Ten Reasons Your Pennsylvania Workers’ Compensation Claim May Be Denied in Lancaster | Georgelis Law Firm

Employers in Pennsylvania are required to provide workers’ compensation coverage for their employees. If you have been injured on the job and your employer has not provided this insurance, it may be easier than you think to file a claim against them. There are many reasons why an injury may not qualify for benefits, but here are ten common examples of how employers might deny your claim:

1. You didn’t report your injury as soon as possible

If you were injured at work and didn’t report it as soon as possible, your Workers’ Compensation claim may be denied. Reporting your injury as quickly as possible is essential to proving that the injury occurred while you were working. If you have any questions about Workers’ Compensation or need legal assistance filing a claim, don’t hesitate to get in touch with an experienced workers’ compensation attorney today.

2. Your employer is not aware of the injury and has not been notified

If you have been injured on the job, your Workers’ Compensation claim may be denied if your employer is not aware of the injury. To ensure that your Workers’ Compensation claim is filed correctly, it is essential to notify your employer as soon as possible of any workplace injuries. Failing to do so may result in a denied claim.

3. The injury was caused by something other than work

If you are injured on the job or while commuting to work, then you should know that there is workers’ compensation coverage for your injury. However, if your injury was not caused because of an accident at work, then it will be difficult to get approved for a claim (examples include a car accident, slip and fall, or an animal bite).

4. You were injured because you violated company policy

In some cases, an injured worker may be denied workers’ compensation benefits because they violated company policy. For example, your workers’ compensation claim may be denied if you were injured while on the job but were also caught smoking cigarettes in the break room. This is because your injury is considered self-inflicted and, therefore, not compensable. However, this rule has some exceptions, so it is essential to speak with an attorney if you have been denied benefits because of a policy violation.

5. The failure to wear proper safety gear

Many employers are unaware that they may be responsible for compensating workers who are injured on the job, even if the injury results from failure to wear proper safety gear. This can include wearing a hard hat, steel-toed work boots, goggles, or other protective equipment or equipment that could have prevented the injury from occurring.

6. You are no longer employed with this employer

If you have been denied Workers’ Compensation because you are no longer employed, it is essential to understand your rights. In some cases, an employee may be considered ineligible for workers’ compensation benefits if they no longer work. However, there may be other options available to you.

7. There is insufficient evidence that your injuries are related to work-related activities

In some cases, a worker’s compensation claim may be denied because there is insufficient evidence of an injury sustained at work. This can be frustrating for the injured worker, who may feel their injury is not being taken seriously. If you have been denied workers’ compensation because of a lack of evidence, it is important to understand your rights and take steps to appeal the decision.

8. Employer unreasonably delays in providing medical treatment for the injury

In most cases, once an employee is injured on the job and they have filed a workers’ compensation claim, their employer is required to provide them with proper medical treatment for their injury. However, what happens when the employer unreasonably delays or denies that treatment? Can the employee still receive benefits even though their injury was not addressed in a timely manner?

9. Employee has reached maximum weekly benefit amount before the date of injury

You may be denied a Workers’ Compensation Claim because you reached maximum weekly benefit. Did you know that it is important to get a second opinion when your injury is not improving after five weeks? The first step in filing for Workers’ Compensation benefits is to fill out the application and have your physician fill out the medical portion of this form. You should also file an appeal if you are denied an initial claim.

10. The employee’s disability does not meet specific requirements set by law

When you are injured on the job, you expect to receive Workers’ Compensation benefits. However, if your injury does not meet specific requirements set forth by law, you may have your claim denied. This can be difficult to deal with, especially if you are unable to work due to your injury. If this happens to you, it is essential to understand your rights and appeal the decision.

11. There is no medical evidence that proves that you sustained an injury at work

To be eligible for Workers’ Compensation benefits, an employee must typically show that they were injured as a result of their work duties. In some cases, an employee may file a claim even if they don’t have any medical evidence to support their injury. However, if the employer can demonstrate no medical evidence to support the injury, the claim may be denied. This can be difficult for employees who are already struggling with an injury. If you have been denied Workers’ Compensation benefits and feel like you have a valid claim, it is important to speak with an expert attorney to help you understand your rights and options.

Final Words

The best way to protect yourself against your employer’s denial of coverage is to contact a Workers Compensation Lawyer. Lancaster, PA has many qualified attorneys who can help you navigate the process and get your deserved benefits. If this sounds like something that might be helpful for you or someone in your family, please give us a call at (717) 394–3004 right away so we can schedule an appointment with one of our trusted lawyers now!