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What Might Lead To A Workers’ Compensation Claim Denial?

On Behalf of | Sep 12, 2021 | Workers' Compensation

Workplace accidents can occur under various scenarios and each incident may run the risk of leaving an employee in New Mexico or elsewhere with severe injuries. Those who suffer harm in a slip-and-fall accident while on the job and face a long recovery period may wish to seek financial aid through the workers’ compensation insurance system, but what happens if the initial claim results in denial? Understanding the circumstances under which a claim might be denied could be integral to mitigating similar concerns or knowing how best to respond to the situation after a denial occurs. 

Possible reasons for denial 

Reports indicate that there are a multitude of circumstances in which a claim for benefits might result in denial. One of the most common issues may involve a lack of documentation of the incident or of one’s injuries and resulting medical treatment. Inaccuracies in information could also increase the odds of denial, as can inconsistencies in witness statements about the incident. 

There are also time limits involved and failing to file a claim within this time frame could also disrupt one’s ability to seek compensation. A claim may also be denied should information arise suggesting that the incident took place while those involved were involved in unapproved behavior or actions that were not job-related. While documenting the incident thoroughly and knowing every vital topic to address could help reduce the odds of a denial, it might not always prove as fruitful under every scenario. 

Responding to a denial 

Those who receive notification of a workers’ compensation claim denial after suffering harm in a slip-and-fall accident at work could find it helpful to seek guidance prior to responding to the situation. By consulting with an attorney, a person in New Mexico could obtain much needed insight on the scenarios in which a claim might result in denial and on the steps to take should this occur. An attorney can work with a client in preparing to seek the full amount of compensation achievable by appealing the denial through the appropriate channels.