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Gastonia Workers’ Compensation Denial Appeals Lawyer
Gastonia Workers’ Compensation Denial Appeals Attorney
Following a serious work-related injury, having your workers’ comp claim denied can be a devastating setback. Navigating the appeals process may seem like yet another ordeal to contend with on top of your injury. By working with a Gastonia workers’ compensation denial appeals lawyer, you can challenge the benefits denial and hold your employer’s workers’ compensation carrier accountable to the terms of their own policy and state law.
Legal Representation When It Matters Most
You’ve put in the time to help your employer build their business, only to find that when you needed help, your request was denied. At Bridgman Gantt Law Offices, we understand what you are going through because we have helped many injured workers in Gastonia receive the compensation they were owed.
It is an unfortunate reality that workers’ comp carriers often act in good faith when it comes to approving workers’ compensation applications. Our law firm focuses on protecting the rights of injured workers. We understand the tactics that workers’ compensation insurance carriers use to place profits over doing what’s right. Once you secure representation from our firm, we’ll handle the negotiations on your behalf so you receive every penny that you are owed.
Why Was My Claim Denied?
One of the first steps to take following a denied application for benefits is to understand why your application may have been denied. Even when you take great care to make sure the forms are filled out properly, and the supporting evidence is attached, you can still have to spend considerable time trying to figure out what went wrong.
Common reasons for a claim denial include inaccurate or incomplete paperwork. Workers’ compensation insurance providers are sticklers when it comes to reviewing forms. They have no problem rejecting a legitimate claim due to a minor filing error or incomplete form.
You might have missed important filing and notification deadlines. North Carolina requires employees to notify their employer within certain time frames of their injury. Forms have to be filed within certain deadlines as well. If your employer failed to provide you with the paperwork you needed to apply, they could be on the hook for violating state rules.
Even if you filled out the forms correctly and filed everything on time, the insurance company may argue that your personal injury does not qualify for benefits. Any discrepancies in the report or contradictions from witness statements may lead to your application being denied.
What Options Do I Have Following a Denied Claim?
If your workers’ compensation claim is denied, you have the right to challenge the decision through an appeal. Begin by reviewing the denial letter carefully to identify the reasons for rejection. Strengthen your case by gathering additional evidence, such as medical reports, opinions, or witness statements that support your claim.
If necessary, you can request a hearing before the North Carolina Industrial Commission to argue your case. Meeting all deadlines is essential to avoid losing your right to benefits. Seeking legal guidance can help you navigate the appeals process, address weaknesses in your claim, and improve your chances of securing compensation.
Benefits of Legal Representation During an Appeal
Following a rejected application, you may feel isolated and alone. Having legal representation ensures that your claim is taken seriously, and insurance companies do not get away with acting in bad faith. An attorney is an important ally who works with you to see that you receive the compensation you are owed.
As your appeal moves forward, you can rest assured that your case is in competent and knowledgeable hands if you hire an attorney. Your legal representative can address an administrative judge if needed to ensure that you are not denied your right to fair compensation.
Hiring an attorney can add a semblance of certainty to an uncertain situation. The appeals process can be complicated, and your attorney can explain how the process works so you can make informed decisions along the way.
FAQs
Q: How Do I Win a Workers’ Compensation Appeal?
A: Winning a workers’ compensation appeal requires strong evidence and adherence to procedural deadlines. Review the denial letter to identify why your claim was rejected and gather supporting documentation, such as medical records, testimony, and witness statements. Filing a formal appeal with the North Carolina Industrial Commission and presenting a well-prepared case can improve your chances of success.
Q: What Are Common Reasons for Workers’ Compensation Denials?
A: Workers’ compensation claims are often denied due to insufficient medical evidence, missed filing deadlines, disputes over whether the injury is work-related, or employer objections. Errors in paperwork, lack of immediate medical treatment, and pre-existing conditions can also contribute to a denial. Understanding the specific reason for rejection is key to successfully appealing the decision.
Q: How Often Are Workers’ Compensation Claims Denied?
A: In Gastonia, the rate of denials for any application varies considerably from company to company. Workers’ compensation insurance companies are required to act in good faith and to comply with the state’s workers’ comp regulation. You can improve your odds of a successful application for benefits by letting an attorney handle your claim from the beginning.
Q: What Benefits Can an Approved Workers’ Compensation Claim Provide?
A: An approved workers’ compensation claim can provide coverage for medical expenses, lost wages, and rehabilitation costs. In cases of severe injuries, long-term disability benefits may be available. If a worker is unable to return to their previous job, compensation may also cover vocational training for alternative employment.
Schedule Your Workers’ Compensation Denial Consultation Today
The legal team at Bridgman Gantt Law Offices understands how devastating it can be to learn that your application for workers’ compensation benefits was denied. After all, you paid into that system and rightfully expect those benefits to be there when you need them. Having legal representation from our firms puts your employer and the insurance company on notice that you will not be pushed around.
Our team can handle the appeal process so you can focus on recovery. We have helped many satisfied former clients in Gastonia receive what they were owed, and we can do the same for you. Contact our office today to schedule your initial no-cost consultation.
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