In most instances, workers' compensation insurance will cover your workplace injuries. Sometimes, however, insurance companies deny your claim, leaving you confused and wondering what to do next. If you want to learn more about denied workers' compensation, consider the information below.
Reasons Behind Denials
Most often, insurance agencies deny claims due to a lack of medical information or a delayed filing of a claim. In California, you have a year to submit your paperwork and 30 days to make a report to the employer. You do also have to seek out medical treatment so that you have appropriate records.
Receiving a Denial Letter
The insurance provider should send you a letter explaining the reason behind your denial. It will also provide instructions on how to file an appeal. You have to complete a Petition for Reconsideration within 20 days from the date on your letter in California.
Waiting on the Appeal Board
The California Workers Compensation Appeal Board has 60 days to consider your petition. If approved, they will make changes as necessary to give you better compensation. If you want to present more evidence or have more witnesses, there may be another hearing in front of a judge to determine your full benefits.
Legal Assistance
The appeals process in California is not an easy one for workers' compensation claims. A workers' compensation attorney Moreno Valley-based will find any additional evidence. Lawyers use this information to help you win your appeal. They are also there to ensure your documentation is accurate to make it as appealing as possible for the review board.
