Workers’ compensation is a type of insurance that entitles employees that were injured on the job to receive help with medical expenses and wages. In exchange for receiving benefits,employees wave their right to pursue legal action against their employers. The program was established to protect both employees and employers; employees could be granted assistance after being injured on the job,and employers were protected against having to pay out large-scale damage amounts that could hurt them financially. The issue with workers’ compensation many people complain about is that workers can be made to wait long periods of time to receive their benefits or can be flat-out denied. There are,however,steps that can be taken regarding appealing a denied work comp claim,as described by -.
Why Some Work Comp Claims are Denied
In order to receive work comp,certain criteria has to be met. Firstly,that nature and severity of the injury or condition that is work-related has to be proven. Secondly,it also has to be determined that the condition or injury developed or occurred because of the work environment or in the workplace. Thirdly,it has to be determined that the injury or condition has rendered the employee unable to maintain their employment and other employments of the 15 years prior to the development of the condition or injury.
If any of these things are in question or refuted by the employer or a medical exam,the employee’s claim for work comp can be denied. If an independent medical exam reports the presence of a pre-existing condition that could have contributed to the injury,this is another reason claims can be denied.
The unfortunate reality is that most employees don’t bother appealing when their claim is denied. This is where the help of- is invaluable as they can appeal the denial and have it reversed.