Workplace injuries are unfortunately common, with more than 2.7 million work-related injuries and illnesses reported in a single recent year, according to the Bureau of Labor Statistics. Injuries can range from minor to severe, but fortunately, workers’ compensation exists to provide financial support to injured employees.

Employers are legally required to carry workers’ compensation insurance to cover medical costs and lost wages for workers who are injured on the job. When you sustain a workplace injury, you have the right to file for these benefits. However, many injured employees face denied claims, leaving them uncertain about their next steps.

There are several reasons a workers’ compensation claim may be denied. If your claim has been rejected, it’s critical to act quickly. Consulting an experienced workers’ compensation attorney can make a significant difference. At E&L, LLP, we understand how overwhelming this process can be. Our skilled attorneys will review your case, guide you through the appeals process, and fight for the compensation you deserve.

If your workers’ compensation claim has been denied, don’t navigate this complex process alone. Contact E&L, LLP today for a free case evaluation.

CALL OUR ATTORNEYS FOR A FREE NO-OBLIGATION CONSULTATION
(213) 213-0000

Frequently Asked Questions

How Do I File a Workers’ Compensation Claim?

Filing for workers’ compensation can be overwhelming, especially in the aftermath of a workplace injury. Here are the essential steps to ensure your claim is submitted correctly:

  1. Report the Injury Immediately
    Notify your employer about the injury or illness as soon as possible. Timely reporting is critical to preserving your right to benefits.
  2. Seek Medical Treatment
    Visit a medical professional to assess your condition. In some cases, you may be required to see a doctor chosen by your employer or their insurer. Make sure your medical records clearly link the injury to your work.
  3. Complete and File the Required Forms
    Your employer should provide the necessary forms to file your workers’ compensation claim. Fill these out accurately and promptly, and submit them to both the employer’s insurer and your state’s workers’ compensation agency.

If your claim is denied, consult an attorney at E&L, LLP to explore your options for appeal.

What Are Common Reasons for Denied Workers’ Compensation Claims?

While workers’ compensation is designed to protect employees, claims can be denied for various reasons, including:

  • Failure to Report the Injury on Time
    Most states require employees to report workplace injuries within a few days. Missing this deadline can result in a denial.
  • Failure to File the Claim on Time
    Similarly, not submitting your claim within your state’s filing deadline can jeopardize your benefits.
  • Employer Disputes the Claim
    Employers may argue that the injury didn’t occur at work or that it was the result of horseplay or negligence.
  • Non-Compensable Injuries
    Some injuries, like repetitive motion injuries, are harder to prove as work-related without additional evidence.
  • Lack of Medical Treatment
    Failing to seek medical attention immediately can weaken your claim. Insurers may argue that the injury wasn’t severe or work-related.

What Happens When a Denied Workers’ Compensation Claim Is Appealed?

If your claim is denied, the next step is to appeal. The appeals process typically involves:

  1. Review the Denial Reason
    Your denial letter should explain why your claim was rejected. Understanding the reason will help you build a stronger appeal.
  2. File an Appeal
    Appeals often involve attending a hearing before an administrative law judge. This process may require gathering evidence, such as:

    • Medical records and doctor’s notes
    • Witness testimony
    • Expert opinions
    • Photographs of the worksite
  3. Seek Legal Representation
    An experienced attorney from E&L, LLP can help you prepare your case, present evidence, and advocate on your behalf during the hearing.

What Costs and Expenses Do Workers’ Compensation Benefits Cover?

Workers’ compensation benefits are designed to cover specific costs related to your injury, such as:

  • Medical expenses (e.g., doctor’s visits, surgeries, and medication)
  • A portion of lost wages
  • Disability benefits (partial or total)
  • Ongoing medical care

While workers’ comp doesn’t cover emotional damages or pain and suffering, you may be eligible to file a third-party claim if another party contributed to your injury.

How Does E&L, LLP Handle Legal Fees?

At E&L, LLP, we work on a contingency fee basis. That means you won’t pay any upfront costs or fees. We only get paid if we recover compensation for you.

Let E&L, LLP Fight for You
If you’ve been injured at work or your workers’ compensation claim has been denied, you don’t have to face the process alone. Our team of skilled attorneys will fight tirelessly to secure the benefits you deserve.

 

CALL OUR ATTORNEYS FOR A FREE NO-OBLIGATION CONSULTATION
(213) 213-0000

WE DO NOT GET PAID UNTIL YOU GET PAID. THAT IS OUR GUARANTEE.