When you’ve been injured at work, you should be able to obtain workers compensation benefits to support you while you’re unable to work. Unfortunately, denials happen far more often than is necessary. If you’ve received a denied workers comp claim, get help from a Greenville workers compensation denial attorney.
Despite the fact that any employer with more than three employees is required to carry workers comp coverage on their insurance policies, we are seeing claimants face denials more and more frequently. This can put a serious damper on your ability to continue providing for your family while you’re out of work. You don’t have to sit back and let yourself end up in financial ruin, though.
A Greenville workers comp denial lawyer at Ricci Law Firm, P.A. is prepared to get your claim approved. We will work rigorously to appeal your case so that you can begin receiving the workers comp benefits you’re entitled to. This way, you can recuperate without the added worry of how you’ll support your standard of living without the ability to earn an income.
Reasons Your Workman’s Comp Claim Might’ve Been Denied
There is a wide variety of reasons why the insurance company might’ve denied your workers comp claim. Sometimes, there are legitimate reasons for a denial, while other times the insurer is simply looking out for its best interests. As a for-profit company, every case the insurer approves means they lose money, so it shouldn’t come as a surprise if your claim is, at least initially, denied.
The most common reasons for a claim to be denied, valid or not, include:
- Failure to notify your employer of your condition within thirty days
- The insurer believing your injuries do not impact your ability to work
- The claimant having a pre-existing condition
- Lack of supporting medical documentation
- Committing a crime at the time of your injury
- Being under the influence of drugs or alcohol when injured
- Being in violation of your company’s code of conduct
- Errors in the filing of your paperwork
Whatever the reason, your lawyer will review the details of your case to determine whether or not the insurer had a legal right to deny your claim. If not, we will work diligently to negotiate with the insurance adjuster to see if any issues can be corrected that will allow your claim to be approved. If not, we’re prepared to move ahead with an appeal.
What You Need to Know about Workers Comp Appeals
Filing an appeal can seem daunting. However, with an experienced attorney by your side, you should feel a little more comfortable about the outlook of your case. Oftentimes, by correcting any issues your initial claim had, you can get your initial denial overturned and begin receiving your workers comp benefits shortly thereafter.
In other cases, the insurance company may remain steadfast in its decision to deny you the benefits you’re entitled to, so we will need to proceed with a formal appeal. Your appeal will be filed with the North Carolina Industrial Commission. From there, the workers comp commissioner will examine your case to ascertain your eligibility for workers compensation benefits. This is the level at which the majority of claims are approved.
There are some cases that will need to be brought in front of an administrative law judge. Your case could go all the way to the North Carolina Supreme Court if your claim continues to be denied without due cause. Your attorney will bring your case as far as we need to if you are deserving of workers compensation benefits.
Get Help from a Highly Trained Greenville Workers Comp Lawyer
We proudly offer all prospective clients a complimentary case review. Schedule your meeting with a Greenville workers comp denial lawyer by completing the brief contact form at the bottom of this page, or give our office a call at (252) 777-2222 today.