Tulare County Workers’ Compensation Denial Lawyer

Filing a workers’ compensation claim can be stressful under any circumstances, especially when you are dealing with a serious injury or illness that may keep you out of work for a long time. However, that stress does not come close to what you may feel when you get a letter from your employer or their insurance provider stating that your claim has been denied and that they will not be providing you the benefits you need.

Fortunately, having a workers’ compensation claim denied in this way does not mean your claim is lost forever. A skilled workers’ compensation attorney can take several steps to help you contest the denial and hopefully get your claim back on track. When you are having trouble obtaining the benefits you should be entitled to after a work-related accident, you should make it a top priority to speak with a Tulare County workers’ compensation denial lawyer.

Common Reasons for Workers’ Compensation Claim Denials

To contest a workers’ compensation claim denial, it is crucial to understand why the claim was rejected in the first place. This analysis is something that the insurance claims adjuster handling the case will usually specify in the denial letter they mail to the injured party. Some of the problems often listed in these letters include:

  • Procedural errors, like forgetting to fill out a line in the workers’ compensation claim form
  • Waiting too long to report the injury to their employer—usually more than 30 days after sustaining or discovering the injury
  • Waiting too long to file the claim—typically longer than one year after the injury, although different deadlines may apply to different parts of the claims process
  • Belief that the injured worker is primarily at fault for their own injury because they were intoxicated, engaging in horseplay, or intentionally injured themselves
  • Lack of evidence proving that the injury was work-related or that the an injury happened at all
  • Belief that the injury was a pre-existing condition and is therefore not eligible for workers’ compensation coverage

An experienced Tulare County workers’ compensation denial attorney can provide crucial help handling denials based on these and other applicable grounds.

Options for Resolving a Claim Denial

Getting past a workers’ compensation claim denial is not always a complicated or time-consuming process. For example, if the issue with a claim is a lack of necessary information, just providing that information in the form of additional evidence or an updated claim form could be enough to get the process moving in the right direction.

In other situations, it may be necessary to request a hearing before a judge, have your case reevaluated by qualified medical evaluators, and potentially even petition for reconsideration from the Workers’ Compensation Appeals Board or a California Court of Appeal. Support from a practiced workers’ compensation claim denial attorney in Tulare County can be especially important to getting through these proceedings efficiently and with good odds of a positive result.

Seek Help from a Tulare County Workers’ Compensation Denial Attorney

Workers’ compensation benefits could mean the difference between recovering fully from a work-related injury in both physical and financial terms and suffering life-altering losses because of that same injury. It is important to be positive and proactive in the face of a claim denial and to have help from knowledgeable legal counsel. Our firm is here to help you navigate this difficult and stressful time and advocate for you.

A conversation with a Tulare County workers’ compensation denial lawyer can give you clarity regarding your rights and give you confidence about your next steps. Call our trusted attorneys today for a private consultation.