Possible Reasons Why Your Worker Compensation Claim Got Denied

You applied for a worker’s compensation claim when you got injured at your work premises, which was rejected. There could be several reasons why your claim was rejected. Getting down to the root cause could be a bit messy as no one would readily tell you the reason.

But Richmond workers’ compensation attorneys can help you get to the main reason why your claim was denied in the first place. Employees often misread the contract or skip reading the employment contract completely, which leads to such events where the compensation gets rejected. But sometimes, your employer could also intentionally reject these claims.

Common Reasons why your Worker’s compensation is rejected.

  1. Your injury did not happen at the workplace: 

Employees often file claims for an injury that never occurred at the work premises. This will be staged as an invalid claim as you weren’t hurt on your work premises. For a claim to be sanctioned, the injury must have happened in the walls where you work.

  1. You did not inform your employer about the injury: 

There are certain constraints when you are filing for a worker compensation claim. Certain things could go wrong if you did not inform your employer about the injury. An accident investigation would not occur; your employer and an insurance company will claim that you were never hurt because of which it wasn’t reported, or even worse, they will claim that the accident occurred outside the workplace. So, you must write a formal note to the employer about the accident and the injuries you received.

  1. You consumed alcohol or drugs: 

This violates the worker code of conduct and is a perfect ground for rejecting your claim. An employee’s claim will get rejected if they were intoxicated when they got hurt. A drug would be conducted to see if you were under the influence of any substance when you go to the doctor. If found, then your claim gets rejected right on the spot.

  1. Your compensation paper was not filled out on time: 

There are specific timelines and constraints when filing a worker’s compensation claim. If you haven’t filed your compensation papers on time, you are just giving your employer another reason to reject your claim. It is preferred that you submit all the papers for claims under 3-days of the accident.

Speak to an attorney!

Employers make small tweaks and modifications in the contract to evade paying for the compensation. So ensure that you get your contracts reviewed by your attorney and consult them when such an incident happens, as they will guide you in the right direction to getting your claim.

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