Helping The Injured Recover The Compensation They Deserve

Workers’ compensation claim denials are not the end

On Behalf of | Mar 23, 2022 | Uncategorized

With a few exceptions, workers’ compensation insurance is a workplace requirement designed to protect both your employer and you. Those filing workers’ compensation claims may receive denials initially.

However, a rejection the first or second time does not mean your case is hopeless. According to Engineering News-Record, the refusal rate of workers’ compensation claims rose between 2013 and 2017, but two-thirds of the rejected claims ended up accepted and paid within the year. If the insurer denies your claim, you have the option to appeal.

Notice of claim

After the initial denial of your benefits, Georgia gives you a year from the date you sustained your injury to file a notice of claim, a form provided by the government. You need to file it with the state’s Board of Workers’ Compensation. While you have time, filing sooner may speed up the process, helping you obtain your needed benefits faster. The appeals process does take time.

Hearing

The Board schedules a hearing for you after receiving your claim. It presents you the opportunity to show evidence, such as a doctor’s note and medical records, before a judge. The insurance company may also present its side, and both it and you may call witnesses. You receive notification of whether the appeal was successful or not in the mail later, not in person at the hearing.

Even if the judge denies your first appeal, you may still have the right to appeal again. You may also request mediation for a more informal decision.