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Reasons your workers’ compensation claim may be denied

On Behalf of | May 4, 2022 | Workers Compensation

If you are injured at work, you should receive workers’ compensation benefits. While this is a legal right that workers have, not all workers’ compensation claims are approved.

When your workers’ compensation claim is denied, you may wonder why. You may also wonder what legal options you have. Some of the most common reasons for the denial of these claims can be found here.

Missing important deadlines

In North Carolina, you have just 30 days to report the accident and injury that occurs at work. Your workers’ compensation claim may be denied if you miss this deadline. While you can report the incident verbally to your employer, it’s best to do it in writing, so you create evidence of your action.

No evidence to support the incident occurred on the job

To receive workers’ compensation an injury must happen while engaging in a workplace task. You should have evidence to prove this occurred. Evidence can be documents showing when the incident occurred, pictures from the area where the accident occurred or witnesses who saw what happened. However, if you can’t prove the incident occurred on the job, your request for benefits may be denied.

Your employer denies or disputes the claim

Sometimes, your employer may deny or dispute this claim. They may do this on the grounds that you caused the incident or that it did not occur on the job. If this happens, their insurance company may deny your rights for benefits.

It’s worth noting that workers’ comp is a no-fault system. This means it doesn’t matter if you caused your injuries, unless you were intoxicated, “horsing around,” or initiated some type of physical confrontation.

Protecting your legal rights to workers’ compensation benefits

As you can see, there are several reasons that your workers’ compensation claim may be denied. Knowing what these are will help you understand your situation. However, you have legal rights and you do have the option to appeal this denial. 

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