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Reasons a Workers’ Compensation Claim May Be Denied

Joanow Legal Group July 20, 2020

When a Pennsylvania resident is hurt in a workplace accident, their injuries may be compensable through workers’ compensation provided by their employer. It is important that workers are aware of the rules and regulations that govern the application and denials processes for workers’ compensation so that they know how to react when they receive notice regarding their claims. Often it is beneficial for hurt workers to get help from attorneys who practice workers’ compensation law.

One of the more difficult aspects of pursuing a workers’ compensation claim is addressing a notice of denial. Not all workers’ compensation claims are initially approved, and some must be appealed in order to be recognized as valid. This post addresses some of the most common reasons that workers’ compensation claims are rejected, but readers should know it is not a comprehensive list. This post does not provide any legal advice.

Workers’ compensation claims are often denied if they suffer from procedural or technical defaults. If a claim is filed too late, or if a claim is incomplete, it may be rejected. Similarly, claims that do not involve medical costs or care may be denied as the victims did not incur losses from their harm.

In some instances, workers may find that their employers disagree with their claims and that they intend to fight the payout of such claims. Generally, workers’ compensation is available to individuals who suffer harm while working in the course of their jobs. If a worker was harmed because they were goofing off or were off-duty, their claim may not be considered work-related.

Workers’ compensation benefits can make a difference in the life of an individual who has mounting medical bills and is unable to do their job. Getting help early from a knowledgeable workers’ compensation attorney can help injured individuals start their claims early and prepare them for the challenges that may come up during the claims process.