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.
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
Proudly Serving Northern California
Workers' Comp FAQ
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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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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 Can I Expect from the Workers' Compensation Process?
As soon as you reach out to us for help, we will assign you a full-time case manager and attorney. An application will be filed with the Workers' Compensation Appeals Board (WCAB) on your behalf. We will get started on your case immediately to help you receive the medical care you need. If we are unable to receive a fair settlement from the insurance company, we are ready and willing to take your case to trial. After a few months, you will most likely give a deposition. One of our highly experienced attorneys will prepare you and stand at your side the entire time. You don't even have to attend court hearings! One of our trained hearing officers or attorneys can attend on your behalf.
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Can My Employer Tell Me to Use Sick Time or Vacation/Personal Time off (PTO) If I’m Injured at Work?
Following a work-related injury, you may not receive workers’ compensation benefits right away or your workers’ compensation claim may be denied. You may receive a note from your doctor that you may take time off work due to your injuries, but how will you be paid if you are not actively seeking workers’ compensation benefits? Your employer may tell you to use your state-mandated/employer-provided sick time in order to continue being paid while you are out of work. Once this sick time is exhausted, your employer may tell you that the only way you can continue to be paid is if you use your vacation or PTO time. In some cases, this may actually be the only way to continue receiving wages while you are out of work and not receiving workers’ compensation benefits. For more information, check out our video with Attorney Bilal Kassem on this topic by visiting our Facebook page!
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Can I Get Workers’ Compensation If I Was Fired?
If you were terminated while already receiving workers’ compensation benefits, this does not necessarily affect your right to receive benefits. However, if you were terminated “for cause” (for example, if you were fired because you were caught stealing from your employer), you will not be able to continue collecting benefits. If you were not fired for cause, but were laid off due to your position being terminated or various other reasons, you may still be able to continue collecting your workers’ compensation benefits. If you believe you were terminated because you filed for workers’ compensation or because you were hurt at work, you may have grounds for a retaliation claim. Learn more, including whether you can continue receiving workers’ compensation benefits if you were laid off due to the coronavirus pandemic, see our video with Attorney Bilal Kassem on our Facebook page.
