4 Reasons a Workers’ Comp Claim May Be Denied
May 2, 2023
Were you injured at work? Are your injuries making it hard to continue working? If so, then you’re likely eligible for workers’ compensation benefits for your injuries, lost wages and medical bills. After making a workers’ comp claim and receiving your benefits, you can rest easy knowing you won’t be punished for something you couldn’t control.
However, your workers’ comp claim can be denied, preventing you from getting back on your feet. Oftentimes, a workers’ comp claim is denied for simple reasons. Here’s what you should know:
#1. The injury happened outside of work
An injury is only eligible if it happened when you were working. If you left work and suffered a car accident, for example, then you wouldn’t be eligible for benefits. Yet, if you were driving in a vehicle for work when your accident happened, then you may be considered eligible for workers’ comp benefits.
#2. The injury wasn’t reported to the employer
You have to report your injuries to your employer. Your employer needs proof that you were injured on the job so they can file the proper paperwork.
#3. The injury was self-inflicted
You’ll have to report your injuries no matter who caused them: you, a coworker or your employer. This is because workers’ comp is a no-fault program, meaning you’ll be eligible for benefits no matter who caused the injury. Yet, if these injuries were self-inflicted with the intent to benefit from workers’ comp, then you won’t be eligible.
#4. The injuries happened because of intoxication
If you were drinking or using drugs on the job when you were injured, then you may not be eligible for workers’ comp. This is because it may be seen that your injuries occurred because of your intoxication.
Missing your opportunity to receive workers’ compensation benefits can be devastating. You shouldn’t let one mistake cause a claim denial. If you’re filing a workers’ compensation claim, then you should understand your legal rights.