Being injured at work is a traumatic experience. In addition to the physical pain and emotional stress, you worry about medical bills and lost wages. Florida’s workers’ compensation system is designed to assist workers who are injured on the job. However, sometimes an employer or its insurance provider denies a claim. Below are some of the most common reasons for the denial of a workers’ comp claim.
Common Reasons for the Denial of a Workers’ Comp Claim
- Failing to report an accident in a timely manner. You must report your workplace injury to your employer as soon as possible but no later than 30 days. Failing to report your injury within this time could result in your claim being denied.
- You did not seek medical care. If it is an emergency, call 911 and go immediately to the emergency room. You must use a medical provider authorized by your employer or its insurance company. Failing to use an approved medical provider, after receiving emergency care, can result in a denial.
- Your injury was not job-related. If you were on your lunch break running personal errands, a car accident would not be covered. Your injury must have occurred while you were on the job performing job-related tasks.
- You were impaired by drugs or alcohol at the time of the injury. In most cases, a blood test will be performed after a workplace injury. If you were drunk or under the influence of drugs, your claim could be denied.
- There are differences between your medical records and the accident report. You need to provide detailed information to your doctor by reporting all the symptoms you experience. You should also undergo all the recommended testing. You want your accident report to be substantiated by medical records.
- Lack of an eyewitness. Sometimes, an employer denies a workers’ comp claim if no one saw the incident that caused your injury. An experienced Boca Raton workers’ comp attorney can help you find evidence to prove your claim.
- Your employer disputes the claim. An employer can dispute a claim for a variety of reasons. If your employer denies you were hurt at work, you should contact our office immediately to meet with an attorney.
Appealing a Workers’ Comp Denial
If your employer or its insurance company refuses to pay your workers’ comp claim, you should not give up. Sometimes, valid claims are denied for reasons that are not true or do not apply. You have the right to appeal a denial of your claim. However, you must act quickly. The law limits the time you to file an appeal a denial. It is in your best interest to contact our Boca Raton workers’ comp attorney as soon as you receive notice that your workers’ comp claim has been denied.
Call Now for A Free Appointment with a Boca Raton Workers’ Compensation Lawyer
If your claim has been denied or you are not receiving the full benefits you are entitled to receive, we want to help. You can contact our office by calling 1-800-333-3903 to request a free consultation. We represent individuals in West Palm Beach, Boca Raton, Fort Lauderdale & Miami, FL.