Appealing Denied Workers Compensation Claims in Santa Ana

January 4, 2024

Workers compensation supports employees who suffer injuries on the job, but unfortunately, not all claims are approved. If your claim has been rejected in Santa Ana, it’s crucial to understand your rights and the steps to appeal the decision. Read on to explore the process of appealing a denied workers compensation claim and how a personal injury lawyer in Santa Ana can support you through the process.

Understanding Denied Workers Compensation Claims

There are several reasons for which workers compensation claims may be denied. They commonly include insufficient evidence, missed deadlines, or disputes about the nature and cause of the injury. If you receive a denial, it doesn’t mean you have to accept it and shoulder the financial burden on your own. You have the right to appeal the decision and fight for the benefits you deserve.

How to Appeal a Denied Workers Compensation Claim

Here’s how you can appeal a denied workers compensation claim:

  1. Review the Denial Letter

It is crucial to review the denial letter carefully. The information in the letter will be essential as you proceed with the appeal.

  1. Contact Your Employer

Inform your employer about the denial of your claim. They may be able to assist in the appeal process, providing additional documentation or information to support your case.

  1. Consult an Attorney

The best course of action is to consult with a personal injury lawyer in Santa Ana who specializes in workers compensation claims. An experienced attorney will evaluate your case, help you gather the necessary evidence, and guide you through the appeals process.

  1. File the Appeal

Prepare and file the appeal with your attorney within the designated timeframe. In California, you typically have one year from the date of the injury to appeal a denied workers compensation claim.

  1. Administrative Hearing

The next step involves attending an administrative hearing, where a workers compensation judge will review your case. Your attorney will represent you and present evidence to support your claim.

  1. Negotiation or Litigation

During the administrative hearing, your attorney will work to negotiate a settlement with the insurance company. If a fair settlement cannot be reached, your case may proceed to trial. Your attorney will advocate for your rights.

  1. Receiving Benefits

If the appeal is successful, you will begin receiving the benefits, which may include coverage for medical expenses, lost wages, and vocational rehabilitation.

Ready to Appeal Your Denied Workers Compensation Claim? Contact Krolikowski Law Today

If your claim has been denied in Santa Ana, don’t lose hope. Krolikowski Law is a Santa Ana-based law firm specializing in personal injury cases, including workers compensation claims. Our experienced attorneys have a proven record of winning appeals for clients whose workers compensation claims have been denied. Contact us today for expert support in appealing a denied workers compensation claim in Santa Ana. 

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