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Denied Claims Archives

What if there is a delayed or denied claims with my treatment?

Workplace injuries, illnesses or conditions are serious concerns for Californians who suffer from them. This is why they think that workers compensation benefits are the safety net that should allow them to lex so they can improve and return to full health. However, it is not always guaranteed that treatment will be provided or that it will be given in a timely manner. When a worker believes the denial or delay in treatment is unwarranted, there are options to complain and even receive payment for compensation after the delay or denial.

Dying firefighter seeks workers' compensation benefits

California first responders face danger every single day. This is especially true for firefighters. That is part of the job. While workplace injuries might be expected in many circumstances, there is also a danger of occupational disease from long-term exposure to smoke, fumes and chemicals. Workers' compensation benefits are meant to help those who are injured or become ill from the job. However, there are glaring holes in the system and these can prevent workers from getting their workers' compensation benefits. Having legal help in such a situation is essential to try and get an approval.

Denied workers' compensation and grounds for reconsideration

Since workers' compensation can be such a necessity for California workers who have suffered a workplace injury, a denied claim can lead to great uncertainty for the future. People who have had their workers' compensation claims denied often do not realize that they can take steps to try and get a reconsideration of the decision from the Workers' Compensation Appeals Board. This is even true after a judge has decided the case and denied the claim. People who are confronted with this problem should be aware of their rights to seek reconsideration and what the grounds are for doing so.

After denied claims over workplace injury, legal help is crucial

When a Californian has suffered a workplace injury, gotten ill from the job or is suffering a condition due to the work they do, workers' compensation can help them while they are unable to work and are getting treatment. This is an integral part of covering medical expenses, lost wages and other problems stemming from the injury or malady. However, a nightmare scenario for many people is if their claim is denied. Fortunately, there are steps that the worker can take to try and get workers' compensation benefits even after a denial.

Understanding a utilization review under workers' compensation

While California workers are protected from long-term loss of income and can be compensated for medical care through workers' compensation if they have suffered workplace injuries, there are always certain underlying aspects that must be accounted for. One is the utilization review (UR). An injured worker will want to be informed about this process and know what to do if it presents a problem for them.

What can be done about denied claims after a workplace injury?

When a San Jose worker suffers workplace injuries or another issue related to the job that leaves them unable to work, there is an automatic belief that they will be free to use workers' compensation benefits as they are treated. However, there are times when a claim is denied. If there is a denial, it is due to the workers' compensation claims administrator believing that the injury is not covered. A worker can challenge the decision. It is important to note that there are deadlines for the challenge.

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