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Why Was My Workers’ Compensation Claim Denied?

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If you are hurt on the job, your biggest focus is often on healing as quickly as possible. During the process of healing, it can be easy to get so focused upon getting better that it is only after your worker’s comp claim is denied that you realize you did something wrong when filing a claim. As South Carolina workers’ comp attorneys, we want to ensure you are properly covered by workers’ comp. Because of that, we want to help you understand why your claim could be denied.

Not Reporting Injury In A Timely Fashion

In South Carolina, you have 90 days to report the injury to your employer, and you have up to two years to file a claim. If you miss these deadlines, you will likely miss out on benefits.

Inaccurate Or Incomplete Accident Report

An inaccurate or incomplete accident report may result in denial of workers’ compensation. Make sure you explain in detail the accident, including what happened, how it happened, and when it happened. Including more information than might be necessary is better than skipping important information.

Not Visiting An Approved Doctor

Generally, your insurance carrier will have a doctor or doctors for whom you can visit. While it might be convenient to visit another doctor or you might be more comfortable visiting your regular doctor, your workers’ comp could be denied if you do not visit an approved doctor. Also, refusing to visit a doctor and attempting to self-diagnose yourself will result in a workers’ compensation denial. It is hard to prove you were injured without a medical diagnosis.

Not Going Back To Work When Approved To Do So

Sometimes, a doctor will approve you to go back to work doing light duty or doing less strenuous work. If this work is offered, and you refuse to go back to work, you will likely forfeit all your workers’ comp benefits from then on. If you go back to work doing light work, you can still receive some workers’ compensation benefits while you work back up to your previous workload.

To help prevent your worker’ comp claim from being denied, contact us. We will work with you to help you get the maximum workers’ compensation benefits for which you are entitled.