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Concord Workers' Comp Denials Lawyer

Has Your Workers' Compensation Claim Been Denied?

If you’ve been injured on the job, workers' compensation benefits are essential to help cover medical bills, lost wages, and recovery expenses. Unfortunately, many workers in Concord, CA, find themselves facing the frustration and uncertainty of a denied workers' compensation claim. At Pacific Workers, we understand how overwhelming this process can be. That’s why our team is here to help. As your trusted Concord workers' comp denial attorney, we’ll fight to get you the benefits you deserve.


Call  or contact us online today to schedule a free consultation.


Common Reasons Why Workers' Compensation is Denied

Workers' compensation claims can be denied for a variety of reasons, many of which are frustratingly bureaucratic or seemingly minor. Here are some of the most common reasons why claims are denied:

  • Failure to Report the Injury on Time: California law requires workers to report their injuries to their employers promptly. If you delay reporting your injury, it can cast doubt on the validity of your claim.
  • Missed Deadlines: Filing your claim within the legal timeframe is critical. A missed deadline can lead to an automatic denial.
  • Disputed Injury: Your employer or their insurance company may dispute whether your injury is work-related, particularly if there were no witnesses or if you have pre-existing conditions.
  • Lack of Medical Evidence: Inadequate medical documentation or failure to follow prescribed treatments can lead to a denial.
  • Errors in Paperwork: Mistakes or omissions in your claim application can result in rejection.
  • Claiming a Non-Qualifying Injury: Certain injuries may not meet the criteria for workers' compensation coverage under California law.

Understanding the reason for your denial is the first step toward resolving the issue. A knowledgeable attorney can help identify the cause and develop a strategy to challenge the decision.

Options After Receiving a Denial

A denied workers' compensation claim isn’t the end of the road. You have options to fight back and pursue the benefits you’re entitled to. Here’s what you can do:

  • Review the Denial Letter: The denial letter from the insurance company will outline the reasons for their decision. Carefully review this letter to understand their justification.
  • File an Appeal: In California, you can appeal a denied workers' compensation claim by filing a case with the Workers' Compensation Appeals Board (WCAB).
  • Request a Hearing: A hearing allows you to present evidence and argue your case in front of a judge.
  • Gather Additional Evidence: Strengthening your case with additional medical records, witness statements, or expert testimony can improve your chances of success.
  • Seek Legal Assistance: Partnering with an experienced Concord workers' comp denial attorney significantly increases your chances of overturning the denial and obtaining benefits.

Time is of the essence when appealing a denial. Acting promptly ensures you meet all deadlines and maintain your rights.

How a Lawyer Can Help

Navigating a denied workers' compensation claim can be complex and intimidating. That’s where Pacific Workers comes in. Our dedicated team in Concord, CA, specializes in handling workers' comp denial cases.

Here’s how we can help:

  1. Thorough Case Evaluation: We’ll review your denial letter, medical records, and other documentation to identify weaknesses in the insurance company’s decision.
  2. Appeals and Representation: From filing your appeal to representing you in hearings, we’ll handle every aspect of your case.
  3. Evidence Gathering: Our team will work with medical professionals, vocational experts, and other specialists to compile the strongest possible evidence for your claim.
  4. Negotiating with Insurance Companies: We’ll deal directly with the insurance company, advocating aggressively on your behalf to secure a fair settlement.
  5. Guidance Through the Process: We’ll keep you informed and supported at every stage, ensuring you understand your rights and options.

Having an experienced attorney by your side can make all the difference in turning a denial into an approval.


Contact us online or call  today to let us get started on your claim!


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Workers' Comp FAQ

  • Am I Eligible for Workers’ Compensation?

    In California, all employees are eligible for workers’ compensation with very few exceptions. If you are classified as an “employee” (rather than an “independent contractor”), you are eligible to receive benefits. This is true regardless of how many employees your employer has, how many hours you work, how much you make, whether you work part-time or full-time, or whether you are a seasonal worker. Additionally, undocumented workers are also eligible for workers’ compensation granted they meet all other eligibility requirements. In contrast, independent contractors and certain other workers, including some volunteers, household workers who are employed by a family member, and others, are not able to file for workers’ compensation benefits.

  • What If My Employer Denies My Workers’ Compensation Claim Because I’m a Seasonal Worker?

    Employers in California are legally required to provide workers' compensation coverage to all employees, including seasonal workers. If your claim is denied, it's advisable to consult with a workers' compensation attorney to understand your rights and explore options for appealing the decision.

  • Can't I Just File for Workers' Compensation on My Own?

    Filing for workers' compensation on your own increases the chances that your claim will be denied. One small misstep can prevent you from obtaining the compensation you need for your injuries. In addition, the process is usually complex and tedious, especially for someone with no workers' compensation law experience. It is extremely advantageous that you seek reliable and experienced legal guidance for your claim.

  • Are Independent Contractors Eligible for Workers’ Compensation Benefits?

    Independent contractors are generally not eligible for workers' compensation benefits because they are not considered employees under California law. However, some employers may misclassify employees as independent contractors. If you believe you are misclassified, consult with a legal professional to assess your situation.

  • What Can I Expect from the Workers' Compensation Process?

    As soon as you reach out to us for help, we will assign you a full-time case manager and attorney. An application will be filed with the Workers' Compensation Appeals Board (WCAB) on your behalf. We will get started on your case immediately to help you receive the medical care you need. If we are unable to receive a fair settlement from the insurance company, we are ready and willing to take your case to trial. After a few months, you will most likely give a deposition. One of our highly experienced attorneys will prepare you and stand at your side the entire time. You don't even have to attend court hearings! One of our trained hearing officers or attorneys can attend on your behalf.

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