Rialto Workers’ Compensation Denial Lawyer

A workers’ compensation denial can be scary and stressful, but it does not mean you are out of options. You can typically appeal denied claims. An experienced workers’ comp attorney with CD Law can guide you through the process.

A Rialto workers’ compensation denial lawyer from our firm can represent you during an appeal and fight to get the money you need. Let us help you strengthen your claim and protect your rights. We are available 24/7 to assist new clients.

Common Reasons for Workers’ Compensation Claim Denials

If you sustained a job-related injury, workers’ compensation should cover your medical expenses. It should also provide wage benefits if you are unable to work while you heal.

However, sometimes getting benefits can be difficult. There are many reasons an insurance company may deny a claim, including:

• They do not believe your injury happened on the job
• They believe your injury is due to a pre-existing condition
• They do not believe your injury is severe enough to warrant treatment
• They do not believe your injury is severe enough to prevent you from working
• They are accusing you of causing your accident through misconduct
• You missed critical claim-related deadlines
• You made an error when filing

Insurers may also deny your claim if you lack medical evidence or do not follow treatment advice. To avoid this, you should seek care from Arrowhead Regional Medical Center or another reputable provider, keep your medical bills and records, and follow your doctor’s orders.

If an insurer has refused your workers’ compensation claim, our Rialto attorneys can review your case and help you understand the reasons for its denial.

Steps To Take if Insurance Denies Your Claim

The first step in appealing a denied Rialto claim is for your attorney to file an Application for Adjudication of Claim with your local California Division of Workers’ Compensation office. This will open a case with the Workers’ Compensation Appeals Board.

Next, you must file a request for a mandatory settlement conference (MSC). The MSC is a hearing that happens before a judge. You will need to provide information explaining why you believe the denial of your claim is wrong. If you do not settle your case during this hearing, it may go to trial.

Our attorneys can help you through your appeal. We could:

• Prepare and file the documents needed to start the appeal and get a hearing
• Determine where you claim needs strengthening and gather the needed evidence
• Represent you during the MSC
• Attempt to negotiate a settlement with the workers’ compensation insurance provider

If the MSC is unsuccessful, we could progress your appeal. If necessary, we could file a lawsuit and represent you at trial.

Do You Have Other Options for Seeking Compensation?

The workers’ compensation system generally does not permit you to sue your employer. But you may have a personal injury claim against a liable third party, such as a subcontractor.

A workers’ compensation denial lawyer from our Rialto team can help you explore your options for taking legal action. If you have grounds for a case, we could help you seek damages for losses not available through workers’ compensation. These may include the full value of your lost wages and pain and suffering.

Important Workplace Injury Case Deadlines

If you do not tell your employer about your workplace injury within 30 days, it could be a reason for the insurer to deny your claim.

If you receive a claim denial, you have a short window to appeal. If you must go to civil court to resolve your case, you will be subject to California’s statute of limitations.

Injured Rialto employees should reach out to our workers’ compensation lawyers right away to avoid claim denials. We can tell you more about deadlines that apply to your case and help you get started before time runs out.

Contact Our Rialto Legal Team About Workers’ Compensation Denials

If you have sustained an injury in the workplace, securing workers’ compensation benefits could be vital to protecting your health and future. Having a claim denied can be stressful and upsetting. A Rialto workers’ compensation denial lawyer can fight on your behalf to get the settlement you need.

Contact CD Law today for a free consultation. We take cases on a contingency basis, so there is no upfront financial risk to you.