Receiving a workers’ compensation denial can feel frustrating, especially when dealing with an injury. If workers’ comp denies your claim, you have several options to try to get the benefits you need.
Find out why workers’ comp denied your claim
First, determine why workers’ compensation denied your claim. You should receive a letter explaining the reason for the denial. Common reasons include missing paperwork, insufficient medical evidence, or the insurance company not believing the injury is work-related. Understanding the specific reason for the denial will help you decide what to do next.
Gather more evidence
If a lack of evidence led to the denial, gather more information to support your case. This could include medical records, doctor statements, witness reports, or photos of the injury. The more evidence you collect, the stronger your case will be. Provide detailed information that shows the connection between your injury and your job.
File an appeal
In Missouri, you can appeal a denied workers’ comp claim. To do this, file a claim for compensation with the Missouri Division of Workers’ Compensation. This starts the appeal process, and you may receive a hearing date where you can present your case. Make sure to meet all deadlines, as missing one could prevent you from appealing.
Request a hearing
If the insurance company denies your claim again after the appeal, request a hearing before an administrative law judge. During the hearing, present evidence, call witnesses, and explain why you believe your injury is work-related. The judge will then decide whether to approve or deny your claim.
Receiving a workers’ comp denial in Missouri does not mean you have no options. Understanding the reasons for the denial and taking action can improve your chances of getting the benefits you need. Stay organized and persistent throughout the process to protect your rights.