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Common Reasons for Workers' Comp Denial

Workers’ compensation claims can be denied in California. If you recently filed for workers’ comp, chances are you’re thinking a lot about the possibility of denial. While there are various reasons employers and insurance companies can cite when denying a claim, those facing workers comp denial can challenge these reasons and ultimately achieve the benefits they need.

Why Are Workers’ Comp Claims Denied?

Workers’ comp claims get denied for many reasons. Although all employers in California are required to hold a workers’ comp insurance policy, employees are not necessarily guaranteed benefits when they come forward with work injury claims.

A few of the most common reasons for workers’ comp denial include the following:

  • The employee’s injury is not work-related or is a pre-existing condition
  • The employee didn’t list witnesses to the injury
  • The employee failed to properly report the injury
  • The employee failed to adequately and/or accurately complete workers’ comp paperwork
  • The employee refused to make a statement
  • The employee refused to seek medical treatment
  • The employee refused or failed tests for drugs and/or alcohol
  • The employer suspects the employee’s claim is fraudulent

If your employer suspects any of the reasons above (or any other similar to these) apply to your work injury, it might take additional effort to fight for the workers’ comp benefits you need. Fortunately, a workers’ comp attorney can help you appeal any denial of your claim.

What Happens If My Workers’ Comp Claim Gets Denied?

If you encounter a workers’ comp claim denial, it’s time to consult with a lawyer. You can appeal the denial and work toward overcoming obstacles that stand between you and the benefits you require.

Our dedicated lawyers at Smolich and Smolich can assist clients with workers’ comp appeals to help them challenge unfair claim denials. Learn more about how we can help you work toward achieving what you need by reaching out to us today.

Contact Smolich and Smolich online today or by calling (916) 571-0400">(916) 571-0400 now.