How Can I Get Workers’ Compensation Benefits After My Claim Has Been Denied?
Denials of workers’ compensation claims are common. Disagreement over the extent of injuries, disputes over whether injuries occurred at work and failing to meet filing deadlines provide reasons for the insurance company to deny your claim. To add to this stress, no one from the insurance company or your employer will go out of their way to help you with the workers’ compensation process. You need an attorney with workers’ compensation experience to help you get a positive outcome.
At Kiwan & Chambers, APC, we have over 40 years of legal experience helping clients through the workers’ compensation process in San Diego, California. We have a track record of helping clients get workers’ compensation benefits after their claims have been denied. You can schedule your free consultation now by calling us at 619-369-3504.
Seeing The Insurance Company Doctor
One of the earliest steps in the process is to see the doctor. Usually, the insurance company will have a list of approved doctors for this diagnostic purpose. It is important to remember that the insurance company doctor gets paid by the insurance company. Insurance companies will only choose in-network doctors that they know are likely to deny injuries or determine that events outside of the work-related accidents caused the injuries. The insurance company doctors are not expected to give you a favorable analysis. Since many denials are based on unfavorable medical reviews, this is a crucial aspect of your appeal.
Independent Medical Reviews
An independent medical review is an integral part of the appeals process, whereby medical professionals review the original medical determination. These medical professionals are truly independent and outside of the regular network. A favorable independent medical review can be a great asset in the appeals process.
Get The Help You Need To Fight A Claim Denial
There are many aspects to the workers’ compensation process, especially after a claim has been denied. It is critical to work with a legal team that has the experience and knowledge needed to help you through the process and get the compensation you need.