Southern California Workers’ Compensation Blog

Reasons your workers’ compensation claim may be denied

On Behalf of | Jul 26, 2022 | Workers Compensation

You can file a claim to receive workers’ compensation benefits if you are injured while on the job. Unfortunately, many claims are denied.

If you believe that your claim was unfairly denied, it’s important to find out what legal rights you have. It’s also smart to learn some of the most common reasons that your claim may be denied.

Failure to report the injury in time

Each state outlines the amount of time you have to report your workplace injury. In the state of California, if you fail to report your injury within 30 days of when the incident occurred, you may lose your right to recover workers’ compensation benefits.

Your employer disputes your claim

Sometimes, your employer may claim that the incident or accident did not occur while you were on the job. They may also claim that it was caused by horseplay or another reason that would disqualify you from receiving benefits.

The injury is considered non-compensable

Workers’ compensation benefits do not cover every condition or injury. Issues affecting your mental health can be especially challenging to claim for and your employer or insurer may initially tell you they do not cover it. Knowing how to categorize things is crucial.

Failure to seek medical treatment

To receive workers’ comp benefits, you must receive medical treatment from an approved doctor. Failure to get treatment or go to the proper doctor may result in your benefits being denied.

If your workers’ compensation benefits are denied, and you believe this is an unfair decision, you can appeal. It’s a good idea to work with a legal professional to have the best chance of receiving the benefits you are entitled to.