Denied & Delayed Workers’ Compensation Claims

Common Reasons Workers’ Comp Claims Are Denied or Delayed

Due to the workers’ comp system’s high vulnerability to fraud, employers and their insurers are always alert and will examine claims with a fine-toothed comb prior to their approval. Unfortunately, this often leads to legitimate claims being wrongfully labeled as suspicious, causing injured workers to go without their much-needed temporary or permanent benefits for an extended period of time. Considering the fact that many workers cannot afford to get by financially during their recovery without these benefits, any sort of delay or denial can be devastating.

Common reasons used by insurers to delay or deny workers’ comp claims:

• The physician’s diagnosis was inaccurate
• The injury was caused by a preexisting injury or condition
• A health professional deemed the injury non-disabling
• The injury was not reported promptly
• Claim was not filed on time
• Worker did not seek timely and appropriate medical care
• Insufficient evidence that the injury occurred while on the job

It is not uncommon for some claims to be disapproved simply due to a clerical error. Whatever the case may be, our advocates can review the circumstances surrounding your claim and determine the most appropriate course of action. From negotiating with the insurance company to challenging its decision before the State Board of Workers’ Compensation Appellate Division, we have what it takes to assert your rights and pursue your entitled benefits.

Can I Appeal a Denied or Delayed Claim?

If your claim has been denied, you have the right to appeal the decision. California allows workers to submit a petition for reconsideration within 20 days of receiving your decision. You should have an attorney help you prepare and file an effective appeal.

Diligent & Honest Guidance Throughout Your Case

At Humphrey & Associates, our Orange County workers’ compensation attorneys understand the anguish and frustration a person can experience after a workplace accident and are prepared to do everything possible to help you get through this difficult time as smoothly as possible. Backed by numerous 5-star client testimonials and a track record of more than $400 million recovered in verdicts and settlements on our clients’ behalf, you can choose us with confidence knowing your case is sure to be in excellent hands. Best of all, we only accept cases on a contingency basis, meaning you will not owe us a dime unless we are successful on your behalf.