Reasons Due To Which Workers' Compensation Claim Is Denied

California is a state that gives legal rights to injured workers to file for their compensation claim. When a worker got injured on the job or while working, he/she got the right to workers' compensation. But many times the claims of the workers are denied so the insurance company can save its money by not providing the benefits to injured workers.

Before applying for the worker's compensation claim it is very important for each injured worker to understand the process and be sure about the requirements. This can be made easy by hiring an experienced worker's compensation attorney. Understanding the process under the guidance of an attorney helps to make sure that the claims adjustors and employer are making fair assessments. Along with the complexity of the workers' compensation law, there are various other reasons due to which the claim is denied.

Not notifying the employer:-

One of the major reasons behind the claim denial is not notifying the employer about the injury, within the required time. As per the workers' compensation claim process, it is essential for each injured worker to notify his or his employer about the injury as soon as it is possible. When an employer is not informed on time, later he can deny it saying that the injured was not really hurt at work.

On the other side, any delay in notification makes it tough for the employer to carry out the accident investigation, which is highly important for the success of any worker's compensation claim. Not notifying the employer or delay in it gives a good chance to the insurance company to claim that the injury did not happen while working or due to job duties. Which further becomes the major reason behind the denial of a claim.

Treatment not taken from a medical representative:-

Under the workers' compensation system, the medical reports, visiting slip, prescription by the medical representative are counted as major evidence to prove the injury. But when the injured worker doesn't visit any doctors as per the approved list of doctors provided by the insurance company or any other doctor near the accident spot, it becomes tough for the injured to prove that he/she got the injury while working, but it becomes easy for the employer and insurance company to deny the claim. Many injured workers don't receive any medical treatment but later apply for compensation, where they were proved fake by the insurance company.

Under the influence:-

Many times the compensation benefits of the injured works got denied when the opposite party proves that the injured worker was under the influence of drugs or alcohol, or was intoxicated because of which he /she got injured. This can be avoided by showing the proof of the medical report that you were not intoxicated before or at the time of injury. When alcohol or drugs are involved in any workplace accident, then the injured is NOT entitled to make any compensation claim.

Lack of documents and proof:-

Many workers do not hire any workers' compensation attorney with the thought that it will cost them a lot. This further results in delays in the submission of the documents, and even a lack of documents. When the papers/documents are not filed on time, it gives the insurance company and the employer another reason to deny the compensation claim. Hiring an attorney help in knowing that which documents must be submitted and when. Even there is a time limit for those injuries that develop gradually over time, such as carpal tunnel syndrome. Having a lawyer by side helps to avoid the delay and mistake. Consult with worker's compensation attorney today!