Why Was Your Workers Compensation Claim Denied? 

Why Was Your Workers Compensation Claim Denied? 

Why Was Your Workers Compensation Claim Denied? Insurers may deny workers compensation claims for many different reasons. Facts and circumstances of your injury and recovery will determine why an insurer may deny your workers’ compensation claim. Keep in mind that denials are not final, and they are often wrongful.

If you have suffered a workplace injury, reach out to Pyle Law today to schedule a free consultation. We can go over the facts of your case and also discuss why an insurer may have denied your workers’ comp claim.  The following are some reasons why are denied worker’s compensation claims.

Workers Compensation Claim Denied because the Claimant did not Comply with all Insurance Requests 

Insurers will sometimes ask an employee to provide a recorded statement containing details of their injuries and the corresponding accident. Providing a statement to an insurer may harm an employee’s workers’ compensation case. And also, the law does not mandate that an injured employee provide an insurer with a recorded statement. However, insurers can still try to deny – or threaten to deny – claims without such a statement.

An insurer may also attempt to have an injured employee sign medical authorizations to gain access to all medical records. Insurance companies do not need all of your medical records for your entire life, and this can delay your claim. However, the adjuster might deny your claim if you limit their access.

All injured employees should seek out legal representation for all phases of a workers’ compensation claim. We know what the insurance company is entitled to and when they do not justify a claim denial. 

An Injured Employee Filed a Workers Compensation Claim After Company Laid Off Him

Insurers do not enjoy processing workers’ compensation claims filed after the employee was laid off. Many insurers believe these workers’ compensation claims seek revenge on the employer. Employees should not delay when filing a claim, as waiting to file may cause daubs about legitimacy.

Medical Records Contain Evidence of Illegal Drugs In The Injured Employee’s Body 

Insurers will not voluntarily pay workers’ compensation benefits to an employee who tests positive for drugs. Emergency room staff will test the injured employee’s urine and blood for substances, and evidence of illegal drugs will likely cause an insurer to deny a workers’ compensation claim, though this should not always be the case.

The Accident Report and Initial Medical Records Contain Inconsistent Information 

An insurer will almost always deny a workers’ compensation claim if an injured employee provides one set of facts to the employer and another set of facts to a treating physician. All injured employees should provide one consistent account regarding the workplace injury. Insurers will question whether an injured employee is telling the truth about the circumstances of the workplace injury if there are inconsistencies. 

An Injured Employee Did Not Report The Injury Immediately 

Insurers assume that injured employees who do not report a workplace accident immediately have something to hide. Kansas workers’ compensation laws require that employees report injuries or illnesses within a short period of time. If you fail to report, you might not receive benefits.

No One Witnessed The Injury 

Insurers will question workplace injuries that are not corroborated by at least one witness. A workplace injury may not be witnessed, so the injured employee should report the injury to a supervisor as soon as possible. Injured employees should also tell others the exact same facts regarding workplace injury. 

Let a Kansas Personal Injury Lawyer Help With Your Workers Compensation Claim Denied

There are many things that can go wrong with a workers’ comp claim, so you need the right legal help. Contact the team at Pyle Law for your free case evaluation today.