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Shay & Associates

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Keep fighting after a denied workers’ compensation claim
Timothy Shay

Have you suffered injuries in a work accident, or did you become ill as a direct result of dangerous exposure on the job? Are you experiencing worsening of an existing medical condition because of your work? If so, you could be eligible for workers’ compensation benefits. These benefits are obtainable through a claim with your employer’s insurance provider. However, it can be remarkably difficult to secure workers’ compensation benefits, even with a valid claim.

You may be discouraged if your initial workers’ comp claim comes back denied. While this is a setback, it is not the end of the road for you. You and your family need financial support during this time of recovery and missed work, and there are steps you can take to keep fighting for what you need. Don’t give up.

What’s next?

After a denied workers’ compensation claim, you may wonder what you should do next. The process of appealing a denied claim is to first understand why the claim came back denied in the first place. The following are some of the most common reasons why workers’ comp claims are not successful on the initial attempt:

  • Evidence suggests you did not report the injury in enough time.
  • There is not enough medical evidence to prove that your injury is work-related.
  • You did not file your claim within the required window of time.
  • It is not clear you required medical treatment for your injuries.
  • Your employer is disputing your insurance claim.
  • You did not report the accident within the required window of time.

The denial letter you received from the insurance company will detail the reason why the claim did not receive approval. You will have a limited amount of time to start the appeals process. Before you do, you may need additional medical evidence and other documentation to validate your claim.

What do you need for recovery?

You have the right to fight for what you need for your recovery after a work accident. However, you do not have to fight alone. You will find it helpful to work with an experienced Illinois workers’ comp attorney from the initial stages of your claim. Whether you are completing paperwork, gathering documentation or appealing, having knowledgeable guidance can ensure you do not make mistakes or experience complications that can stand between you and the benefits you deserve.