Why would my workers’ compensation claim is denied?

Following a workplace illness or injury, Pennsylvania workers are entitled to workers’ compensation benefits under state law.  However, there are a number of workers’ compensation claims that do get denied by employers on a regular basis.  Denial of a claim results in decreased liability for the insurance company and lower insurance premiums for your employer.  For this reason, adjusters and employers will often search for any possible reason to deny your claim. The following are some examples of common denial reasons:

  • You did not report your injury or file your claim for benefits in a timely manner.
  • No one witnessed your injury to support your claim.
  • A discrepancy exists between your report of the incident and the information in your initial medical evaluation.
  • Your initial medical evaluation revealed you were under the influence of illegal substances.
  • You refused to authorize the workers’ compensation insurance company to access your medical records.
  • You refused to give a recorded statement to the insurance company.
  • Your claim was not filed until after you were terminated from your position.
  • Your employer believes that your injury or illness arose from factors outside the scope of your employment.
  • Your employer believes that your injury was preexisting.

These are only some examples of reasons employers commonly give when they deny a workers’ compensation claim. When you receive your claim denial letter, you should always review the letter with an experienced Pennsylvania workers’ compensation lawyer as soon as possible.

Free Consultation — No Fees Unless We Win — Contact an Erie Workers’ Compensation Lawyer

To speak with an experienced Pennsylvania workers’ compensation attorney about your workers’ compensation claim, call McCormick and Vilushis at (814) 455-5362.   There are no consultation fees.

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