Findlay Workers’ Compensation Claim Denial

To have a workers’ compensation claim in Findlay and in the State of Ohio approved, the individual must establish an employee-employer relationship and claim their injury occurred within the scope of their employment as defined under the statute and case law. The cause of the injury must have happened during work hours due to the employment.

Unfortunately, some workers who meet the requirements still have their claims denied. If you need help handling a Findlay workers’ compensation claim denial, consider speaking with an experienced workers’ compensation attorney. A lawyer could discuss your legal options and fight on your behalf for the benefits you need.

Valid Reasons for Denying a Claim

One example of a valid workers’ compensation claim denial of a is that the individual is an independent contractor. A claim could also be denied if the injury did not occur while the employee was on the employer’s time clock. Also, claims can be denied if the injury does not exist, the injury occurred when the person was not on the job, or the injury is a pre-existing condition.

First Steps After a Denied Claim

When a workers’ compensation claim is denied, the person should read the entire denial. Normally, there is a 14-day appeal period to appeal the denial. If they miss the 14-day appeal period to file the appeal with the Bureau of Workers’ Compensation, their claim may be time-barred forever. The first thing to do is file the appeal within the appeal period. Fortunately, a seasoned attorney could help with filing an appeal after a Findlay workers’ compensation claim denial.

How an Attorney Could Help

The first thing a workers’ compensation lawyer will do after an employee is denied workers’ compensation is file the appeal to protect the statute of time for appealing the claim. The second thing they do is review the entire file and work with the individual to develop a strategy to best protect the person’s rights and win the case.

The attorney could work with medical providers or have the injured worker get an independent medical exam to prove that the injury occurred during work hours and the injury was proximately caused by something that happened in the scope of their employment. The attorney helps the employee navigate the system to get the claim allowed and obtain all of the benefits available under the Ohio Workers’ Compensation law.

What to Avoid After a Work Accident

After an injured employee’s workers’ compensation claim is approved, they should be careful to avoid anything that could jeopardize the case. To ensure that their future medical treatment is not denied, they should avoid:

  • Going to a doctor who is not approved by workers’ compensation
  • Noncompliance with the medical recommendations of the treating doctor
  • Missing any medical or therapy appointments

Insurance companies often look closely for any reason to deny claims, so an employee should be sure to follow all the proper procedures.

Reach Out to a Findlay Workers’ Compensation Attorney

If you need help handling a Findlay workers’ compensation claim denial, do not hesitate to contact a dedicated attorney. They could help with every step of the process, including filing an appeal. Let an accomplished lawyer fight tirelessly to ensure your rights are protected and you receive the benefits you need. Call today to discuss your situation.