Why a workers’ compensation claim might be denied

On Behalf of | Sep 13, 2024 | Workers' Compensation |

It is devastating when the court denies workers’ compensation benefits since it affects the families who rely on this support. Understanding why the court denies your claim and addressing the issues can significantly affect the outcome when you prepare for an appeal.

Why the court denies some claims

Although you and your legal team aim to meet all the requirements for your claim, several factors may contribute to the denial of workers’ compensation claims. They include:

  • Insufficient medical evidence: The court denies workers’ compensation claims primarily because of a lack of comprehensive medical records.
  • Missed deadlines: Claims often face denial if they are not filed within the required period. In Minnesota, workers must report their injury to their employer within 14 days. Missing these deadlines can result in an automatic denial.
  • Connection to the workplace: You must establish a clear connection between the injury and your workplace. The court might deny a claim if there is any doubt that the injury happened during employment.
  • Lack of proper documentation: Claims needing more necessary paperwork, such as incident reports, witness statements and medical records, will be denied. Insurers require detailed accounts to verify the circumstances of the injury and its connection to the workplace. If the account is incomplete, it leads to questions about validity, resulting in denial.

By understanding these common reasons for denial, claimants can better prepare and increase their chances for a positive outcome.

Leveraging legal support for a successful appeal

Having experienced legal support can significantly impact the outcome of an appeal. Attorneys with a deep understanding of workers’ compensation laws can work to help you with the system’s complexities, increasing the likelihood of a favorable outcome.

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