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3 FAQ about appealing a denied workers’ compensation claim

On Behalf of | Oct 16, 2023 | Workers' Compensation

If you face a workers’ compensation claim denial, you may be feeling overwhelmed and uncertain about what steps to take next.

Fortunately, there is a process in place for appealing such decisions.

1. What is the first step to appeal a denied claim?

Your initial action should involve initiating an appeal with the relevant agency. To determine the specific agency to which you should direct your appeal, it is advisable to get in touch with your employer or their insurance provider.

2. How do I prepare for the appeal hearing?

To increase your chances of a successful appeal, prepare thoroughly. This entails compiling all pertinent medical records, including doctor’s reports and test results. These documents carry substantial weight as pieces of evidence capable of reinforcing your claim. Furthermore, it is of equal importance to ensure the presence of witness statements, if applicable, along with any other evidence that pertains to your injury or the conditions within your workplace.

3. What should I expect during the hearing?

The workers’ compensation appeal hearing is where you present your case to a judge. Expect to answer questions about your injury, medical treatment and the circumstances surrounding the incident. Be clear and concise in your responses. The judge will also consider the evidence you present, including medical records and any witness statements.

3. What happens after the hearing?

After the appeal hearing, the judge will make a decision. If the judge rules in your favor, you will receive the workers’ compensation benefits you deserve. If the decision goes against you, you can explore further options, such as requesting a review or filing a new appeal if additional evidence becomes available.

Every year, 4.9 million people file a workers’ compensation claim, and not all of them come with approval. While appealing a denied claim can be challenging, it is important to stay proactive and persistent in pursuing the benefits you deserve.