Workplace injuries are often a traumatic experience, but they can be made worse when it is unclear who will pay for your medical care. Workers’ compensation benefits exist for this reason, but not every claim is accepted. However, a dedicated workers’ compensation attorney from Glauber Berenson Vego can answer your questions when the outcome is not in your favor.
When you have been hurt at work, you deserve to be compensated. Although the state has adopted a no-fault insurance system, denied claims are an unfortunate reality. A Van Nuys workers’ compensation denial lawyer could help you reverse your fortune and get the outcome you deserve.
An insurance company could give plenty of reasons for denying a workers’ compensation claim in Van Nuys. In some cases, they might be little more than an excuse to avoid paying out a costly claim. In others, there could be a genuine issue of contention that needs to be addressed.
One common reason involves allegations of a pre-existing condition. Workers are only entitled to compensation for injuries that occurred while they were on the job. That means an injury that occurred before work is usually not eligible. There is one important exception to consider. A claim can be successful if an on-the-job accident worsens an existing health condition.
Other situations involve technicalities. For example, there is a limited amount of time available to place an employer on notice and let them know of a workplace injury. A worker who waits too long to notify their supervisor of an injury could miss out on the compensation they need.
Some denials are based on the belief that an injury or illness did not occur at work. Essentially, this is an allegation of fraudulently attempting to get benefits for a condition that occurred due to a non-work event.
It can feel hopeless after a claim is denied, but that does not mean the chances of recovering compensation are gone. It is crucial to take the right steps after being notified of the decision.
Before a person does anything else, they could benefit from seeking the guidance of a workers’ compensation denial lawyer in Van Nuys. An understanding attorney could answer any questions about the process while taking into account any important legal deadlines. Having the support of a lawyer could make the difference between securing a monetary award and walking away with nothing.
The next step is to file a motion for reconsideration. A review of the decision might lead to a reversal of the original decision. When the California Workers’ Compensation Appeals Board considers these motions, it can make a number of rulings, including upholding the denial, ordering further proceedings, or requiring reconsideration of the claim.
Throughout this process, there is the opportunity to negotiate with the insurance company. In some situations, it may be possible to reach an agreement that will close the case and get the injured worker the payout they deserve.
While no one wants to get bad news, you still have the chance to maximize the damages available from your on-the-job injury. Navigating the appeals system alone can be difficult, but a Van Nuys workers’ compensation denial lawyer could lead the way.
When you want to understand your legal options after a work-related accident, call the attorneys at Glauber Berenson Vego. We would be happy to schedule a consultation meeting at your convenience.
