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What if your workers’ compensation claim is denied?

On Behalf of | Jun 13, 2024 | Workers' Compensation |

Workers’ compensation benefits are not guaranteed after a workplace accident. You must go through the claims process, which involves filing the necessary paperwork and awaiting the insurer’s decision. Not all workers’ compensation claims go through; some are denied for various reasons.

Your claim could be denied because you missed some deadlines, disputes about your accident, claims of intoxication or preexisting injuries among a host of other reasons. Whatever the case, it is crucial to understand your legal rights and options as an injured worker in North Carolina.

You have the right to appeal a denied claim

If your claim is denied, the insurer will explain the reasons behind the denial. However, you can challenge this decision and even overturn it. The first thing you need to do is understand why your claim was denied to prepare yourself for the appeals process.

Appealing a denied claim involves notifying the North Carolina Industrial Commission in writing after receiving the denial notice. You may request a hearing before a workers’ compensation judge or panel of judges if efforts to resolve the matter, like mediation, fail.

During the hearings, the parties to the claim will each have a chance to argue their positions and present supporting evidence. It explains the importance of adequate preparation for the appeals process.

Navigate the appeals process with confidence

The workers’ compensation appeals process also has strict deadlines and can become more complex as your appeal goes through each stage. It can also be time-consuming despite your dire need for the benefits. As such, reaching out for legal guidance is in your best interests if your workers’ compensation claim is unsuccessful. It can help you understand your options and build a solid case for your appeal.

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