What to Do if Workers Comp Denied Your Claim

Individuals who have been injured or fallen ill at work should apply for workers compensation benefits through their employer so that they can continue earning a living while they are out of work and recuperating.

However, it is not an uncommon occurrence for injured or ill workers to have their claims denied, thus delaying the payment of the benefits that they deserve. If workers comp denied your claim for benefits, continue reading to learn more about what you can do next.

Renegotiate Your Work Injury Settlement

If you haven’t already, you need to retain legal representation for your denial. Particularly when you’re still recovering, you will want to have a highly trained attorney by your side to ensure that the insurance company doesn’t try to take advantage of you in your time of need.

Your lawyer will then reach out to the insurance adjuster for your claim and attempt to renegotiate your settlement. We may be able to get your claim approved easily by providing additional paperwork or medical documentation of your injuries, or even by correcting an error on your application.

In the event that the insurer refuses to comply with our demands, we will have no choice but to proceed with a formal appeal that will be filed with the North Carolina Industrial Commission (NCIC).

File an Appeal with the NCIC

Your NCIC appeal will be handled by the commissioner. You will be granted a hearing, where we will then present our evidence and demonstrate both your eligibility and need for workers comp benefits. The insurer and possibly your employer will then describe why they believe you are not entitled to benefits.

Once both sides have presented their case, the commissioner will retire to deliberate and come to a decision regarding whether the insurance company will be obligated to pay you workers compensation benefits. In most cases, appeals are resolved at this level, but if your denial is upheld, we will prepare to bring your case before an administrative law judge.

Meet with Your NC Work Comp Attorney

Just because you’ve received a work comp denial, that doesn’t mean that your case is closed. When you consult with a NC work comp attorney at Ricci Law Firm, P.A. we’ll help you through the appeals process so you can hopefully begin collecting your benefits as soon as possible. Call our office at 252-752-7785 or fill out the online contact form below to schedule your free claim evaluation today.


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Ricci Law Firm Locations

The Ricci Law Firm has five convenient locations throughout North Carolina, Greenville, Rocky Mount, Charlotte, Wilmington and Raleigh.Visit the Location nearest you!

GREENVILLE

2221 Stantonsburg Rd
Greenville, NC 27834

rocky mount

4117 Sunset Avenue
Rocky Mount, NC 27804
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charlotte

6135 Park South Drive
Suite 510
Charlotte, NC 28210
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wilmington

1213 Culbreth Drive
Wilmington, NC 28405
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Raleigh

Cap Trust Tower
4208 Six Forks Road
Raleigh, NC 27609
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