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What happens after a denied workers' compensation claim?

When you suffer an injury at work or you become ill as a result of your job, you may need financial support to get you through these difficult months. You know you have the right to pursue workers compensation benefits, which is a specific type of support you can seek to cover medical expenses, lost wages and other needs. It can be devastating to learn that your claim came back denied.

Even with a valid injury and clear evidence that workers' compensation benefits are appropriate, some South Carolina workers still find it difficult to get the help they need. If your claim came back denied, it is not the end of the road for you. You can take steps to continue to fight for the help you need. 

Find out why

If your claim came back denied, you may feel frustrated and even devastated. After all, you and your family need help while you recover from your work injuries. It's smart to take immediate action after this point, starting with figuring out why your claim came back denied. Some of the most common reasons why insurance companies do not approve these claims include the following:

  • It appears that you did not complete your claim on time.
  • There is a possibility that your injury is not compensable for a variety of reasons.
  • Your employer is disputing your claim.
  • There is not enough evidence that your injuries were serious enough to require medical treatment.
  • You did not include enough evidence that your injuries are the result of your job.

After figuring why your claim was not successful, you can move forward with the appeals process. The appeals process is time-sensitive, and you have a limited amount of time to move forward with this step. You have the right to include additional evidence and documentation that addresses the specific issues with your original claim listed in the denial letter. 

Putting the pieces back together

It's not easy to pick up the pieces and move forward after suffering from workplace injuries. If your claim came back denied, this is not the end of the road for you. You may find it beneficial to work with an attorney experienced in the workers' compensation claims process to assist you with the preparation of your claim and any appeals you may have to pursue. You have the right to keep fighting for the support you need to put the pieces back together.

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