Workers’ Compensation Denials

Was your claim denied? Our firm can help!

If you were recently injured on the job, you may have filed a workers’ compensation claim and expected a favorable outcome. Unfortunately, just because you filed a claim does not necessarily mean it will be accepted. The Division of Workers’ Compensation (DWC) in California can deny your claim for a variety of reasons. The good news? You have the right to appeal their decision.

Before you make an appeal, however, it is helpful to know why your claim was denied. At Pacific Workers’ Compensation Law Center, we carefully assess each case and create an informed strategy based on our findings. Rather than blindly moving forward, our clients can count on calculated efforts every step of the way.

Fill out a free case evaluation form to tell our Oakland workers’ compensation attorneys more about your case!

Common Reasons for Claim Denials

A claim denial indicates that the claims administrator did not believe your injury should be covered by workers’ compensation. You will be alerted of the denial by letter, at which point you have the opportunity to challenge the decision.

A claim can be denied for any number of reasons, including:

  • Failure to report or file the claim on time
  • The employer disputes the claim
  • Injuries are not severe enough to warrant a claim
  • Injuries were caused by stress, not work-related conditions

If you want to object to the denial of your claim, you must file both an Application for Adjudication of Claim and a Declaration of Readiness to Proceed. These documents indicate that you want your case heard by a judge. After a hearing and a trial, a decision is made about your case.

Retain an Oakland Workers’ Compensation Lawyer

Before the appeals process, you have the right to obtain legal representation. We cannot emphasize enough how important this is – the attorney you choose can have an immense impact on the outcome of your case. Our firm is here to give you the best possible chance at a favorable decision and with over 65 years of experience, you can feel confident when we’re on your side.

Don’t wait! Your claim is bound by time constraints and should be handled proactively. Get in touch with Pacific Workers’ Compensation Law Center today.

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Making a false or fraudulent workers' compensation claim is a felony subject to up to 5 years in prison or a fine of up to $50,000 or double the value of the fraud, whichever is greater, or by both imprisonment and fine.