Denied Claims

Denied Workers’ Comp Claims in Detroit

Uncover Your Legal Options with Our Team

Hearing that an insurance company has denied your workers’ compensation claim is frustrating. Don’t give up on your case, though. That’s exactly what they want you to do. Instead, come to Adler Firm, PLLC in Detroit for legal assistance. You might be able to challenge your denied workers’ compensation claim with our help.

You can call us at (888) 966-9524 to schedule a free initial consultation.

Why Do Workers’ Comp Claims Get Denied?

If you were hurt at work, then you should get workers’ compensation benefits. At least, that is how you might have been told how things function for workers’ comp. Yet workers’ compensation denials happen regularly and for many reasons.

Workers’ compensation claims are sometimes denied due to the:

  • Injury happening outside of work
  • Injury not being covered by workers’ compensation
  • Injury being preexisting
  • Discrepancies with the doctor’s diagnosis
  • Discrepancies with the required medical care
  • Claim being filed after statutes of limitations expire
  • Claim being filed incorrectly

While all of these reasons for denying a workers’ compensation claim can be valid, they can also be invalid if the insurance company does not have any explanations to back them. For example, a dishonest insurance company might say that your injury was preexisting even when there is no medical evidence behind that claim. The goal is to get you to accept the denial and give up. You know better, though, which is why you are now seeking the assistance of a workers’ compensation attorney.

Can You Appeal or Sue?

The next steps to take after your workers’ compensation claim is denied will depend on the details of your case. It will be part of our role as your legal representatives to help you determine the correct thing to do next.

Denied workers’ compensation cases can be handled through a:

  • Challenge letter: There is a chance that the insurance company could be swayed to reverse its denial with a carefully written challenge letter from our law firm. Essentially, we can respond to the denial with an explanation of why it is incorrect and a proposed remedy, such as accepting your claim or offering a settlement. If the insurer wants to avoid further legal steps, then it could be enough to close your case in your favor.
  • Appeal: If a challenge letter is not enough, then the next step is often an appeal, which we will have to file through the Michigan Department of Labor. We will ask its workers’ comp commission to review the denial and make a decision.
  • Lawsuit: In some cases, the correct avenue is to file a lawsuit and pursue litigation. A court could rule in your favor and award more compensation than you would have been given through the original claim. Litigation is not simple, though, so all parties usually want to avoid it if possible.

Should You Worry About Your Medical Bills?

Medical bills can add up quickly if you are hurt at work and don’t have any workers’ compensation coverage. However, your medical bills might be paid by the responding insurance company up until the point that coverage is denied, which could mean that your initial medical care is covered. Insurance companies are sometimes required to pay necessary medical care up to a cap, whether the claim is denied or not. Our team can help you figure out what to do about your medical bills and if any party is going to help you pay them.

Your Trusted Legal Team for Difficult Cases

Everyone deserves workers’ compensation benefits after being hurt in a workplace accident, even if their own mistakes caused it. That’s what our legal team at Adler Firm, PLLC believes and stands up for, anyway. Get our attorneys on your side if you were hurt while working in Detroit and your workers’ comp claim was later denied. We might be able to secure a large settlement on your behalf that helps pay for all your bills and lets you recover in peace.

Want to know more? Dial (888) 966-9524 at any time.

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