When Can Your Workers’ Compensation Claim Get Rejected?

HomeBusinessWhen Can Your Workers' Compensation Claim Get Rejected?

The process of receiving workers’ compensation is highly challenging. Several genuine cases get rejected by insurers due to specific mistakes. Therefore, you should hire a workers comp lawyer Virginia as they will assist the victims in preparing a solid case with fewer chances of rejection.

Your workers’ compensation claim may get rejected by the insurer if it complies with any of these situations.

Your injury does not have witnesses.

Workers’ compensation insurers do not prefer unwitnessed injury claims. Usually, the insurance company rejects unwitnessed injury claims. If you experience an injury at work and no one sees you getting hurt, the only thing you can do is immediately report the accident to your supervisors and colleagues. Make sure you report the exact details to everyone.

You did not report the injuries on time. 

The insurers dislike and reject those cases where the incident gets reported exceptionally late. They think the injury is not that severe, which is why you did not inform it immediately. It is necessary to report the accident as soon as possible.

Some states have time limits for reporting work-related injuries. Make sure to abide by your state laws and report your accident within time. Doing so will help in increasing the potential of getting your claim accepted. https://magazineworld.net/

Discrepancies in Accident Report and Medical Records

Suppose your injury-related statements are not consistent and convincing. In that case, the insurers may deem your case ingenuine, meaning that the details given to your supervisor do not match the hospital reports. Ensure to provide the same detail to everyone regarding the incident, as inconsistency can seriously hamper the outcome of your claim.

Presence of Illegal Drugs in medical records

The insurance company can reject your claim if the injured worker is diagnosed and the records indicate that they have consumed illicit substances. This is because the workers’ compensation law does not entail coverage for accidents caused due to drugs or alcohol consumption.

The claim was filed when the worker was fired or laid off.

Often, the injured employees delay in filing claims, and by the time they decide to file, they are either fired or laid off from work. Claims made when the worker is not employed are not taken seriously by insurers. The insurance company considers these revenge claims and questions their legitimacy.

Refusal to give recorded statements to the insurance company or refusal to sign medical authorizations

The injured employees are not obligated by the law to give medical authorizations on the grounds of privacy. The same is with providing a recorded statement. However, the insurers reject cases that lack them.


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