It can be stressful and hard to understand when your workers’ compensation claim is turned down, especially if you are already dealing with pain, stress, and lost wages. But being turned down is not the end of the story. A lot of claims are turned down at first because of problems with the papers, a lack of proof, or disagreements about how the injury is related to the job. You are lucky that you have choices. This is what you should do if you were turned down for workers’ compensation.
1. Review the Denial Letter Carefully
Your first step should be to read the denial letter thoroughly. It should outline the reason for the rejection. Common reasons include:
- Missed deadlines
- Lack of medical documentation
- Employer disputes that the injury happened at work
- The claim was not filed properly
Before you can move on, you need to know why your claim was rejected. This will help you figure out how to make your case and deal with the problem at hand.
2. Gather Supporting Documentation
A lot of what makes your appeal strong depends on the proof you use. You should collect:
- Medical records showing the diagnosis and treatment
- A written statement from your doctor linking the injury to your job
- Witness statements, if coworkers saw the accident
- Timecards or schedules showing you were on the clock
- Accident reports or internal communications
The more documentation you provide, the better your chances of reversing the denial.
3. Contact a Workers’ Comp Attorney
A lot of what makes your appeal strong depends on the proof you use. Navigating the appeals process without legal help can be overwhelming and risky. A skilled workers’ comp attorney can:
- Review your case and identify the weaknesses
- Help gather additional medical and workplace evidence
- Represent you during hearings or negotiations
- Ensure deadlines are met and paperwork is submitted correctly
If you’re not sure where to start, click here to connect with a workers’ comp attorney who can evaluate your case and guide your next steps.
4. File an Appeal Promptly
Most states have a limited window—often 30 to 90 days—to appeal a denied workers’ compensation claim. Don’t wait too long. Your denial letter should include instructions on how and where to file an appeal.
Typically, the appeal process may include:
- A preliminary review
- Mediation or settlement conferences
- A formal hearing before a workers’ compensation judge
- Further appeals to a board or higher court if necessary
Your attorney will help ensure your appeal is properly filed and argued at each stage.
5. Keep Up With Medical Treatment
While your appeal is in progress, continue to seek medical care for your injury. This not only supports your recovery but also creates an ongoing medical record that could strengthen your case. Skipping appointments or failing to follow treatment plans can be used against you during the appeal.
6. Communicate With Caution
Be mindful of how you communicate with your employer, their insurance provider, or any claims adjusters. What you say can be used to support or undermine your case. Keep conversations documented and direct them through your attorney whenever possible.
7. Know Your Rights
You have a legal right to seek benefits if you were injured at work. Don’t let a denial intimidate you into walking away. Many workers who appeal successfully reverse the decision and receive the compensation they deserve.
Final Thoughts
If your workers’ compensation claim is rejected, it’s not the end. With the right strategy, you can get past this problem. You have a much better chance of winning your appeal if you know why your request was denied, gather strong evidence, and work with an experienced lawyer.