Workers’ Compensation Denials in Tracy

Representing Injured Workers in All Industries

The last thing you want to hear after you file for workers’ compensation benefits is that your claim was denied. However, countless workers in California and across the country receive denial letters when they file for much-needed workers’ comp benefits after a workplace accident. The gravity of the situation can trick you into thinking that your case is open-and-shut, but it’s not true. You might be able to challenge a denied claim.

With the help of our Tracy workers’ compensation denial lawyers of Pacific Workers', The Lawyers for Injured Workers, you can see how to challenge a denied workers’ comp claim. We are here to guide you through the entire process, as well as act on your behalf when interacting with other parties like the workers’ comp insurance policy provider. Leave everything up to us, so you can focus on recovering from your work injury.

Call (888) 740-6434 now. Free initial consultationsare available.

Why Do Insurers Deny Workers’ Comp Claims?

The reasons for a workers’ compensation claim denial will vary from case to case. No matter what, though, you have the right to know why your case was denied. You should be provided a denial letter with a clear explanation as to why it was denied by the relevant workers’ compensation commission or board. If there is no explanation given, then it could be a clear sign that your case was mishandled, so we must challenge the denial right away. Usually, though, there is at least one reason given.

Common reasons for workers’ compensation case denials include:

• Accident was never reported to the employer.
• Claim was filed after the time limit.
• Injury did not require medical attention or time off work.
• Injury happened in a non-work-related accident.

Don’t give up on your case just because the denial letter has a clear reason stated. Even if the commission thought the denial was justified, it might not be due to technicalities or legalities. Part of your attorney’s role will be to see if the denial can be challenged, regardless of the reasons given.

Outcomes of a Successful Case

Our Tracy workers’ compensation denial lawyers can use an Application for Adjudication of Claim and a Declaration of Readiness to Process to put your denied case in front of a judge for a hearing. During this hearing, we can argue against the insurer as to why the denial was incorrect or unjustified. If the hearing does not end in your favor, then we can push for a trial instead. We are ready to fight for your rights as an injured worker, no matter what that requires.

A successful outcome for the workers’ compensation hearing could include:

• Your workers’ compensation benefits being instated as they should have been; or,
• A settlement paid to you that covers the cost of those benefits, as well as other losses caused by accident and denial.

We Can Represent Misclassified Workers

If you are an independent contractor, then you might have been told that you don’t qualify for workers’ compensation. Or you might have filed for workers’ comp benefits and been denied because you did not qualify for that insurance coverage. While this is true in many cases, it might not be true for yours if you were misclassified as an independent contractor who should actually be considered to be an employee.

In our years of helping workers throughout Tracy and the surrounding region, we have seen employees misclassified as independent contractors, either due to a mistake or intentionally. If you legally should be considered an employee, not a contractor, then that could be the starting point for the challenge of your workers’ compensation denial.

Under California’s “ABC test” for employment status, you are an employee unless the employer can prove that:

• You are free from the control and direction of the employer related to work performance and procedures;
• You perform work that is outside the usual course of the employer’s business; and,
• You are “customarily engaged” in an independently established trade, occupation, or business that is the same as the employer’s.

Call Our Firm Today – Don’t Delay

The time you must challenge a workers’ compensation denial could be very limited. Many cases only have a one-year window to challenge a denial, and some have much, much less time. Be cautious and assume that the time limit for a denial challenge is approaching quickly. Call (888) 740-6434 now to speak with our Tracy workers’ compensation denial attorneys.