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’ Compensation Law Center 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 Pacifico hoy mismo.
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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.