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Saijitech Company > Blog > Law > Common Mistakes That Can Cause Worker’s Compensation Claims To Be Denied
Law

Common Mistakes That Can Cause Worker’s Compensation Claims To Be Denied

By Oscar Jack Last updated: July 27, 2024 6 Min Read
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When working with heavy machinery or performing any tasks that involve some risk, the threat of a workplace accident cannot be neglected. In case of a workplace accident, the victim would be eligible for worker’s compensation. Given the complex nature of laws in Pennsylvania, there are certain nuances that must be considered when filing such a claim. Workers generally commit certain mistakes when filing a claim, which can minimize compensation returns or even cause the claim to be denied. Seeking the help of a denied workers’ compensation claim lawyer can maximize returns. 

Contents
1. Failure to Report the Injury Promptly2. Inconsistent Documentation3. Lack of Medical Records and Evidence4. Not Seeking Immediate Medical Attention5. Not Complying with Employer Procedures6. Returning to Work Too Soon7. Failure to Hire Legal RepresentationConclusion

Worker’s compensation claims are designed to provide financial support and medical benefits to employees who suffer injuries or illnesses related to their work. However, there are common mistakes that employees often make that can result in their claims being denied. In this post, we will explore these mistakes and offer guidance on how to avoid them, ensuring a higher chance of approval for your worker’s compensation claim.

1. Failure to Report the Injury Promptly

One critical mistake that many employees make is failing to report the injury promptly. Time is of the essence when it comes to reporting workplace injuries or illnesses, as the longer you wait, the more chances there are for doubts about the validity of your claim. You must inform your immediate supervisor or employer as soon as possible after an injury occurs.

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2. Inconsistent Documentation

Another costly mistake that can lead to a denied worker’s compensation claim is presenting inconsistent documentation. Ensure that all information provided regarding your injury, including dates, times, locations, and circumstances surrounding the incident, remains consistent throughout the entire documentation process. Any inconsistencies might raise red flags and lead to suspicion regarding the legitimacy of your claim.

3. Lack of Medical Records and Evidence

When filing a worker’s compensation claim, providing thorough medical records and evidence becomes crucial in establishing the connection between your injury or illness and workplace conditions or activities. Lack of appropriate medical documentation significantly weakens your case. Make sure you acquire all relevant records from doctors’ visits, diagnostic tests undergone, prescriptions received, treatments pursued, and any other relevant medical information supporting your claim.

4. Not Seeking Immediate Medical Attention

Delaying or avoiding seeking immediate medical attention following a workplace injury only compounds potential problems when filing a worker’s compensation claim. Neglecting prompt medical care raises concerns about whether an injury was genuinely severe enough to warrant such attention in the first place. Protect both your health and your rights by seeking medical care immediately after an incident occurs.

5. Not Complying with Employer Procedures

One of the most common mistakes employees make is failing to comply with their employer’s established procedures for reporting workplace injuries. Each company has different protocols outlining the steps to take after an accident or injury occurs. Understanding and adhering to these procedures is crucial, as non-compliance might lead your employer or insurance provider to deny your claim based on a breach of policy.

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6. Returning to Work Too Soon

While it may be tempting to return to work before fully recovering from an injury, doing so can hinder your recovery process and the success of your worker’s compensation claim. Rushing back to work too early may give the impression that the injury was not as severe as stated or that you no longer need benefits since you have resumed working. It is essential to follow the advice of your medical professionals and ensure you are fully recovered before returning to work.

7. Failure to Hire Legal Representation

Navigating through a worker’s compensation claim can be complex and overwhelming, especially if it involves denial or disputes with insurance companies or employers. Many employees make the mistake of handling their claims without seeking legal representation, significantly reducing their chances of success. Hiring an experienced worker’s compensation attorney can provide valuable guidance, ensure all legal requirements are met, and represent your best interests throughout the process.

Conclusion

Avoiding common mistakes when filing a worker’s compensation claim is crucial for ensuring a higher chance of success in receiving benefits for workplace-related injuries or illnesses. By promptly reporting any incidents, maintaining consistent documentation, providing thorough medical records and evidence, complying with employer procedures, not rushing back into work before full recovery, and seeking legal representation when necessary, you can avoid pitfalls that lead to denied claims. Remember that respect for these guidelines dramatically increases your chances of receiving fair compensation for workplace injuries or illnesses you may experience.

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Oscar Jack July 27, 2024 July 27, 2024
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By Oscar Jack
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Oscar Jack, Editor in Chief and writer here on saijitech.com Email: oscarjack@saijitech.com

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