, you may need to look into the common reasons for workers’ comp claim denials in California to gather the right evidence to respond to this so that you can appeal.

Some of the most common reasons that workers’ comp is denied in California include missing a filing deadline, missing information, insufficient evidence, failing to seek prompt medical attention, failing to report the injury, dispute over the cause of the injury, allegations of misconduct or intoxication, employment classification, status disputes, or lack of coverage for the condition.

If you properly notified your employer about the injury and initiated your workers’ comp claim immediately, the issues related to failure to file on time and notify people about the injuries should not apply. In many cases, it is a misunderstanding about how the accident happened and the severity of the injury.

You can work with a workers’ compensation attorney in San Francisco to address these issues. In the event that you and your attorney are unable to reverse the denial through communications with the carrier directly, you can begin the formal appeals process. Your first stage of this is filing an initial appeal with the California Workers’ Compensation Appeals Board by an opening a petition for reconsideration. You then deliver this in person or mail it to WCAB’s district offices.

You have a maximum of one year from the date that you received your workers’ compensation claim denials to file this petition. At that point your case will be reviewed to determine if the decision should be reversed. You may also need to attend a hearing or appear in front of a judge. Because of the many steps involved in this process, it is beneficial to work with a workers’ compensation attorney in California.

Post a Reply