Workers’ compensation allows an individual who has been injured at work to receive medical care and take time off to recover—without the fear of losing their job. While the workers’ comp system is a no-fault one, meaning that insurers pay claims regardless of who caused the injury, there are instances in which a claim may be needed. Here are a few of the more common causes of claim denials.

Why a Workers’ Compensation Claim Might Be Denied

1. Not Following Mandated Procedures

Claimants must comply with the sequence of events involved in filing a claim. They must report the accident to their employer and submit a claim form to the workers’ comp board. All paperwork must be completed in full and submitted to the appropriate departments by the stated deadlines. In Alabama, you have two years from the date of the injury to file a claim, but the sooner a person files, the faster they can receive the necessary support. Your employer may also require you to see a doctor of their choosing. Not following any of these steps can result in a denial of your claim.

2. Neglecting Medical Attention

Seeking medical attention after a work accident verifies the seriousness of the injury and its impact on the worker’s life, health, and job. As part of the claims process, the workers’ comp board will obtain copies of your medical records to confirm the injury and its severity. Neglecting to get medical attention eliminates this essential part of the process, and the board will likely deny a claim that isn’t backed up with physician-documented proof.

3. Disputing the Injury

Employers have the right to dispute the validity of an injury, and if they have compelling evidence to support their position, the claim may be denied. They might assert that an injury did not occur at work and is not their responsibility. They could also have proof that the worker’s misconduct led to the injury; for instance, not wearing the required safety equipment or being under the influence of alcohol or drugs at the time of the accident can disqualify a worker from receiving compensation.

If your workers’ compensation claim has been denied, contact a lawyer to start the appeals process. The attorneys at Carey & Hamner, P.C. serve clients throughout the Dothan, Enterprise, and Ozark, AL, areas. They offer representation in workers’ compensation and personal injury cases, as well as Social Security disability claims. Call (855) 435-4797 or visit them online to schedule a free consultation.