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What to Do About Denied Workers’ Compensation Claims

Orange County Workers’ Comp Lawyer

Filing a claim after you are disabled, debilitated, or otherwise unable to work due to a workplace injury is really only the beginning of your workers’ compensation claim.

CAN WORKERS' COMPENSATION BE DENIED?

If there is a missing signature from just one bit of paperwork, or if the claims administrator is not convinced that your case justifies workers’ compensation benefits, your claim could be denied. Will you know what to do then?

Contact our Orange County workers’ comp attorneys if your claim has been denied.

WHAT TO DO IF YOUR CLAIM IS DENIED

If your claim is denied, you must first be aware that it was not the decision of your boss or employer. Instead, it is the decision of a claims administrator working for or with an insurance company. Due to the disconnection between yourself and the people handling your claim, simply asking for a second review of your paperwork for potential errors will likely be fruitless.

To get to the source of the problem, you will likely need to file for an appeal, administrative review, and a mandatory settlement conference (MSC). During the MSC, you will meet with your claims administrator and attempt to reach an amicable settlement. It is highly recommended that you work closely with a professional attorney at this time so you do not accept lowballed amounts. If your MSC is unsuccessful and you were not given the chance to receive fair compensation, your case will go to an administrative review, which is considered a form of trial in California; again, the presence of a workers’ compensation lawyer will be incredibly useful.

During your administrative review or trial, you will be able to:

  • Make arguments as to why you require workers’ compensation
  • Present evidence for your case
  • Refute claims presented by the claims administrator

The verdict or ruling for your trial will not be issued immediately. You will have to wait anywhere between 30 to 90 days for a written decision to be mailed to you. A petition for reconsideration can be filed if the decision is not in your favor, and a final, similar process begins.

LOOKING FOR HELP? CONTACT OUR TEAM

So many workers’ compensation claims are initially denied for the smallest errors or invalid reasons. The real tragedy is not that they are denied but that workers who need the help accept the denial without resistance.

To empower yourself and fight for the money you deserve, contact Alvandi Law Group, P.C. and our Orange County workers’ compensation attorneys today.

Hear It From Our Clients

  • Before I found Alvandi Law Group, my previous attorney did absolutely nothing for me. Since I have made the switch from my previous attorney to Alvandi Law Group, I have noticed the difference.

    - Esperanza
  • If you have a workers' comp claim, I strongly recommend Alvandi Law Group.

    - Raymond
  • I have to say I am impressed with this Law Firm. I would refer anybody out there in Los Angeles to go to Alvandi Law Firm they really went above and beyond for us and that's what they do.

    - Selina

Reasons to Hire

The Alvandi Law Group
  • Over $100 Million Settlements Won

    We have a record of success over the course of our career. Our results speak for themselves.

  • 100% Dedicated to Workers' Compensation

    We have committed our resources to solely helping injured workers seek benefits.

  • If We Don't Win, You Don't Pay

    We only operate on a contingency fee basis: if we are unsuccessful in recovering benefits, then you don't owe us a penny.

  • Serving California for Over 30 Years

    We serve individuals and families all across California and bring decades of experience protecting the rights of injured workers.

  • Honest & Clear Communication

    We can provide unwavering legal support for every stage of the process, even if your claim has been denied.

  • Multi-Lingual

    Our firm is capable of serving clients in a variety of languages, including Spanish, Farsi & Korean.

Schedule Your Free Consultation Now!

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