Whether the company wants to save money or worker was untruthful in his intentions, many of the legitimately injured employees and employers suffer a huge loss. If a worker’s case is genuine, then their interests are safeguarded by specialized worker compensation attorneys. In this article, we will tell you how disputes occur and their settlement by the help of attorneys.
What are worker’s rights?
Each state has set several different laws and policies that are in the best interest of workers. Worker compensation law is one of them. In this law, if a worker gets severely injured while doing his duties at the workplace and needs urgent medical attention, then he is entitled to the worker’s compensation.
Dispute a claim
There are cases when a worker receives intimation from the employer stating about the denial of the claim filed by them. As premium amounts are directly related to the number and costs of claims filed by injured workers for compensation benefits, this sometimes makes employers to deny the claim.
Most states also permit an employer to challenge given workers’ compensation claim, but the different state has different procedures to do this. It is employer’s duty to state the grounds on which they have rejected the claim. These reasons are intimated to the worker.
What are the reasons that could lead to denial of the claim?
There are various reasons such as
- Fraudulent claims
- Lies about an injury
- An injury that occurred outside the workplace
- Minor injuries that do not require time off and hospitalization
- No evidence about injuries from witnesses present close to the site, etc,
Such claims usually make the employers to directly deny the case filed against them.
Actions that worker should take in event of refusal of claim
If a worker finds that employer and their insurance agency is running a scam on them, then they can take measures to fight against them by putting their innocent and justified side forward. A worker has to give factual information including dates, location, doctor’s evaluation, etc. to the examiner to consider their case.
Types of agencies that solves the disputes
- Workers Compensation Independent Review Office is a standalone statutory organization which resolves complaints made by workers against insurance agencies.
- Workers Compensation Commission is a standalone statutory tribunal that deals varied types of disputes about worker’s compensation.
Workers’ compensation insurance provides monetary benefits to employees who get injured at work. Without this compensation, the overall cost of the treatment and loss of income would fall directly on the shoulders of workers without any assistance from insurance providers. In such cases, it is better to take legal help of a professional attorney. The knowledge and talents of Apex workers comp attorney from Wilson & Reives would help you recover from injuries and financial issues efficiently.
Author’s Bio:Mark Farley has written this article. If your employer has denied granting you the claim amount, then the best course of action is to visit Apex workers comp attorney from Wilson & Reives. The lawyers at this law firm have successfully solved numerous cases of such types. They assist you at each and every step of preparing documentation, collection of facts, attending court hearings and presenting the worker’s story in written as well as verbal mode. Successful resolution of the case, protection of worker’s rights and assured compensation is what they strive for!!