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What Should I Do After I Receive a Denied Workers’ Compensation Claim?

If you have been injured on the job, you could qualify for Workers’ Compensation under Pennsylvania law. Whether it is a work injury from a repetitive task or a more severe injury from an accident, you may file a Workers’ Compensation claim if the injury occurred during or because of your employment. However, denied claims happen for many reasons, so understanding the law is beneficial.

What Does Pennsylvania Law Require After a Work Injury?

After a work injury, it is important to seek medical treatment, and notify your employer that your injury is job-related. Additionally, the following is required to be eligible for Workers’ Compensation:

  • Give notice of the injury to your employer within 21 days.
  • Be willing to visit a doctor on your employer’s approved list.
  • Accept two-thirds of your weekly wage if your claim is approved.
  • File a petition within three years if your claim is denied.

Common Reasons for Denied Claims

Insurance companies deny claims for many reasons, and they do not expect you to fight back after a denial. Since benefits can cover health care expenses and even death benefits, having your claim approved can help you recover lost wages and pay for expenses related to your injury. Here are some common reasons claims are denied:

  • You did not report your injury on time. If you wait, it is unfavorable because the insurance company could say the injury is minor.
  • You had a disqualifying event. Horseplay, not adhering to safety guidelines, or being intoxicated while on the job can cause denied claims.
  • You did not see a doctor after your injury. Documentation of your injury is critical to getting your claim approved.
  • There is disagreement about the severity of the injury. Even if the company believes you were hurt on the job, they may disagree it was bad enough to see a doctor or miss your shift.
  • Your injury is not work related. Some employers will argue that your injury is not really from the job, such as stress-related claims or a repetitive injury.

What to Do if Your Claim is Denied

If your claim is denied, that does not mean it is not valid. You have the right to appeal your denied Workers’ Compensation claim, but there are steps to take to make sure it succeeds at the appeals process. While you have up to three years to file an appeal, the sooner you do it, the better your chances.

Hiring an experienced lawyer will ensure your appeal is handled correctly and greatly increases your chance of securing benefits. They will help you file an appeal, request a hearing, and prepare for the hearing. They will also attend any mediation required by the judge. If you must continue through the appeals process, a Workers’ Compensation lawyer can guide you through each step.

How can a Lawyer Help?

While it is possible to handle Workers’ Compensation claims on your own, it is best to let a lawyer experienced in work injury law help you navigate the process. This is especially true if you are dealing with a denied Workers’ Compensation claim.

Professional legal representation can make a difference in resolving your claim and getting the benefits you deserve. Skilled legal counsel can also review your initial claim to determine the strength of your case. No matter your claim status, a lawyer will prepare documents, ensure they are filed on time, and represent you in front of the judge.

Media Workers’ Compensation Lawyers at the Law Office of Deborah M. Truscello Help Injured Employees Appeal Denied Claims

Accidents happen, even in the workplace. If you have been injured on the job, a Media Workers’ Compensation lawyer at the Law Office of Deborah M. Truscello can help you. For a free consultation, contact us online or call us at (610) 892-4940. Located in Media, Pennsylvania, we serve clients throughout Bucks County, Chester County, Delaware County, Lancaster, Montgomery County, Norristown, Philadelphia, Reading, and West Chester, Pennsylvania.

Contact the Law Office of Deborah M. Truscello

To discuss your case in a free, confidential consultation with attorney Deborah M. Truscello, Esq., call or fill out the form below. 

From our office located in Media, PA we serve the surrounding areas of

  • Bucks County
  • Chester County
  • Delaware County
  • Montgomery County
  • Philadelphia County
Including but not limited to
  • Allentown
  • Lancaster
  • Reading
  • West Chester

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Reasonable Rates & Fees

For Personal Injury, Workers’ Compensation and Social Security Disability cases, we have a contingency fee based on a percentage of what we obtain for you. We will not charge you any fee unless and until we settle your case, prevent the loss of your benefits or obtain benefits for you. 

For Family Law clients, we understand that financial difficulties often accompany divorce and other family law issues. Ask us about our reasonable and competitive hourly rates for your situation. 

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Why Clients Choose Deborah

Heather A
I have known Deb for years now and it all started in 2009 when I got hurt and needed legal help with my workers comp. I randomly chose Deb because of the things I read on her website and I liked that she had a take charge attitude about just about everything. She out-lawyered someone and got me more in a settlement for that and then also worked with me on another case and won that one as well for me. If you get to know Deb and her personal story, you will get to know an amazing single mom who has had her own struggles and has come out so much stronger. She will fight for you if you do your part as a client and follow her guidance. I have now used two women lawyers in Media and three men and I actually found the two women far more effective and both won my cases that the men lost. Without Deb and my other lawyer winning the cases for me that they did - I could have found myself disabled for good with no money to pay for the life I live because I can’t work now. I credit my ability to be able to eat and have transportation and all. I couldn’t be more grateful for their hard work they did for me. Deb has won two of my cases and I would absolutely refer others to her for the same kinds of cases and I would use her again if I ever needed her help again!
Daveen Carpenter
Deborah's team went above and beyond to get my case settled quickly. I am forever grateful
Rebecca Porter
If you ever need a worker’s compensation attorney, I highly suggest using Deborah Truscello. I had a work accident injury and was referred to Deborah. She was with me every step of the way, with this long-drawn-out process. She was there any time I had questions or needed advice on my rehabilitation. Now my case is settled. I am very happy how things turned out and I owe it all to her. I can't thank her enough. I will use her again if I ever need too.
Jackson Jones
Deborah is an excellent lawyer. She was professional, knowledgeable, and made me and my case feel important. She was always accessible and answered all of my questions. I would definitely recommend Debbie to anyone injured at work and in need of legal services.
I am a client of Deborah Truscello and also a woman of color. Deborah Truscello is not a bigot nor is she a racist. I hired Ms. Truscello back in 2016 for a very nasty custody case against a crazy man who has a history of dragging all his children through the court system. Ms. Truscello has been nothing but professional and well organized. She is very reliable and always available. I could contact her any time of the day or night and she is always responsive to my text messages, calls, and emails. If you are considering hiring her as your attorney I highly recommend you schedule a consultation and see for yourself you will not be disappointed.
Andrew Kriegh
Amazing law firm, they have helped me so much and enlightened me to the options I have, and to the right doctors who are still treating my issues... Very professional and very great people glad to have her in my team!!

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