Gettysburg Workers Comp Denial Lawyer
When you have suffered a workplace injury or occupational illness, you may know that you can rely on workers’ compensation benefits to financially support you and your family during the recovery process. Learning that your claim is denied is then overwhelming and disheartening. Fortunately, you have legal options after learning of a denial. Below, our Gettysburg workers comp denial lawyer explains what those are, and the most common reasons claims are denied.
Your Injury was Pre-Existing
You can only receive workers’ comp for injuries that were sustained on the job. If you were injured outside of work, or started employment with a pre-existing condition, you cannot obtain benefits for it. However, if your pre-existing condition is exacerbated or aggravated due to a workplace accident, you still have the right to benefits.
Certain Deadlines Expired in Your Claim
There are certain deadlines you must meet when filing a workers’ comp claim. For example, in order to receive retroactive benefits, you must report the injury or illness to your employer within 21 days of discovering it. If you do not notify your employer of the injury or illness within 120 days, you will likely lose your right to claim any benefits at all.
You Provided Insufficient Proof or Information
Your employer’s insurance company will require certain information from you before they approve your claim for workers’ comp. They may need medical records, a statement of wages, accident reports, and more. If you do not provide sufficient information or proof of your injuries, this can give the insurance company reason to deny your claim.
You Received Medical Treatment from the Wrong Doctor
In Gettysburg, as throughout the rest of Pennsylvania, employers are allowed to limit your medical treatment to a list of approved physicians. You must choose a doctor or specialist from this list and use them for the first 90 days of your injury. If you fail to do this, your claim may be denied. After 90 days, you can see any doctor or specialist you wish.
You Were Engaging in an Irresponsible or Illegal Activity
If you intentionally caused your injury or were acting irresponsibly when you were hurt, the insurance company can deny your claim. For example, if you were drunk while on the job, the insurance company will not compensate you for any injuries sustained. Likewise, if you were engaging in illegal activity, such as trying to steal from your place of employment, this is also a reason to deny your claim.
Our Workers Comp Denial Lawyer in Gettysburg Can Help You Appeal
The above are just a few of the valid reasons why insurance companies deny workers’ compensation claims. Unfortunately, insurers often deny claims even when they do not have reason to. When this is the case, you can appeal the decision to obtain the benefits you need. At Ira H. Weinstock, our Gettysburg workers comp denial lawyer can help you through the process to help you obtain the full and fair settlement you deserve. Call us now at 717-238-1657 or contact us online to request a free case evaluation and to learn more.
