Workers in various industries in Colorado face safety hazards daily. While most injured workers are eligible for workers’ comp benefits, some claims are denied. This could cause financial problems when a workplace injury victim must settle medical bills and get along without wages when the injury causes temporary disability.
One reason cited for rejecting a claim is the failure to report injuries in writing to a supervisor within the four-day time limit in Colorado. Thereafter, there is a deadline within which the initial claim must be filed — usually 30 to 90 days. In some cases, employers contest claims by stating that the injuries were not work-related, happened during horseplay or outside of work time.
Some claims such as stress-related injuries are difficult to prove and are sometimes rejected. If the worker fails to submit records of medical treatment, the claim may be denied. This can also occur when insufficient evidence of the injury being work-related is provided or medical documentation is lacking. These are just some of the reasons why workers’ comp claims may be rejected.
The written notification that advises the employee of the denial of a claim will provide a reason along with a date by which the worker can file an appeal. Navigating an appeal can be complicated, and many injured workers seek the support and guidance of an experienced workers’ compensation attorney to pursue compensation for them. A lawyer can assist in obtaining the necessary medical and other evidence to substantiate benefits claims and handle the administrative and legal proceedings that are part of the appeals process.
Source: FindLaw, “Workers’ Comp Denied? Here are Your Next Steps“, Accessed on March 7, 2017