Quick Guide for Filing a Formal Workers’ Compensation Appeal


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If you have recently experienced an injury during your working hours or you have become sick through your job, then definitely, the very first thing that will come to your mind is to have one of the best workers compensation attorneys in California. Not every case is the same, and this is why most of the insurers will likely deny your claim or pay you less than you deserve. 

If you are also in the same situation, then this is the time to reconsider and to understand that you have the right to claim the compensation along with the mentioned benefits. In case it faces a denial, then you can have a professional workers comp lawyer by your side and simply assume that you are not alone. Many insurance providers deny claims and benefits. At times, these denials are legitimate, and sometimes they are not. However, there are several reasons why one can face rejection with their claim. The below mentioned are the typical examples, check them out. 

  • When the injury is not work-related, insurers and employers often deny the claim appeal. Most of the time, denials are executed in error. The reason can be that you have simply failed to portray evidence that may have proved your rights. 
  • The second most common reason that an attorney may mention is that when you have missed the deadline to report the file or injury. What happens is that there are deadlines for reporting the injury and filing that has been prepared for workers compensation. And, based on the date and time of the damage occurred, it may just not be everyone’s cup of tea. This is why having an established and energetic compensation attorney by your side can save you from it. If in any case, you have missed the deadline, then only the lawyer can help you.
  • Another reason can be when you might have submitted a wrong or incomplete claim form with conflicting information. There are high chances that your claim file will face rejection. No doubt, the insufficiencies can be overcome; however, you cannot just expect the insurance provider or the employer to deal with it on your behalf. 
  • In most of the states, including California, lawyers recommend seeing the doctors that are chosen by the employers for the treatment. If your employer approved doctor states that you can work even with the injury, illness, or disability, then you still have the purpose of filing an appeal. 

What takes to appeal a workers compensation denial? 

To determine the best steps further, make sure to understand why your claim appeal was denied. If it had a common reason behind it, then it is always a great idea to appeal your denial through an email conversation or telephonic call. In general, the process begins with submitting a formal appeal to the Division of Workers’ Compensation, California. Though it may seem to you that this is something you can do on your own, in actuality, it is a task handled best by an expert. So, make sure you have hired a reputable workers’ compensation attorney in California, who represents your case in front of the administrative law judge. 

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