Worried that your Texas workers’ compensation claim is going to be denied, even though you feel like you absolutely deserve it?
This does happen to employees all year long, and many are as surprised as you’d be if it happened to you. The key is to know why these denials happen so that you can work to avoid them. Below are five common reasons.
1. Injury Wasn’t Work-Related
The injury happened on the job, but it wasn’t work-related. For example, your spouse comes to visit you at lunch, and he or she accidentally trips you in the parking lot. You fall and break your wrist.
2. Your Doctor Was Not In Network
The doctor you chose wasn’t within the proper network. You might have to go to another doctor, even if it’s not your primary option.
3. Report Was Not Made Fast Enough
You didn’t report it fast enough. If you try to report an accident that happened two months ago, officials may be skeptical that you were even injured at work in the first place. Always report accidents immediately.
4. It Was a Pre-Existing Condition
Your condition existed before you got the job. For instance, you claim that your job caused you to lose your hearing, but medical records showed you already lost your hearing before you were hired.
5. Everything Was Not Disclosed to The Doctor
You don’t tell officials and doctors everything that happened. It’s important to be open and honest, ensuring that all of the facts get out in the open. This way, an accurate assessment can be made.
If you do wind up getting denied, make sure you know what legal options you still have. In some cases, simple mistakes — like not providing complete information — can be rectified.
Contact Our Workers’ Compensation Lawyers Today
Don’t let a denied workers’ comp claim keep you from the benefits you deserve. Our team at Zimmerman Law Firm knows how to fight back against insurance companies and get your claim back on track. Call us today for a free consultation and let us help you protect your rights.
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Michael Zimmerman
Michael nació en Houston, Texas. Estudió en las universidades de Baylor y Texas State, donde se licenció en Ciencias en 1987. Se especializó en Biología y en Química. Terminó su educación legal en Texas Southern University en 1990, obteniendo un Doctorado en Derecho de la Escuela de Derecho Thurgood Marshall. Fue admitido en el Colegio de Abogados del Estado de Texas en 1990.
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