Facing denied workers’ compensation claims is 10 times more harsh and painful than facing the outcomes of a workplace accident or occupational injuries in California. Only the claim denial attorneys at Gaylord & Nantais, assist you wonderfully in battling the state laws for workers comp issues. Further, you must be in the thought about when can an employer deny a workers’ comp claim in California or if is it legal for an employer to deny a claim. Under California Labor Code 3600 employers are permitted to deny a workers’ compensation claim if they believe the employee did not sustain the injury at work if the employee was acting inappropriately or under the influence of alcohol when the injury occurred, or if a medical evaluation finds no link between the employee’s work and the injury. Furthermore, if employers believe they have valid reasons to do so. Employers, however, are not permitted to unilaterally reject legitimate claims without providing a sufficient explanation, and workers are entitled to contest rejections via the workers’ compensation appeals procedure or, if necessary, by taking legal action. 

Have you ever thought about what happens when workers comp is denied?

Beneath the new California employment laws, workers have the liability to file an appeal when their workers’ comp is denied. To contest the denial and maybe get compensation, they can submit further proof, go to hearings, or hire an attorney. Those whose long-term disability claims are denied, however, may have a more difficult time since they may have to deal with financial hardship and the loss of essential assistance. Sections 3208–3208.3, which provide provisions for disability benefits and alternatives for appealing rejections through the workers’ compensation system, protect workers in California.

Experiencing claim denial? Learn how a workers’ comp lawyer helps to get a denied claim.

• Recognizing Denial Reasons: To properly handle concerns, a Workers’ comp lawyer looks at aspects such as lacking documentation or disagreements over the cause of the injury.

• Guidance on the Appeal Procedure: Your lawyer helps you with the appeal procedure, making sure you do all the required actions to contest the denial and provide strong proof of the legitimacy of your claim.

• Proof Extraction: To support your case and prove the validity of your injuries and ensuing disability, attorneys obtain important evidence such as medical records, witness statements, and expert views. 

• Negotiation Abilities: Your attorney uses their talents to negotiate a settlement that fairly compensates you for your losses and demands. They have experience dealing with insurance providers.

• Court Representation: If negotiations are unsuccessful, your attorney will skillfully represent you in court, arguing your case and putting up a strong fight to get the benefits you are entitled to and reverse the refusal. 

For denied claims, why do you need the guidance of Gaylord & Nantais, workers’ comp lawyer?

Citizens in California mostly found searching for the best answer for “How to appeal a denied claim?” You should thus be aware that the assistance of Gaylord & Nantais Attorneys at Law is priceless when it comes to appealing a refused workers’ compensation claim. Our proficiency in California workers’ compensation law allows them to offer tactical advice, handle intricate appeals procedures, compile strong proof, and zealously defend your rights. 

Conclusion

Refusing a workers’ compensation claim might be terrifying, but you don’t have to face it alone. To arrange a consultation, get in touch with the workers’ comp lawyer at Gaylord & Nantais Attorneys at Law right now at (562) 561-2669. Allow our knowledgeable attorneys to assist you with the appeals procedure, stand up for your rights, and put out endless effort to get the refusal overturned. After suffering a workplace accident, don’t wait; act right away to obtain the benefits and assistance you are entitled to.