The tear occurred at work!
2007-02-15 11:17:28 · 4 answers · asked by m_park 1 in Business & Finance ➔ Insurance
Why was the claim denied? Worker's Comp is regulated by each State. If it is a legitimate claim, you have a certain amount of time to appeal the denial. If you truly were injured on the job, you may have to hire an attorney to file the appeal to your state industrial commission or whoever handles worker's comp appeals in your state.
2007-02-15 11:35:32 · answer #1 · answered by Faye H 6 · 0⤊ 0⤋
We can't answer this question without knowing more details...in theory any workplace injury would be covered by workers compensation automatically...but reasons for denial can be your employment status (independent contractor?) or that it wasn't at the workplace (example...walking to work and getting hurt may not be considered a work related injury). Also it may be this injury occurred somewhere else or a while ago and it was aggravated at work...did you know more WC claims happen on Monday? One reason is that people injured playing softball come in and make it an on the job injury. BUT I'm not implying you are doing anything wrong...I am surprised that a workplace injury is denied...WHO told you it was denied...your supervisor or the HR people? SOMETIMES they are scared their premiums will go up...so they try to get employees NOT to file claims by telling them it's not covered. If this truly happened at work and you are an employee there, and you were in the scope of your job, there should be no way the claim is denied. I'm assuming you are in the US. I dont' know about other countries. If they insist on denying it and you know it is a work related claim I would get an attorney. That's sad because the WC system is designed to work WITHOUT attorneys...WC is supposed to pay regardless of fault and without regard to who caused the injury.
2007-02-17 21:47:53 · answer #2 · answered by eb_elvis 2 · 0⤊ 0⤋
Find out the reason for the denial. Appeal the decision and have as many witnesses as possible testify for you. Be prepared to dispute the reason they gave for denying the claim.
2007-02-15 19:32:12 · answer #3 · answered by Brian G 6 · 0⤊ 0⤋
Hire an attorney. Appeal the ruling.
2007-02-15 19:21:27 · answer #4 · answered by PeaceNow 2 · 1⤊ 0⤋