In Georgia, employers are required to have workers’ compensation insurance for their employees. This insurance coverage protects employees in the event of workplace accidents. It pays for their medical bills and replaces a portion of their lost wages.
However, not all employees get compensation benefits after work injuries. This may result in workers’ compensation disputes raised by employees and their lawyers. If you are facing such a situation, Workers’ Compensation Lawyers Coalition is here to help. We are ready to protect your rights as we appeal your denied claim in Loganville, GA.
Call 470-518-5026 now to find out if you have a case. Our legal team will advise you accordingly and help you get the best compensation for your work injury. We will aggressively fight to ensure you are well compensated. Book your free case review now.
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Causes Of Workers’ Compensation Disputes
Employers and insurance carriers are always looking for reasons to deny or limit workers’ compensation claims. They’ll conduct thorough investigations into your incident to find any valid reason to deny paying you any compensation benefits. Here are some common causes of workers’ compensation disputes in Loganville:
Employment Status
In Georgia, only employees are entitled to workers’ compensation. If you get fired or quit your job, you may not be entitled to any claim. Still, independent contractors aren’t covered under workers’ compensation laws in Georgia.
Employers may use deceptive tactics to misclassify you as an independent contractor. If you believe your employee has wrongly classified you as an independent contractor, contact a reputable Loganville work injury lawyer immediately.
Outside Scope of Employment
If your injury isn’t work-related, the insurance company may deny your claim. You must prove that your injury happened while you were performing your official duties. For instance, an insurer will deny your claim if you had a slip and fall accident while picking up your daughter from school during your lunch break.
Lack of Causation
You must prove that your injury is related to your job. It has to be caused by the type of work you do. If you don’t establish a correlation, the insurance company will deny your claim.
Missed Deadline
In Georgia, employees must report work accidents to their supervisors, managers, or the HR department within 30 days. You must also file a claim using the WC-14 form within one year from the date of the work injury. If you miss these deadlines, you won’t be eligible to receive compensation benefits.
Inadequate Information
The insurance carrier can deny your claim if you provide inadequate information. For instance, if there are no witnesses and your medical report doesn’t support your explanation, the insurance provider may deny your claim. Never disregard any request your employer’s insurance provider makes for additional information.
Dealing with workers’ compensation disputes in Loganville can be hectic. You require the insights of an experienced attorney to resolve your work injury dispute.
What To Do If Your Workers’ Comp Claim Is Denied In Georgia?
After your claim is denied, you can appeal the decision. All hope is not lost. Contact an experienced Loganville workers’ compensation attorney to help you develop the best legal approach for your appeal. At Workers’ Compensation Lawyers Coalition, our lawyers will look into the facts of your case and determine if the insurance carrier acted in bad faith.
Workers’ Compensation Lawyers Coalition will also help you to complete and file a WC-14 form. Completing this form may be complicated for you.
Our lawyers will guide you to ensure you fill in the accurate details. Once this is done, we will submit this form to the State Board of Workers’ Compensation (SBWC). Our legal team will also furnish a copy of the Notice of Claim form to your employer and their insurance provider.
Remember, you have one year to file a workers’ compensation claim in Loganville, Georgia. Reach out to our reliable workers’ compensation law firm now before this deadline elapses.
Types Of Workers’ Compensation Disputes
Loganville workers’ compensation disputes can arise due to various issues, including:
Medical Disputes
A workplace accident may cause severe injuries, such as fractures, amputations, traumatic brain injuries, and spinal cord injuries. The insurance company may argue that these injuries weren’t caused by a workplace accident. They may refuse to cover your medical expenses, resulting in a workers’ compensation dispute.
Claim Disputes
After a work injury, your employer’s insurer should pay income benefits to cover your lost wages. They should cover your weekly wages, disability, and the severity of your injuries. Unfortunately, your employer may refuse to pay these benefits or stop paying them after a certain period.
Workers’ Compensation Dispute And Appeals Process In Georgia
After your claim has been denied, there are specific avenues you can follow to appeal this decision. Here are the steps to take when challenging your denial in Loganville, GA:
File A Claim
After your claim has been denied, you will need to download the WC-14 form and file a workers’ compensation claim in Loganville, Georgia.
Mediation
Here, you may have a mediation session with the employer’s insurance carrier to reach an amicable solution.
Hearing
Our attorneys will make arguments on your behalf and present relevant evidence on your behalf. A ruling has to be made within 30 days.
Appellate Review
If you disagree with the ruling, you can proceed to the appellate division of the SWBC. Here, written arguments from both sides will be considered and a judgment made within 20 days.
Court
This is the final recourse to resolve your Loganville work injury dispute. You can appeal the decision to the Georgia Court of Appeals and then the Georgia Supreme Court. An appeal has to be filed within 20 days.
Contact Us To Discuss Your Loganville Workers’ Compensation Dispute
If your employer and their insurer have denied your compensation claim, our reliable workers’ compensation attorneys can help you get the compensation you deserve. We are experienced in dealing with workers’ compensation disputes in Loganville and all over Georgia.
Contact us now to learn how we will appeal your denied claim. Schedule a free consultation now to discuss your legal options with our knowledgeable team.
