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2 common reasons your workers’ compensation claim may be denied

On Behalf of | Nov 9, 2021 | Workers' Compensation |

The Virginia workers’ compensation act is in place to help employees who are hurt at work. However, not all workers’ comp claims end with compensation. 

This can leave hardworking employees on their own to deal with the outcome of their injuries. It is important that every employee take time to understand the possible reasons why a seemingly valid workers’ compensation claim may be denied. 

Here are two common reasons for denials:

Your notice or claim was late

If you are hurt at work in Virginia, it is important that you do two things:

  • Report your injury to the employer within 30 days
  • File a workers’ compensation claim within 2 years

Regardless of how strong your case is, missing these deadlines might jeopardize your chances of getting the compensation you deserve for your workplace injury. Remember, a late injury notification and claims application are likely to be a subject of suspicion from both your employer and the insurance company. Both parties may, albeit successfully, argue that your injury had nothing to do with your work. 

You made yourself ineligible

For the most part, workers’ compensation is a no-fault system, so any simple mistake you made that led to your accident won’t be held against you nor be a cause to deny benefits. If, however, you were intoxicated while working or engaged in “horseplay” (rough-housing) with another worker at the time of your injury, your claim will likely be denied.

The workers’ compensation claims process can be convoluted and confusing. It’s wise to get some experienced assistance if you’re having trouble getting your claim approved.