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5 Reasons Your Workers' Comp Claim May Have Been Denied


Workers’ compensation is designed to provide financial relief to injured workers. It covers medical bills, lost wages, and other expenses associated with the at-work injury. However, there are certain requirements you must meet in order to be eligible for workers’ compensation. If you fail to meet the requirements, your claim may be denied.

There are 5 main reasons your workers’ compensation claim may have been denied:

  1. You waited too long. In the state of Texas, you must file an Employee’s Claim for Compensation for a Work-Related Injury or Occupational Disease form within 1 year of the date of your injury. If you file the claim after 1 year has passed, you may be unable to obtain compensation.
  2. You failed to inform your employer. If you are injured at work, you have 30 days to report the injury to your boss. For occupational diseases, you have 30 days from the date you realize that the illness was caused by your job. If you don’t tell your employer, your claim may be denied.
  3. You failed to seek medical attention. After an on-the-job injury, it is important to seek medical attention by an approved healthcare provider right away. Otherwise, the insurance company may deny your claim and say that you weren’t really injured.
  4. Your injury did not occur during work. In order to receive compensation, you must show that your injury resulted from your occupation. Thus, claims for injuries that occurred outside of work may be denied.
  5. You were under the influence of alcohol or drugs. When you receive medical treatment, your employer may require you to be tested for the presence of alcohol or drugs. If the results show that you were intoxicated at the time of your incident, your claim may be denied.

Seek a Favorable Solution with the Help of Our Attorney

Our firm is passionate about upholding the rights of injured workers to receive compensation. If your claim has been denied, we can discuss your options for appealing. A thorough investigation is necessary to show that your injuries were caused by your working conditions. With our San Antonio workers’ compensation lawyer, you can receive personal assistance for your case.

Contact us today for a free consultation.

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