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Denegaciones De Compensación a Los Trabajadores

¿Su solicitud fue denegada? ¡Nuestra empresa puede ayudar!

Si recientemente resultó lesionado en el trabajo, es posible que haya presentado una reclamación de compensación de trabajadores y espera un resultado favorable. Por desgracia, sólo porque usted presentó una reclamación, no significa necesariamente que será aceptada. La División de Compensación para Trabajadores (DWC) de California puede negar su reclamación por una variedad de razones. ¿La buena noticia? Usted tiene el derecho de apelar la decisión.

Antes de hacer un llamamiento, sin embargo, es útil saber por qué su solicitud fue denegada. En Pacific Workers', The Lawyers for Injured Workers debemos evaluar cuidadosamente cada caso de forma informada y crear una estrategia basada en nuestras conclusiones. En lugar de avanzar ciegamente, nuestros clientes pueden contar con esfuerzos calculados en cada paso del camino.

¡Rellene un formulario de evaluación de caso gratis para decirles a nuestros abogados de compensación de trabajadores de Oakland más acerca de su caso!

Las razones más comunes para denegaciones de casos y reclamos

Una denegación de reclamo indica que el administrador de reclamaciones, o sea, la compañía de seguros, no cree que sus lesiones deben ser cubiertas por la compensación. Se le avisará de la denegación por carta, en cuyo punto tiene la oportunidad de contradecir la decisión a través de una apelación.

La reclamación puede ser denegada por cualquier número de razones, incluyendo:

  • La falta de informar o presentar la reclamación a tiempo
  • El empleador disputa la reclamación
  • Las lesiones no son lo suficientemente graves como para justificar una reclamación
  • Las lesiones fueron causadas por el estrés, no por las condiciones de trabajo

Si desea oponerse a la denegación de su solicitud, debe presentar otra de adjudicación de reclamación y una declaración de voluntad para continuar. Estos documentos indican que desea que su caso sea oído por un juez. Tras una audiencia y un examen médico, se toma una decisión sobre su caso.

Retenga a un abogado de Compensación de Trabajadores en Oakland

Antes del proceso de apelaciones, usted tiene el derecho de obtener representación legal. No podemos enfatizar lo suficiente cuán importante es esto - el abogado que elija puede tener un enorme impacto en el resultado de su caso. Nuestra empresa está aquí para darle la mejor oportunidad posible de una decisión favorable y con más de 85 años de experiencia puede sentirse seguro cuando estamos a su lado.

¡No espere! Su reclamación es obligada por limitaciones de tiempo y debe ser manejada de manera proactiva. Póngase en contacto con Centro Legal de Compensación del Pacificohoy mismo.

We have Helped OVER 8,000 CLIENTS aND WE CAN HELP YOU TOO!

    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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    “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.”

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    “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.
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    Your team was great to work with!

    “You took nothing and made it out of something. I felt like I mattered! Everyone was very professional and caring.”

    Heather Flores Bakersfield, CA

    “¡Farber hizo que fuera muy fácil y sin estrés para mí! Ellos hicieron todo el trabajo duro y me hicieron sentir tranquila en la situación que estaba atravesando. Nunca habría esperado que el resultado fuera tan bueno. Me mantuvieron al día de todo lo que pasaba en mi caso. Todos los abogados con los que traté eran tranquilizadores y positivos. Recomendaría a Farber a cualquier empleado que necesite ayuda con su compensación de trabajadores.”

    Janette D.
    Pacific Workers' Comp is one of the best places to get help from when you need help with an injury from work!

    “Iana and Sergio are very helpful, and Pacific Workers' Comp is one of the best places to get help from when you need help with an injury from work they have been helping me out through my trying time and doing a damn good job with dealing with stuff that I can't handle and I really appreciate all their help if you ever need help with an injury at work this is the place to go.”

    Lamar B. Santa Clara, CA
    Bilal is very professional, caring and committed to his clients!

    “My lawyer Bilal took the time out on a late Friday afternoon to meet with me and answer some questions that I had. Who stays late and meets with you on a Friday afternoon? Very few do, Bilal does. It speaks to his professionalism, caring, and commitment to his clients. Which creates a culture value at PWC. This is only one example of my experience with them, there are many more just like this.”

