Workers compensation benefits in Florida are meant to protect workers who have suffered an on-the-job injury in Hollywood, Homestead, or any Florida community. The workers’ compensation program is paid for by the employer either through self-insurance or through a third party insurance company.
In the event of a workplace injury, employees must report their injury and employers are required to submit a claim on behalf of the injured worker. When a legitimate injury happens in the workplace, workers expect to receive the benefits they may be entitled to. Unfortunately, in many cases legitimately injured workers find they are denied the benefits they need as they heal.
There are lots of reasons why workers’ compensation claims are denied after workplace injury. One of the most common reasons has to do with the medical documentation and information required by insurers. Insurers need to see a lot of evidence of injury from doctors and other medical professionals. Insurers also need to see evidence of the extent of the injury as well as proof that the injury was work-related. Insurers are in the business of making profits for their shareholders, and they only offer benefits in those cases where there is overwhelming evidence of a covered injury.
Another reason why workers’ compensation benefits may be denied has to do with insurance fraud. Unfortunately, insurance fraud is a key concern for the insurance industry and many companies will look at even legitimate claims with some suspicion. If there is any suggestion that a claim may not be 100% accurately presented a denial is the mostly likely response. This is the case even if someone was genuinely injured and is covered under their workers’ compensation program.
If you have been denied wage loss and other benefits after a workplace injury, it’s important to get support. Speaking to a workers’ compensation attorney ensures you have legal expertise behind you as you appeal your decision. Even if you have been denied, you do have options. You may be able to appeal and may be able to submit additional medical proof of your injury as well as other documents an insurer may need to settle your claim.
A workers’ compensation attorney in Homestead, Hollywood, or your community understands the legal requirements for filing claims and understands how insurance companies work. Charles Flaxman of Flaxman Law Group, for example, worked in the insurance industry for more than ten years and understands exactly how claims work and what supporting documents need to be submitted to make a claim very strong. He and his team can advise you on the right way to go about the appeals process and how to build the strongest case possible to address any issues the insurer may have. Working with a workers’ compensation attorney can improve your chances of securing the benefits you deserve.
If you win your appeal and secure workers’ compensation benefits, you may even be able to secure the benefits you would have received had you not been denied. It is important to act quickly, however, since you have only a limited amount of time to file a workers’ comp claim or an appeal if your initial claim is denied. If you are struggling to get the benefits you deserve and need to replace lost income and pay for medical bills, contact Flaxman Law Group for a free, no obligation consultation to review your case.