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Hurt at work? Don't let a denied benefits claim hurt you as well

A work accident can change your life in an instant. Even a seemingly minor incident can result in pain, financial losses and long-term medical needs. There is no way to reverse the damage, but workers' compensation benefits may help you deal with these complications and allow you to get the care you need for your recovery.

However, your recovery can come to a complete halt when you learn that your workers' compensation claim came back denied. While this is incredibly frustrating, the denial is not necessarily the end of the story. A denied claim may feel like a step back, but you have the right to keep fighting for the benefits you need through an appeal.

Understanding how the insurance company works

Despite the fact that the intent of workers' compensation benefits is to support and provide for injured workers, your South Carolina employer's insurance provider will work to pay as little money as possible. These companies do not have your best interests in mind, and claimants often find that they either will not pay or will not pay the full amount to which they have a rightful claim. The following are the most common reasons claims come back denied:

  • Your employer is disputing the claim.
  • You failed to file the claim in enough time.
  • You failed to report the accident, injury or illness promptly.
  • You didn't provide enough evidence to suggest that the injury is work related.
  • The injury is not compensable.
  • There is insufficient evidence you needed medical treatment.

In most cases, the letter informing you of your denied claim will also include an explanation of why. Once you understand this, you may begin to prepare an appeal, which may require gathering additional medical documentation, seeking doctor verification and securing the appropriate legal help.

Recovering and getting back to work

After an accident at work or suffering from an illness related to your occupation, you know how important it is to recover and get back to work as soon as possible. You also know how vital it is for your family to get financial support and how devastating a denied workers' compensation claim can be. Fortunately, you do not have to deal with this complication alone.

From completing and filing the initial application to finding out why your claim came back denied and preparing an appeal, you have the right to support and guidance. You also have the right to keep fighting for your full and fair recovery so you can get better and get back to work sooner.

Philpot Law Firm, PA
115 Broadus Ave.
Greenville, SC 29601

Toll Free: 866-853-3497
Toll Free: 866-853-3497
Phone: 864-990-0226
Phone: 864-990-0226
Fax: 864-242-1566
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