In Pennsylvania, businesses are required to obtain Workers’ Compensation insurance for their employees. The coverage pays for all work-related injuries that occur during business hours. You may, however, be denied at any point during the process. If you were expecting your employer to cover your costly medical expenses, and you are now stuck with that burden, what happens next?
The first step in your appeal is learning why you were denied. You may feel like your injuries are covered, but you will learn the perspective of your employer or the insurance company when reviewing your case. A denial of your claim may happen if:
You will likely receive a denial letter from the insurance company or your employer. The letter will clearly state a deadline for all appeals, and the letter should be provided to a knowledgeable lawyer as soon as possible. You may be able to resolve the case with your employer or the insurance carrier. If you cannot reach an agreement, you must appeal your claim immediately.
A lawyer will collect evidence about the case that resolves any issues noted in the denial. For example, you can show that the claim was filed properly, you have a work-related injury, or you received the appropriate medical care. The injury might be evaluated by an independent medical practitioner, and a lawyer will interview anyone involved in the case. The appeal will then be drafted and presented to the court after a thorough investigation.
You should not contact your employer or the insurance carrier once your lawyer has taken over the case. Anything you say could be used to deny your claim, and you do not want to cause any problems while you are recovering. Your lawyer will argue your case vigorously, and your case may go to the appropriate circuit court if the appeal is denied.
Work accidents and injuries occur frequently throughout the United States. Unfortunately, claims for compensation can be denied. Our Philadelphia Workers’ Compensation lawyers at Gross & Kenny, LLP will handle your appeal and fight vigorously so that you receive appropriate compensation. Contact us online or call us at 215-512-1500 for a free consultation. Located in Philadelphia, we serve clients throughout Pennsylvania.
At Gross & Kenny, LLP we view the safety and well-being of our clients, staff and business partners as our highest priority.
The situation regarding the COVID-19 virus is continually changing, and we are following all recommended guidelines to stay healthy.
Currently, our law firm is remaining open to serve your legal needs. If you were working light duty or modified duty as a result of a work injury in Pennsylvania and were recently laid off or terminated from your job due to the Coronavirus you may be entitled to weekly workers' compensation checks for lost wages moving forward. Contact us to find out . We are open and ready to assist.
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