Denied Claims
Denied worker’s compensation claims occur when an employee’s request for benefits after a workplace injury or illness is rejected by the employer’s workers’ compensation insurance provider. Denials can happen for various reasons, and navigating a denied claim can be challenging. Applicant’s Attorney Tim Bartell can provide valuable assistance in these situations.
Common Reasons for Denied Workers’ Comp Claims:
Late reporting:
The injury or illness wasn’t reported to the employer within the required timeframe.
Disputes over the injury:
The employer or insurance company disputes that the injury happened at work or that it is work-related.
Pre-Existing Conditions:
The claim may be denied if the insurer believes the injury is due to a pre-existing condition rather than a workplace incident.
Insufficient medical evidence:
The claim might be denied if there isn’t enough medical documentation to prove the injury or its severity.
Non-Compliance:
Failure to follow medical advice, attend medical examinations or provide requested information can lead to denial.
Job-related issues:
Claims might be denied if the injury occurred outside the scope of employment or during off-work or off-site activities.
How can Attorney Bartell help with a denied workers’ comp claim?
Case review: Review the denial letter, the reasoning behind the decision and the specifics of the case to determine the best course of action.
Filing an appeal: If the claim was wrongfully denied, Attorney Bartell can help file an appeal and ensure all paperwork is completed accurately and submitted on time, avoiding further complications.
Gathering evidence: Gather and organize medical records, witness statements and other evidence to support the claim and counter the reasons for the decision of a denial.
Medical expert testimony: Arrange for medical experts to provide testimony or additional evaluations to better strengthen the claim.
Negotiation: Negotiate with the insurance company to reach a fair settlement or work to have them approve the claim without further litigation.
Representation in hearings: If the appeal goes to a workers’ compensation hearing, Attorney Bartell will represent the injured worker, presenting evidence and arguments to support the case.
Legal guidance: Throughout the process, Attorney Bartell will provide legal advice, helping the injured worker understand his or her rights, the appeal process and potential outcomes.
Maximizing benefits: Can ensure that the injured worker receives the maximum benefits he or she is entitled to, including compensation for medical expenses, lost wages and any potential disability benefits.
By working with Attorney Bartell, an injured worker increases their chances of successfully overturning a denied claim and receiving the benefits they need to recover. Contact us to learn how we can assist with your worker’s comp denial.
How a Fresno Workers’ Compensation Lawyer Can Help
Temporary Disability Benefits – Get Paid While You Recover
If you can’t work due to an injury, you still need income. We make sure your temporary disability benefits are paid fully and on time so you can focus on healing.
Permanent Disability – Protecting Your Future
If your injury prevents you from returning to work, you deserve fair compensation. A skilled workers’ compensation lawyer in Fresno ensures your permanent disability benefits reflect what you’ve truly lost.
Denied Claims – Don’t Let the Insurance Company Win
Many workers’ comp claims are wrongfully denied. Employers and insurance companies use legal loopholes to avoid paying. We fight back to get your claim approved and secure the benefits you’re owed.
Repetitive Trauma – Injuries That Build Over Time
Not all work injuries happen in a single accident. If you’ve developed carpal tunnel, back pain, or joint damage from years on the job, you still qualify for benefits. We’ll prove your case and get your compensation.
Construction & Industrial Accidents – Protecting Fresno Workers
Falls, equipment malfunctions, toxic exposure—industrial and construction accidents cause serious injuries. We fight to ensure Fresno workers in high-risk jobs receive full benefits for medical care, lost wages, and long-term recovery.
Industrial Accidents
Handling claims for injuries in industrial workplaces, from machinery accidents to exposure to hazardous materials.