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What to Do if Your Workers’ Compensation Claim is Denied in New Jersey

What to Do if Your Workers’ Compensation Claim is Denied in New Jersey

workers' compensation lawyerWhen you’re injured on the job, you expect that your employer will cover your medical expenses and time off of work. In fact, that is what workers’ compensation is designed to do. That means that you might be confused when you receive a letter that claims your workers’ compensation benefits are being denied.

Common Reasons for a Denied Workers’ Compensation Claim

There are a few common reasons why your workers’ compensation claim might be denied. Here are a few of the top:

  • You were injured completing a task that was not work-related
  • Your injuries are minimal and cannot be financially compensated
  • You intentionally injured yourself
  • You were under the influence of alcohol or drugs

There are other reasons that could lead to a denial and these are just a few of the top ones. Some denied claims are due to a lack of documentation or improper filing.

Important Steps to Take if You Are Denied Workers’ Compensation Benefits

A workers’ compensation denial is not final. It is possible to appeal the decision and you can do so with the following steps:

  • Request more information about your application: It is important to know why you were denied so you don’t make the same mistake with the appeal.
  • Discuss your case with a workers’ compensation lawyer: Depending on the details of your case, it might make sense to work with a workers’ compensation lawyer who is familiar with New Jerseys’ claims and appeals process.
  • File an appeal: New Jersey has two appeals processes. You can file a formal claim petition, which will allow you to bring additional documentation to your case. You can also file an application for an informal hearing, which offers you additional suggestions, but does not lead to a formal ruling.
  • Develop your case further: If your case is lacking documentation, then you will want to reach out to your medical provider and any witnesses.

Each workers’ compensation claim is different so it is important to understand why you were denied. You can also request the assistance of a workers’ compensation lawyer with your case.

How a Workers’ Compensation Lawyer Can Help You With Your Claim

There are many reasons to consider working with a workers’ compensation lawyer when filing an appeal for benefits. Not only are workers’ compensation lawyers familiar with the filing process, but they can also help you file your appeal with the appropriate documents and within the state’s required timeline.

Following New Jerseys’ statute of limitations, you must file a petition within two years from the date of the injury. If you have already received benefits and they were stopped, then the two-year timeline begins from the date that the benefits stopped being paid. If you decide to file an informal petition and then follow it up with a formal filing, you are still required to follow the two-year limit.
If you decide to work with a workers’ compensation lawyer on your appeals, it is important to reach out as soon as possible. This ensures that your lawyer has enough time to build your case.

Contact an Atlantic City Workers’ Compensation Lawyer to Discuss Your New Jersey Workplace Injury Case

A workplace injury can be devastating, particularly if it prevents you from returning to work for an extended period of time. Although New Jersey Workers’ Compensation laws are supposed to provide you with reimbursement for medical expenses and replacement pay for missed time at work, it is not always easy to get the Workers’ Comp benefits you deserve. That is why you should speak with a knowledgeable Workers’ Compensation lawyer about your situation and get guidance throughout the claims process. The experienced Workers’ Compensation attorneys at Brown Law represent clients in Egg Harbor, Atlantic City, Galloway Township, Hamilton, and all across New Jersey. Call (609) 344-8270 or fill out our online contact form today to schedule a free consultation about your work injury case. Our main office is located at 3123 Atlantic Avenue, Suite 201, Atlantic City, NJ 08041.

The articles on this blog are for informative purposes only and are no substitute for legal advice or an attorney-client relationship. If you are seeking legal advice, please contact our law firm directly.

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