Was Your Workers Compensation Claim Denied?

workers compensation claim denied

When you are injured on the job in Florida, you have the right to receive specific benefits paid by the insurance company providing workers’ compensation insurance coverage to your employer. 

Some of the benefits covered by workers’ compensation include medical treatment, wage loss, and others. If your injury is so severe that you cannot work for an extended amount of time, there’s no question that it can be a stressful and frustrating time. 

If your claim for workers’ compensation benefits is denied, it worsens the situation. In this situation, contacting our legal team is highly recommended. We can help appeal the decision and work to secure the benefits you deserve. 

The Notice of Denial for Your Florida Work Injury Claim

No one wants to receive a Notice of Denial for their workers’ comp claim. 

If you do, it means that your eligibility and entitlement for these benefits have ended. It also means you will not get lost wage checks, nor can you keep getting treatment from the doctor you were seeing. 

It’s important to mention that the reasons that your claim would be denied do not consider how severe your injury is or your current condition. The financial impact of the injury isn’t considered by the insurance provider, either. A Florida workers’ compensation insurance company can still try to deny your claim regardless of the impact it has had or is having on your life and well-being. 

Reasons Workers’ Comp Claims Are Denied in Florida 

There are a few reasons that your workers’ compensation claim may be denied. These include:

Fraud 

A common reason Florida workers’ compensation claims are denied is suspected fraud. If the insurance carrier believes they can stop your benefits by using the “fraud defense,” then your benefits may be in trouble. 

No matter how much you need treatment or proof that the injury was completely work-related, the provider may still claim fraud if you did not disclose a prior injury. This would be the case even if you did not intend to be dishonest. 

It may mean trouble if you don’t report a past injury property in your workers’ compensation claim. Unfortunately, this is a common situation. You may not even think about an injury you had years ago, so you don’t list it on your paperwork for the claim or at the doctor’s office. Unfortunately, this omission can cost you your benefits. 

It’s imperative that you list all your prior injuries, medical conditions, hospitalizations, and accidents – whether they occurred on the job or not. If you don’t provide a complete medical history, the carrier may argue that you failed to provide this information and fraudulently received benefits. 

Intimidation 

The carrier may also try to deny benefits in hopes that you do nothing. An insurance company representative may attempt to intimidate or scare you to not proceed with your claim. They may also provide some type of reason for denial that sounds legitimate but that is not. 

There’s no way for you to know all the laws related to workers’ compensation benefits or how they apply to your case. Because of this, it’s best to hire an experienced Florida workers’ compensation attorney, like us, for assistance. We will work to fight the denial and help you secure the benefits you deserve. 

Let Us Help Fight for Your Rights 

If your workers’ compensation claim has been denied, get in touch with our legal team. We can review your situation and the facts of your case to help you secure the benefits that you deserve. 

The fact is that Florida workers’ compensation laws can be complex. If you aren’t familiar with them or the process, it may be impossible to know your rights or what you are entitled to. However, we do. We work with these cases every day and can help you get the benefits that you deserve. Contact us today to discuss your case and begin the process of fighting your denial. 

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