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Workers Compensation: Your Safety Net


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Workers Compensation: Your Safety Net

You put your heart and soul into your job, so it seems only fair that you should be protected from harm while you’re there. Most good employers do go out of their way to provide safety training and equipment to keep their workers safe and protected from any hazards. Federal agencies, like the Occupational Safety and Health Administration, also have standards in place for employers to follow to keep their workers safe. However, sometimes accidents happen anyway, and when they do, workers compensation is meant to be your safety net. Most of the time, if you follow your company’s procedures for filing a workers compensation claim, you’ll be paid with no trouble. However, I know from experience that it isn’t always that easy. I started this blog to help you learn what to do when your company or their insurance company denies your workers compensation claim.

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3 Tips For When Your Insurance Claim Is Wrongly Denied

Insurance companies offer essentially a promise to their customers: if something goes wrong, they'll step in and make things right. Unfortunately, that's not always how things work out. There are any number of reasons why an insurance company may decline a claim but regardless of the reason, it can leave person that submitted the claim reeling for answers. If you believe your insurance claim was wrongly denied, you may have a case in court. Here are three things you should do in the immediate aftermath of an insurance claim denial to increase your chances of success.

Organize and Create Backups of All Documentation

In order to win a legal case against your insurance provider, you are going to have to show why you are right, and that means more than just stating your case. If you are going after an auto insurance company, you will need photos of the accident and a police report if available. If the insurance claim is medical in nature, you need your medical records, which should include things like medication and perhaps a journal of your ongoing pain and difficulties if applicable. You may already have submitted some of this information with the initial claim but if it was denied, you need to circle back and make sure you truly have every document that might help.

Don't Make Threats

In the immediate aftermath of the denial, it can be tempting to fire off an email or get on the phone and tell the insurance company what you really think. But keep in mind that anything you write or say could end up in court. So don't say anything that you don't want a jury or judge to eventually hear about. Maintain a professional demeanor, taking a few days or weeks to collect your thoughts before you move forward.

Contact an Attorney

If you are not satisfied after asking for clarification from the insurance company on why your claim was denied, it's time to let them know you are serious. Contact an insurance claim denial attorney and show them the documentation that you have to back up your case. Insurance companies don't like lawsuits and sometimes, all it may take is one phone call from your attorney to get the insurance provider to take another look. But if you do end up going to court, hiring your own attorney will help level the playing field, because the insurance company is obviously going to have legal representation as well.

Most people who file an insurance claim do so because something went wrong. So it can feel like you've been wronged all over again if the claim is denied. In this situation, it's important to keep your cool. Take a look at your documentation again and look for opportunities where it can be improved. Then, when all of your ducks are in a row, reach out to an insurance dispute lawyer for advice.