Free Consultations

We Advance All Costs - No Fee Unless We Win!

In this section
Review Us
Experienced trial lawyers With The Resources To Handle Your Case

Don't take a denied workers' comp claim lying down

If you spend your days working in an industry in which the likelihood of suffering a debilitating on-the-job injury is high, you may naturally be concerned about providing for your family if you are unable to return to work. Your employer might reassure you about workers' compensation benefits that will be available to help you financially by paying medical expenses and lost wages.

However, did you know that your employer or the insurer could deny your workers' compensation benefits claim? There is no guarantee that you will receive the benefits to which you might be entitled. Insurers tend to treat every claim with suspicion, and yours might be one of those they decide to reject.

For what reasons could benefits claims be denied?

The rejection of your workers' compensation claim can jeopardize your ability to care for your loved ones. The severity of your injury may prevent you from returning to work until you have recovered, and along with the loss of income, you will have to cope with high medical expenses. Upon the denial of your claim, the insurance company will notify you, and they will provide the reason for the rejection. Here are some of the many reasons they may cite:

  • Time limits: There are two time limits to meet. Under Pennsylvania laws, you must report the injury to your employer within a specific time after it occurred, and your boss has a limited time within which he or she must file the claim with the insurer.
  • Employer dispute: Some employers will do anything to stop claims that may cause increased premiums. Your boss might argue that you were not on duty when your injury occurred or that you were horsing around when you hurt yourself.
  • Injury does not qualify for compensation: It is typically tough to prove that invisible injuries such as repetitive stress, back problems and even post-traumatic stress disorder after witnessing a traumatic work accident are work related.
  • No medical record: Doctors' bills and other medical reports must accompany claims to make them valid. No proof of medical expenses will certainly cause the denial of a benefits claim.

You are entitled to file an appeal

You need not take the rejection of your claim lying down. With the help of an experienced workers' compensation attorney who is skilled in navigating the intricacies of the workers' compensation appeals process, you might receive all the compensation to which you are entitled.

Your legal counsel might start by consulting with your employer and the insurance company to determine whether the denial might have resulted from a misunderstanding that could be easily resolved. However, you attorney will be ready to appeal the decision with the Pennsylvania Workers' Compensation Appeal Board if necessary.

No Comments

Leave a comment
Comment Information

what our clients say about us

  1. $5.5 Million

    Settlement for spinal injury caused by delivery company's negligent vehicle maintenance

  2. $5 Million

    Settlement for traumatic brain injury

  3. $1.2 Million

    Settlement (Liability insurance limits) for death claim arising out of tractor trailer collision

  4. $1 Million

    Settlement for closed head injury/facial fractures due to negligent construction site practices

  5. $1 Million

    Arbitration award in death claim arising out of motor vehicle collision

  6. $1 Million

    Total workers' compensation settlement for injured worker who suffered orthopedic injuries and additional GI injuries due to prescription medications.

  7. $1 Million

    Policy limits recovered for head injury sustained by the user of unsafe rental equipment.

  8. $890,000

    Settlement for head injury of injured worker caused by negligent operation of equipment by a non-employer contractor on the job site.

  9. $875,000

    Settlement for ankle injury due to negligent dump truck operation

  10. $675,000

    Settlement for bilateral wrist injuries caused by the negligent operation of a tractor-trailer.

  11. $600,000

    Settlement for statutory cap of $500,000 for wrongful death of a worker who was killed when struck by a government-owned vehicle as well as policy limit for underinsured motorist coverage.

  12. $$450,000

    Workers' compensation settlement for a nurse who sustained a low back injury requiring multiple surgeries.

  13. $375,000

    Settlement for knee injury sustained in a motor vehicle collision with contested liability.

view more
email us for a response

Call Us 24/7 To Discuss Your Case

866-967-7235 | 717-496-0070

Absolutely no fee

Bold labels are required.

Contact Information

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.


Privacy Policy