Denial Of Benefits

Denial Of Benefits

If you have been injured on the job site, you may be entitled to Workers’ Compensation benefits for your injuries.  The costs of past and future medical treatment, lost wages, loss of earning power and rehabilitation costs can add up quickly. Injured workers need to receive compensation for their injuries as quickly as possible to avoid devastating financial consequences.

When an employer wrongfully denies a Workers’ Compensation claim, an injured employee may be forced spend months and even years appealing the decision. Delays in receiving the Workers’ Compensation benefits to which you are entitled can make an already difficult time that much harder.

Some of the most common reasons an injured worker may experience a denial of benefits are improper and untimely reporting, an employee’s status, the cause of the injury and the nature of the injury.

Employees must report a possible Workers’ Compensation claim to their employers within a certain period of time. Failure to timely report the incident by either of these parties may result in a denial of benefits. Failing to properly report a Workers’ Compensation claim also can result in a denial of benefits.  Missing information or incorrectly completed forms will lead to rejected Workers’ Compensation claims. Employees must provide sufficient details about the workplace accident including the date and time of the accident, names of witnesses, the exact location of accident, the cause of the accident/injury, the nature of the workplace injuries and medical diagnoses or opinions.

Many Workers’ Compensation claims are denied on the basis that the injury is not related to employment.  If an individual’s injuries are not caused at the place of employment, or easily relatable to employment, the Workers’ Compensation claim may be denied.  Employers may also deny a claim based on the status of an injured employee. Part time workers, undocumented workers and illegal aliens do not always qualify for Workers’ Compensation benefits.

The correct medical documentation of the injury is essential to the success of any Workers’ Compensation claim. Medical records should describe both the accident and the injury.  Details about how and what caused the injuries should be found within the medical records.  First reports of the injuries carry special significance. Proper tracking of all medical appointments also provides the necessary support for Workers’ Compensation claims.  When there has not been a specific traumatic injury, notations relating to repetitive motions or long hours can also support the legitimacy of a Workers’ Compensation claim.

A denial of Workers’ Compensation benefits is not the end of the story.  Employees have the right to appeal a Workers’ Compensation denial. The Workers’ Compensation appeals process can be a complex and confusing time without the assistance of an experienced Philadelphia Workers’ Compensation lawyer.

Philadelphia Workers’ Compensation Lawyers:  Helping Injured Workers with the Workers’ Compensation Appeals Process

If you have received a Notice of Workers’ Compensation denial, immediately contact an experienced Workers’ Compensation attorney.  At E.S. Borjeson & Associates we have experience with all aspects of the Workers’ Compensation appeals process including review of medical records. With offices conveniently located in Philadelphia, Pennsylvania, our work injury attorneys represent clients throughout Southeastern Pennsylvania, including Philadelphia County, Delaware County, Chester County, Montgomery County and Bucks County.  Call us today at 215-772-3020 to discuss the types of Workers’ Compensation benefits to which you may be entitled or contact us online

Philadelphia Workers’ Compensation Attorneys Eric S. Borjesom proudly serve all of Southeastern Pennsylvania including Aston, Avondale, Avon Grove, Bethel, Kennett Square, Chester, Darby, Darby Township, Glenolden, Yeadon, Collingdale, Radnor, Chester Heights, Swarthmore, Thornbury Township, Marple Township, Cheltenham, Haverford, East Goshen,East Bradford, East Fallowfield, Nether Providence Township, Newtown Square, Middletown Township, Ridley Township, Ridley Park, West Chester, Coatesville, Concord Township, Brookhaven, Paoli, Downingtown, Oxford, Upper Darby, Media, Lima, Springfield, Broomall, Plymouth Meeting, King of Prussia, Doylestown, Blue Bell, Pottstown, Philadelphia, Norristown, Ambler, Malvern, Langhorne, Willow Grove and New Hope, Pennsylvania.