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Knowing why a worker’s compensation claim may result in denial

On Behalf of | Nov 27, 2022 | Workplace Accidents

Suffering serious injuries in a work-related incident can be a devastating experience and the outcome of the situation could leave a person facing numerous hardships. Loss of wages during recovery combined with high medical bills can place significant strain on one’s finances. While the workers’ compensation insurance system may help provide much-needed aid during this time, what happens if one’s claim is denied? Knowing some of the most prevalent causes of a denied claim could help individuals in New Jersey better prepare to safeguard their interests. 

Common issues 

When it comes to filing a claim for workers’ compensation, it may be helpful to know that there could be a time limit involved with the process. Studies indicate that failure to file a claim before the deadline continues to be a common cause of denial and taking steps to prevent this from occurring could prove vital to protecting one’s interests. Studies also suggest that the risks of denial may also be greater if there are questions about whether one’s injuries were work-related and occurred while a person was performing job-related tasks. 

In some cases, allegations may also arise that one’s injuries were the result of horseplay or happened while a person was performing actions in violation of workplace regulations. Insurance companies may also require thorough information on medical treatments. Failure to seek prompt care and keep records of all treatments could also prove detrimental.  

Filing a workers’ compensation claim 

Knowing some of the most prevalent causes of a denial of workers’ compensation benefits may be helpful in various ways but preparing to navigate the process can still be intimidating in nature. Those who suffer serious injuries at work and remain uncertain how best to handle the situation could choose to retain the services of an attorney for guidance. An attorney can help a client understand what to expect from this process and assist in preparing to file an initial claim for workers’ compensation or to appeal a denied claim.