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What reasons are there for denying a workers' compensation claim?


Workers compensation may be defined as the monetary compensation payable to an employee by his or her employer in case the employee suffers any occupational injuries. Cumulative trauma and occupational diseases may also be covered by workers compensation in the state of Pennsylvania. However, there may be instances in which a workers' compensation claim may be denied by the employer.

In case an employee's workers' compensation claim is denied, he or she will receive a written communication from the employer. The letter may also state and elaborate the reason why the employee's claim has been denied.

Generally speaking, one of the main reasons why a claim is denied can be because the claim was not filed in time. Employees are generally required to file a claim almost immediately and in some cases within a matter of days. Employers are also required by law to communicate the same to the state or their workers' compensation insurance carrier within a short span of time.

A workers' compensation claim may also be denied if the claim is disputed by the employer or the insurance carrier. In some cases, the employer may dispute the claim by refusing to acknowledge the accident occurred at work or the injury or illness is connected to the accident itself. In such instances, the claimant may need to gather additional evidence in the form of witness testimonies or a physician's statement connecting the accident to the injury in order to reinforce their claim.

However, there may also be other reasons why a workers' compensation claim is denied. In some states, certain conditions such as stress are precluded. Sometimes, the injuries that are claimed may not be severe enough to qualify. Speaking with an experienced workers' compensation attorney can help ensure that a worker is not denied his or her rights, especially those that he or she is entitled to.

Source: For more information about injury claims, please visit the firm's website

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