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How to avoid denials in workers’ comp claims

On Behalf of | Jun 10, 2024 | Workers' Compensation |

When you suffer an injury on the job, workers’ compensation acts as your financial safety net to support you through your recovery. This system ensures employees get medical care and compensation for lost wages, easing the financial burden of work-related injuries.

Unfortunately, securing these benefits is not always straightforward. There is a litany of reasons that can cause claims to get denied, leaving injured workers without the crucial support they urgently need. What are the common pitfalls in the claim process, and how can you avoid them to ensure your application is successful?

Failure to promptly report the injury

When you sustain a work-related injury in Georgia, the law requires you to inform your employer about the incident within 30 days. Delaying this report can not only jeopardize your claim but also make it harder to link your injury directly to your job. A prompt report helps ensure that the details are accurate and strengthens your claim.

Disputes over the claim’s validity

Sometimes, the work-related nature of your injury becomes a contentious issue. Your employer or their insurer might question your claim’s legitimacy, possibly arguing that the injury was preexisting or occurred outside of work.

Failure to seek medical treatment

One of the key steps after an injury is to seek medical treatment as soon as possible. Not only is this critical for your health, but it also provides documented evidence that supports the severity of your injury. Skipping a visit to the doctor or delaying treatment might suggest that the injury is not that serious, weakening your claim.

Receiving a denial for your workers’ compensation claim can feel like adding insult to injury – literally. Dealing with the pain of an injury is overwhelming enough, but facing the financial stress of a denied claim can make things even harder. However, understanding why claims are denied, taking proactive measures and enlisting the help of a legal expert can turn the tide in your favor.