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Why Workers' Comp Claims Are Denied


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It's not uncommon for initial workers' compensation claims to be denied. There are common reasons why this happens. Injured workers can appeal denied claims, but it's wise to enlist the services of an experienced workers' compensation lawyer.

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Why Workers' Comp Claims Are Denied

  1. 1. CommonReasons Why Workers’ Compensation Claims Are Denied PRESENTEDBY:
  2. 2. More than 39,000 nonfatal workplace injuries and illnesses were reported among Iowa’s private industry employers in 2015, resulting in an incidence rate of 3.7 cases per 100 equivalent full-time workers.* *Source: U.S. Bureau of Labor Statistics
  3. 3. A number of valid workers’ compensation claims are denied each year. An injured worker whose claim is denied can hire a lawyer to help with the appeal process.
  4. 4. Top reasons why workers’ comp claims are denied: You failed to provide your employers’ insurance company a recorded statement You did not report your work-related injury promptly
  5. 5. Top reasons why workers’ comp claims are denied: Your employer states the injury did not occur at work or is not work-related There is a discrepancy between your report regarding treatment and the initial medical records
  6. 6. Report an injury when it occurs. Iowa law states an employee must report a work- related injury to an employer within 90 days of its occurrence or benefits may be denied.
  7. 7. Consult with a lawyer before providing a recorded statement. An employer or employer’s insurance company may request a recorded statement describing the accident. This is not required and may be detrimental to your claim. Consult with a lawyer before signing or providing a statement.
  8. 8. Make sure the information you provide about your accident is consistent.
  9. 9. Whether you are providing accident details to a co-worker, supervisor, HR person or a health care provider, be sure the information you provide is true and consistent.
  10. 10. WE HELP TURN DENIED CLAIMS INTO APPROVED ONES. A denied workers’ compensation claimis not the end of the road. © 2016 Law Offices of Gallner & Pattermann, P.C. All Rights Reserved. Design and editorial services by FindLaw, part of Thomson Reuters. The attorneys at Gallner & Pattermann, P.C. help injured workers navigate the appeals process and recover the benefits they deserve. For more information, please contact our firm.