Workplace accidents are a more common occurrence than you might imagine. When these accidents happen, you have the right to seek compensation from your employer. If your request for compensation is turned down by the insurance company, a workers compensation attorney in Los Angeles can provide valuable assistance. Surprisingly, claim rejections are not unusual; they happen quite frequently. Understanding your rights and knowing the necessary steps to take is crucial.
Just like accidents, compensation claims are part of everyday life. However, it’s essential to realize that having your claim denied is a regular part of the process. Insurance companies are designed to make profits, and if they can find a way to avoid paying what you rightfully deserve for an injury, they might take it.
This denial could have significant consequences, affecting your well-being and income. It’s crucial to be aware of your rights and be prepared for what to do if your compensation claim faces rejection.
Why Hire A Los Angeles Workers Compensation Attorney?
Taking on a big insurance company all by yourself can be a risky move, especially for the average worker. These companies are experts at safeguarding their own interests and often have a powerful legal team in place. It’s easy to feel lost without the proper know-how, and that’s when they can take advantage.
But there’s good news! Hiring an attorney who specializes in cases like these can be a game-changer. They bring experience to the table, guiding you through the entire process and providing valuable advice at every step. Plus, they’ll fiercely defend your rights. If your worker’s compensation claim gets rejected, don’t hesitate to reach out for legal help. There’s still a chance for justice, and the right professionals will work hard to make sure you get what you deserve.
Reasons For Rejecting A Compensation
Even a small mistake can give the insurance company a reason to say no to compensating you for your injury. Be clever and stay consistent with what you say and do—it’ll make things easier for you. And, don’t forget, if you run into trouble, find yourself a workers compensation attorney in Los Angeles to help sort things out.
Given below are a few reasons why your worker’s compensation may be denied or rejected.
Inadequate Witnesses
It might not seem fair, but insurance companies often say that if nobody saw the accident, it didn’t really happen, or it happened somewhere else than the workplace. This can be a problem, especially if you work in places where there aren’t many people around.
If that’s the case, you can ask to see if there are surveillance cameras that might have recorded what happened. It’s crucial to report the injury right away to your co-workers and your supervisor—it could make a big difference in getting the help you need.
Delayed Reporting Of Injury
Waiting too long to report the accident you had can cause some issues. Insurance companies usually get suspicious if you take too much time, wondering why you didn’t report it right away.
Try not to wait too long. It’s okay if you need some time to think about it or want to ask for legal help, but try to report it within a day. That way, you can make sure everything is sorted out properly.
Medical Records And Accident Reports Are Inconsistent
The insurance folks really pay attention to what you say about your accident. If your story is different when you tell your boss compared to when you talk to the doctor, it can cause problems. They might use these differences to say no to your worker’s compensation claim. It’s important to be consistent and tell the same story to everyone involved so that your claim doesn’t get rejected.
You Have Drugs In Your System
If you have a serious injury and end up in the hospital, they might test your blood as a regular thing. If they find illegal drugs or alcohol, the insurance company could use that against you and say it’s your fault for the accident. It’s important to be cautious and avoid any substances that could cause problems in case of an accident.
What Will Happen If My Claim Is Denied?
When your worker’s compensation request gets turned down by the insurance company, our office takes action by filing an Application for Adjudication with a local Workers Compensation Appeals Board (“WCAB”). We might also arrange for a neutral doctor’s opinion under Labor Code 4060 to figure out if your injury happened at work.
Even though the insurance company says no at first, it’s a judge at the court who ultimately decides if your case has merit. You, as the person making the claim, can also choose to settle things before going to court if the insurance company offers a deal you’re okay with.
If there’s still a disagreement, both parties go to court to sort it out. There are different types of hearings to try and resolve the issues. If things can’t be sorted out at these hearings, the case goes to trial. During the trial, both sides present their documents and witnesses so the judge can make a decision on the issues. It’s like bringing the case to a judge to figure out what’s fair.
Call Pacific Attorney Group For Justice Now!
If the insurance company says no to your request for compensation, don’t wait around. Act quickly! A worker’s compensation attorney in Los Angeles can help you fight against those greedy insurance folks.
Call Pacific Attorney Group today for a free chat about your situation. Your justice matters, and we’re here to help!