    Guy H. Novato, CA
    PWC has provided me with exceptional care!

    “My experience with them has been exceptional. They are caring, devoted and professional. They had turned a stressful situation into one that does not cause anxiety.”

    Jaaziel B.
    The attorneys and employees at PWC are angels!

    “Thank goodness for my team of lawyers and assistants that always take the time to listen to my concerns, answer my questions, and act on my behalf when my company does nothing!! Someone else said it, and I second that the people at PWC are angels!! At least I feel that someone is on MY side now!”

    Heikelyn J.
    I was lucky enough to obtain the services of Pacific Workers' Compensation Law Center!

    “I was lucky enough to obtain the services of Pacific Workers' Compensation Law Center. They worked tirelessly to receive the best care, and finally a C&R settlement from SCIF for me. Without them, I would have been just another injured worker without medical treatment.”

    Martha M.
    For anyone out there looking for a 'Worker's Comp attorney,' look no further!

    “For anyone out there looking for a 'Worker's Comp attorney,' look no further. Robert Davis is the man you want on the case. Robert truly cares for his clients; he will help you through the tough times, with a no-nonsense approach to your situation. Robert is a good man that never leaves any doubt in your mind and always makes you feel like he is the best man for the job.”

    Francisco P. Hayward, CA
    Exceptional Customer Service

    “I would recommend Pacific Workers' Compensation Law Center to my family and friends. I was so blessed to talk with AlMarie in March 2018 after receiving horrible service from another attorney's office. AlMarie took the time to talk to me and give me the information that I needed. Lauren and Alex are super great, and I feel I made a good decision for the law center to represent me. I received my packet with great information, resources, and how to communicate and contact the team who will be assisting me and working on my case.”

    T. Davis Addison San Leandro, CA
    Jason exuded complete confidence in my case & really understood what I went through!

    “My attorney Jason Insdorf exuded complete confidence in my case and made me feel like he really understood what I've been through (didn't hurt to read about his extensive credentials and expertise specific to my case). Karla Ortega made me feel at ease, listening intently when I explained details dating back 12+ years. Also, I was very impressed by the compassion, communication, and overall professionalism.”

    Matthew U. Modesto, CA
    Pacific Workers' Compensation helped me get the justice I deserved!

    “It was my first injury at a job and I did not know what to do. I did not know if my rights as an employee were being met. So, I was able to call to ask Pacific Workers' Compensation about my injury that occurred and what were my rights as an employee. They were able to help me get justice.”

    Victoria M. Santa Cruz, CA
    After Pacific Worker's Compensation started handling my case, I started getting the respect of an injured worker and not just a number.

    “My caseworker is amazing. She is quick to respond to my messages and concerns. Before contacting Pacific Worker's Compensation, I was getting the run around with my doctors and worker's compensation insurance for my employer. After Pacific Worker's Compensation started handling my case, I started getting the respect of an injured worker and not just a number.”

    Brandy L. Fairfield, CA
    Bilal is always kind, professional, compassionate and explains everything thoroughly!

    “Bilal Kassem is the nicest attorney a person dealing with a workers compensation mess can ask for. Always kind, professional, compassionate, and explains everything clearly.”

    Emi B. Vallejo, CA
    They were a headache & stress rellief!

    “Kiki was such a help. She works with Robert Davis. After dealing with the ins Co and there run around, blood pressure tossing, I turned my case one to PWC. No more headaches, no stressing, just relief. Thank you, Kiki and Robert & Pacific Workers Compensation.”

    Debra McLaughlin Benicia, CA

Workers' Comp FAQ

  • 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.

  • What If My Employer Denies My Workers’ Compensation Claim Because I’m a Seasonal Worker?

    Employers in California are legally required to provide workers' compensation coverage to all employees, including seasonal workers. If your claim is denied, it's advisable to consult with a workers' compensation attorney to understand your rights and explore options for appealing the decision.

  • 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.

  • 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.

  • 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.

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