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Why some workers’ compensation claims are denied

On Behalf of | Jan 22, 2018 | Firm News

Most people who live in the Boston area take comfort in the knowledge that workers’ compensation is available if they suffer work injuries or illnesses. Under the law, all workers have the right to receive this compensation, but there are some circumstances in which your workers’ comp claim may be denied.

Learning about the most common reasons for a claim denial could help prepare you for a potential denial. It can also give you insight into the procedure for filing a successful claim.

Claim end up denied if they are for injuries that didn’t happen at work. If claims adjusters have reason to believe that you suffered your injury outside of work and then pretended it happened on-the-job, it may result in a denial.Failing to seek adequate treatment can impact your claim. Do not think you are helping your employer by not seeking medical attention after a work injury. This could damage your case and most likely mean a denial. Documented medical treatment strengthens and verifies your workers’ compensation claim.

Waiting too long to report your injury could hurt your claim. It is crucial to report any work-related injury immediately, even if it does not seem like an urgent matter. Failure to do so often results in a claim denial.

People engaging in unsafe activities at work often have claims denied. If claims adjusters believe you caused or contributed to your injury by behaving in an unsafe manner, your claim may be denied. For example, if you suffered an injury while engaging in a prank or even just horsing around at work, you are at risk of claim denial.

The good news is that it is possible to salvage a denied claim in many cases, and an injury attorney can help you with this process. We offer many online publications for victims of on-the-job injuries. Please visit our website if you want to learn more.