Worker’s compensation is a system in Wisconsin and throughout the country that provides benefits to employees who are injured or become ill because of their jobs. In most cases, worker’s compensation claims are approved without any problems. However, in some cases, the claims may be denied. There are many reasons why this may happen.
Lack of evidence
Usually, the insurance company will require evidence to support the claim. This may include medical records, witness statements or other documentation. If there is not enough evidence to justify the claim, the insurance company may deny it. However, it’s important to note that even if there is some evidence, the insurance company may still deny the claim if it feels there’s not enough.
Incorrect filing
In some cases, a worker’s compensation claim may be denied because it was filed incorrectly. For example, if the paperwork is not filled out correctly, or if the required forms are not submitted, the insurance company may reject the claim. Always make sure you have the correct information and submit everything correctly to avoid this issue.
Preexisting injuries
Many cases of worker’s comp claims being denied are often due to preexisting injuries. For example, if an employee got injured before he or she started working at his or her current job, the insurance company may not accept the claim. This is because it will not be responsible for injuries that occurred before employment.
Fraud
If an insurance company suspects that an employee is trying to defraud it, it may deny the claim. This is why it’s important to be honest when filing a claim and make sure all information is accurate.
If your worker’s compensation claim is denied, you have the right to appeal. Just remember that you will need to file a notice of appeal and submit it to the insurance company.
