If your workers’ compensation claim has been denied in Sandy Springs, Georgia, that doesn’t mean the decision is final. You don’t have to take “No” for an answer from your employer or their insurance carrier. You have the right to raise a Sandy Springs workers’ compensation dispute and successfully appeal the claim denial.
You require the help of an experienced workers’ compensation lawyer to review your workers’ comp claim, answer all your questions, and advise you regarding your options. If you believe you were unfairly denied compensation benefits, contact a seasoned Sandy Springs workers’ compensation lawyer immediately.
Workers’ Compensation Lawyers Coalition can help you with all the legal aspects of your workers’ compensation dispute. Our attorneys will gather relevant evidence, complete and file the necessary paperwork, handle settlement talks with insurance adjusters, and keep track of all deadlines.
Call 470-518-5026 now to speak to an experienced lawyer about your denied claim. Let us deal with your Sandy Springs workers’ compensation dispute as you focus on getting better.
Causes of Sandy Springs Workers’ Compensation Disputes
There are various reasons why workers’ compensation disputes arise between employers, insurance companies, and employees in Sandy Springs, including:
In Georgia, employers with three or more employees must provide workers’ comp coverage to all employees. These employees may be either full-time or part-time workers. Independent contractors, subcontractors, consultants, and freelancers are not considered employees. If you fall under any of these categories, an employer may dispute your compensation claim.
Outside Scope of Employment
If you have sustained self-inflicted injuries due to intentional misconduct, your employer’s insurer will deny your compensation claim. You may also not receive any benefits if your work injury happened while you were impaired or if it occurred outside the workplace while you were performing unofficial duties.
Lack of Causation
To receive compensation benefits, you must prove your injury is connected to your workplace accident. If you are unable to show a valid connection, the insurance company may dispute your claim. Your employer’s insurer may even blame your pre-existing condition, including arthritis, degenerative disc disease, shoulder injury, or knee injury, as the cause of your injury.
To qualify for compensation benefits, you must file your claim before the statute of limitations elapses. You must report your work injury to your supervisor within 30 days. A workers’ compensation claim must be filed within one year from the date of the work injury.
To avoid a workers’ compensation dispute in Sandy Springs, it’s advisable to provide the insurance company with relevant information about your work injury. This may include medical records and witness statements after your workplace accident. Do not ignore requests for additional information from the insurance provider.
What to Do if Your Workers’ Comp Claim Is Denied in Georgia?
Your employer isn’t the final resort when you file a workers’ compensation claim in Sandy Springs, Georgia. You may still receive compensation benefits after your claim is denied. The best decision after a denial is to hire a workers’ compensation lawyer.
Attorneys at our reputable Sandy Springs workers’ compensation law firm can help you avoid simple clerical mistakes. We will assess your situation and advise on the best way to proceed.
Workers’ Compensation Lawyers Coalition is ready to appeal the decision. We will evaluate the insurer’s response and file an appeal with the Georgia State Board of Workers’ Compensation (SBWC). Our lawyers will fill out and file the WC-14 form to appeal the insurer’s decision.
Types of Sandy Springs Workers’ Compensation Disputes?
Employers and insurance companies may deny claims on various grounds. Such decisions may lead to workers’ compensation disputes in Sandy Springs, GA. Some of the most common disputes in workers’ comp cases are:
After a work injury, your employer’s insurance company should cover all your medical bills. However, this isn’t always the case. The insurance provider may dispute your medical bills. They may cite that they weren’t caused by the workplace accident. Insurance adjusters may blame your injuries on pre-existing conditions. Medical disputes often arise when the insurance company declines to pay for your surgeries, medications, diagnostic examinations, and physical therapy costs.
These types of disputes arise when your employer questions if your injury is work-related. They may argue that your injury occurred outside the scope of work. Claim disputes may also occur if you do not follow the correct procedure to file your claim. The insurance company might deny your claim if you missed Georgia’s deadline. But what happens if this deadline passes when you have not yet discovered your injury? You can file a workers’ compensation dispute claim to overturn the insurer’s decision.
Workers’ Compensation Dispute and Appeals Process in Georgia
If a dispute arises after your work injury, you can file a petition to appeal a claim denial. Employees are required to receive compensation benefits for medical expenses and a portion of their wages after work injuries. The Georgia State Board of Workers’ Compensation has jurisdiction over the dispute and appeals process in Georgia.
Here are the stages your case will follow during this process:
- Fill out and file the WC-14 form
- Mediation between you and your lawyers, and your employer and their insurance carrier
- Workers’ compensation hearing within a Fulton County courtroom
- Appeal to SBWC’s Appellate Division within 20 days after the judge’s verdict
- If you disagree with the Appellate Division’s decision, you can appeal the ruling to the Georgia Court of Appeals and then the Georgia Supreme Court subsequently.
Contact Our Sandy Springs Workers’ Compensation Lawyers Today
If you are injured while performing your job, you may be entitled to compensation benefits. But what happens when you file a claim and receive a letter stating that the employer’s insurance carrier has denied your claim? Don’t fret! Contact a Sandy Springs work injury lawyer immediately to discuss your legal options.
Employers and insurance companies deny many valid workers’ compensation claims in Georgia. Workers’ Compensation Lawyers Coalition can help you overturn a denied claim. Our legal team is well-versed in the appeals process in Georgia. We will help you understand how this process works.
Contact us today for a free and confidential consultation. Our attorneys will advise you on the best way to handle your workers’ compensation dispute. We are ready to help you every step of the way to ensure you get the compensation you are entitled to.