What to Do if the Workers’ Comp Insurance Company Denied your Claim


If you have applied for workers’ compensation and the insurance company denied your claim, don’t lose hope. There are many reasons workers’ comp claims can be denied and you may still be entitled to benefits. Injured Workers Law Firm can help you build a strong appeal on your behalf to increase your chance of getting your claim approved.  You can consult a workers’ compensation attorney for free and get answers to your questions about the workers’ comp appeal process.

How Workers’ Comp Evaluate Claims

A lot of people who sustain workplace injuries assume that their employer will cover their medical treatment and lost wages. But, this is not always the case. Generally, Virginia Workers’ Compensation Law gives an injured worker’s employer and insurance company the chance to investigate the claimed work injury and the circumstances that surround it.

After the insurance company gets notice of a claim for workers’ comp benefits, they perform an investigation of the injury. They may review workplace videos, collect information from co-workers and supervisors, speak to the injured employee, and review medical records. They will either accept or deny the claim based on this investigation. The insurance company may accept the claim and pay for related medical treatment and wage loss benefits. Sometimes, they may accept the claim and pay and pay the related medical treatment but not wage loss benefits. Or they may deny the claim and its entirety.

Working with a Workers’ Comp Appeal Attorney

Your workers’ comp claim can be denied even with just an error or omission. An experienced lawyer will request your Notice of Insurer’s Primary Liability Determination Form that contains detailed information on why your claim was denied.

After knowing the reason for the denial, your lawyer will do everything they can to help you get benefits. They will collect more medical evidence or hire an expert witness to dispute the ruling of the insurance company. You will have peace of mind knowing you have expert legal assistance through every step of the appeal process.

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