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The best course of action after a denied workers’ comp claim

On Behalf of | Feb 19, 2022 | Workers' Compensation

After a work accident, you could find yourself struggling to keep up with your medical bills and other needs you now have as a result of your related injuries. Even if you filed a workers’ comp claim, you may not get the help you need as many of these claims come back from the insurance company denied. This is a common setback for North Carolina workers, and while it is frustrating, it is not the end of the road for you.  

There are steps you can take that will help you pursue a beneficial outcome to your case, even after a denial from the insurance company. It may be possible to address issues with your claim and eventually secure the support you need for a full and fair recovery. After a denied workers’ comp claim, you do not have to assume it is the end of the road for you. You can continue your fight for rightful benefits and support as you try to pick up the pieces and move forward after a workplace accident. 

What is next for you? 

You may feel discouraged by a denial, which is normal. Through the appeals process, you can go back to the insurance company with new evidence, but first it is critical to understand why the initial claim came back denied. Some of the most common reasons why this happens include: 

  • You did not report the injury in enough time to your employer. 
  • There is not enough evidence to prove your injuries are work-related.  
  • Your employer is disputing your claim or your version of the accident. 
  • You did not file the claim in enough time. 

Appealing a denied workers’ comp claim is a time-sensitive process. You would be wise to take quick action to understand why the claim was not initially successful and what you need to do to prepare for a successful appeal.  

Appealing for the benefits you deserve 

The workers’ compensation claims process is complicated, and insurance companies do not have your best interests in mind. You may have to fight for the support you deserve, including navigating the appeals process. An assessment of your specific situation will help you understand what additional documentation you may need and how you can prepare your claim to move forward with the next steps.