Concord Workers' Comp Denials Lawyer
Has Your Workers' Compensation Claim Been Denied?
If you’ve been injured on the job, workers' compensation benefits are essential to help cover medical bills, lost wages, and recovery expenses. Unfortunately, many workers in Concord, CA, find themselves facing the frustration and uncertainty of a denied workers' compensation claim. At Pacific Workers, we understand how overwhelming this process can be. That’s why our team is here to help. As your trusted Concord workers' comp denial attorney, we’ll fight to get you the benefits you deserve.
Call (888) 740-6434 or contact us online today to schedule a free consultation.
Common Reasons Why Workers' Compensation is Denied
Workers' compensation claims can be denied for a variety of reasons, many of which are frustratingly bureaucratic or seemingly minor. Here are some of the most common reasons why claims are denied:
- Failure to Report the Injury on Time: California law requires workers to report their injuries to their employers promptly. If you delay reporting your injury, it can cast doubt on the validity of your claim.
- Missed Deadlines: Filing your claim within the legal timeframe is critical. A missed deadline can lead to an automatic denial.
- Disputed Injury: Your employer or their insurance company may dispute whether your injury is work-related, particularly if there were no witnesses or if you have pre-existing conditions.
- Lack of Medical Evidence: Inadequate medical documentation or failure to follow prescribed treatments can lead to a denial.
- Errors in Paperwork: Mistakes or omissions in your claim application can result in rejection.
- Claiming a Non-Qualifying Injury: Certain injuries may not meet the criteria for workers' compensation coverage under California law.
Understanding the reason for your denial is the first step toward resolving the issue. A knowledgeable attorney can help identify the cause and develop a strategy to challenge the decision.
Options After Receiving a Denial
A denied workers' compensation claim isn’t the end of the road. You have options to fight back and pursue the benefits you’re entitled to. Here’s what you can do:
- Review the Denial Letter: The denial letter from the insurance company will outline the reasons for their decision. Carefully review this letter to understand their justification.
- File an Appeal: In California, you can appeal a denied workers' compensation claim by filing a case with the Workers' Compensation Appeals Board (WCAB).
- Request a Hearing: A hearing allows you to present evidence and argue your case in front of a judge.
- Gather Additional Evidence: Strengthening your case with additional medical records, witness statements, or expert testimony can improve your chances of success.
- Seek Legal Assistance: Partnering with an experienced Concord workers' comp denial attorney significantly increases your chances of overturning the denial and obtaining benefits.
Time is of the essence when appealing a denial. Acting promptly ensures you meet all deadlines and maintain your rights.
How a Lawyer Can Help
Navigating a denied workers' compensation claim can be complex and intimidating. That’s where Pacific Workers comes in. Our dedicated team in Concord, CA, specializes in handling workers' comp denial cases.
Here’s how we can help:
- Thorough Case Evaluation: We’ll review your denial letter, medical records, and other documentation to identify weaknesses in the insurance company’s decision.
- Appeals and Representation: From filing your appeal to representing you in hearings, we’ll handle every aspect of your case.
- Evidence Gathering: Our team will work with medical professionals, vocational experts, and other specialists to compile the strongest possible evidence for your claim.
- Negotiating with Insurance Companies: We’ll deal directly with the insurance company, advocating aggressively on your behalf to secure a fair settlement.
- Guidance Through the Process: We’ll keep you informed and supported at every stage, ensuring you understand your rights and options.
Having an experienced attorney by your side can make all the difference in turning a denial into an approval.
Contact us online or call (888) 740-6434 today to let us get started on your claim!
We have Helped OVER 8,000 CLIENTS aND WE CAN HELP YOU TOO!
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They didn't give up on me.
“Pacific Workers went to bat for me. Was I an easy person to get along with, no but they didn’t give up on me.”
David W.
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Thank you for being so kind!
“I started my fight against my company's workers comp and after talking to Almarie for the first time I already felt a lot of weight off my shoulders.”
Jazzie D. Daly City, CA
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I'm forever grateful & thankful to all!
“I especially want to thank Mr. Jason Insdorf, who worked in attaining a settlement I never expected.”
L.S. Union City, CA
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They took care of me!
“Bilal worked on my case and he was very professional, friendly, and kind to me. I was so nervous about my deposition and he made me feel very comfortable and less stressed about the whole situation.”
Gabi O. Sacramento, CA
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The most down to earth team I have ever met!
“They have strong communication and I was respected throughout the whole process. They had never given up on me!”
Nekealla C. Tracy, CA
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I got a compensation package that I was very happy with!
“My attorney provided me with a very smooth experience, patiently answered all my questions, and worked hard to represent my best interests.”
Dro L. Redwood City, CA
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I would highly recommend PWC!
“PWC's staff is knowledgeable and informative when it comes to answering your questions and ensuring you're well informed during the process.”
Patrick P.
Proudly Serving Northern California
Workers' Comp FAQ
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Do independent contractors get workers’ compensation in California?
No, most independent contractors are not covered by workers’ compensation insurance that is provided by their employer. The law does not require most employers to offer this sort of employment benefit to independent contractors. To get workers’ comp as an independent contractor, you will usually have to purchase a policy on your own.
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Am I Eligible for Workers’ Compensation?
In California, all employees are eligible for workers’ compensation with very few exceptions. If you are classified as an “employee” (rather than an “independent contractor”), you are eligible to receive benefits. This is true regardless of how many employees your employer has, how many hours you work, how much you make, whether you work part-time or full-time, or whether you are a seasonal worker. Additionally, undocumented workers are also eligible for workers’ compensation granted they meet all other eligibility requirements. In contrast, independent contractors and certain other workers, including some volunteers, household workers who are employed by a family member, and others, are not able to file for workers’ compensation benefits.
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My Employer Said That I’m an Independent Contractor, Not a Regular Employee, so I Can’t Get Benefits. Is This True?
You’re not necessarily an independent contractor by law if the nature of your job doesn’t fit the description, an attorney may help analyze your situation and guide you in this matter. There are high chances of contractors being eligible for workers’ compensation benefits, so it’s always worth trying.
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Can't I Just File for Workers' Compensation on My Own?
Filing for workers' compensation on your own increases the chances that your claim will be denied. One small misstep can prevent you from obtaining the compensation you need for your injuries. In addition, the process is usually complex and tedious, especially for someone with no workers' compensation law experience. It is extremely advantageous that you seek reliable and experienced legal guidance for your claim.
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What is the California 90-day rule for workers’ compensation?
After you inform your employer about your workplace accident, they need to tell the insurance company as soon as possible, usually within the same workday. Then, the claim administrator has 90 days to accept or deny your claim, with medical benefits being provided throughout that time. If there is no response within 90 days, then your claim ends in your favor by default.
