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Know why insurance claims are denied and how workers’ compensation lawyers can help to get that claim back.

_Insurance claim denied get to know how to get compensation | GN

When an employee becomes sick or is injured at work, they become eligible to obtain the life-saving aid offered by California’s workers’ comp system. Offering quick and competitive pay is intended to assist workers in healing and rejoining the workforce again with the same designation and dignity. But the procedure isn’t always simple, and salaried employees might have their claims rejected for several different reasons. The difficult burden of navigating a sometimes complicated and perplexing appeals procedure awaits the worker when a claim is refused. This is where Gaylord & Nantais Attorneys at Law will prove to be your best legal support.

Each state handles appeals in a somewhat different way. Generally, you will need to file an appeal form with the workers’ compensation appeal board and then appear at a hearing to provide evidence supporting your claim eligibility for benefits. But other states have more than one form, with separate due dates for each. 

Common reasons for workers’ compensation claim denials:

  • Delay Reporting
  • Previous Diseases
  • Disputes Regarding the Origin of Injury
  • Refusing to Seek Healthcare
  • Absence of Proof or Witnesses
  • Breach of Firm Standards

How workers’ compensation lawyers can help to get that claim back:

  • Professional Legal Advice: All California workers’ compensation laws are widely recognized by workers’ compensation attorneys. These competent lawyers will carefully review your notice of denied claim, uncover the exact causes for the insurance denied claim, and offer you streamlined, guidance adapted to your specific case.
  • Assistance with the Appeals Process: The process of filing an appeal can be difficult, requiring adherence to deadlines and certain documents. By correctly compiling and submitting the proper appeal materials on time, we will assist you in navigating this procedure. To make a compelling argument on your side, we’ll make sure that all pertinent data and supporting documentation are included. 
  • Case Preparation: Our committed workers’ compensation attorneys will collaborate closely with you to compile and arrange all pertinent supporting documentation for your assertion for your insurance-denied claim case. Legal professionals can assist you in collecting witness statements, work-related accident reports, hospital records, and additional paperwork that can strengthen your claim denial case and get the compensation claim you deserve. 
  • Communication & Updates: Attorneys will regularly inform you about the status of the case at every stage of the court process. Trustworthiness and transparency are essential among attorneys, and they make an effort to be friendly and mindful of what clients require.
  • Dispute Resolution: To resolve this issue without going to the courtroom, proficient lawyers consider alternatives such as mediation and arbitration. Our workers’ compensation attorneys will walk you through these choices and advocate for your interests throughout, if applicable to your situation. 

How did the denied workers’ compensation claim attorney at Gaylord & Nantais Attorneys at Law help you get the claim? 

Following a work-related injury, Gaylord & Nantais Attorneys at Law can offer crucial help if your workers’ compensation claim has been refused. Our attorneys for denied workers’ compensation claims are experts in assisting salaried staff in navigating the complexity of claims denials. We are aware of how crucial workers’ compensation benefits are to paying for your medical costs and bolstering your claim. Whether an employment policy disagreement, workplace injuries, or accusations of drug use led to the denial of your claim, our skilled attorneys will help you navigate the system for insurance-denied claims. We are skilled in efficiently contesting if insurance denies your claim and defending your rights by drawing on our knowledge of workers’ compensation legislation. 


Do not go it alone when your workers’ compensation claim is rejected. Give Gaylord & Nantais Attorneys at Law your rights to be defended. Our skilled lawyers are adept in negotiating the intricacies of rejected claims, guaranteeing that you get the benefits to which you are legally entitled. Make an appointment for a consultation with us at (562) 561-2669 right now to start the process of getting your refused workers’ compensation claim resolved for an insurance-denied claim case.


Picture of Thomas M. Nantais

Thomas M. Nantais

Thomas M. Nantais is the Partner of Gaylord & Nantais, a legal firm specializing in workers’ compensation, in the state of California. This firm deals in getting hearing loss compensation and work related injuries compensation for those who have worked in the state of California. With his sincere efforts, Thomas is committed to meet the highest standards of the legal industry, and aims to provide the clients with an honest and aggressive representation.

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