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At Your Side During Difficult Life-Changing Times

Steps to take if workers’ comp denies your claim

On Behalf of | Jun 12, 2024 | Workers' Compensation |

Facing a denial of your workers’ compensation claim in Georgia can be frustrating and daunting. However, it’s not the end of the road. You may consider some key steps to challenge the decision and work towards securing the benefits you deserve.

Understand the denial

First, carefully review the denial letter to pinpoint the reasons for claim rejection. Common reasons for denial in Georgia include insufficient evidence, missed deadlines, or disputes over whether the injury is work-related.

Gather additional evidence

Strengthen your case by gathering additional evidence. It might include updated medical records, new witness statements, or more detailed documentation of the incident. Ensure that all your medical treatments are well-documented and your healthcare providers explicitly link your injury to your work.

File an appeal

Act promptly to file an appeal after receiving a denial letter. In Georgia, you have one year from the date of the accident or one year from the last medical treatment authorized and paid for by the employer or their insurance to file an appeal with the State Board of Workers’ Compensation. Missing this deadline can result in the permanent loss of your right to appeal

Request and prepare for a hearing

If your initial appeal is unsuccessful, request a hearing before an administrative law judge or workers’ compensation board. This is your chance to present your case in detail. 

Prepare thoroughly by organizing your evidence, having witnesses ready, and practicing your testimony. 

Challenging a workers’ compensation denial

Facing a workers’ compensation denial in Georgia requires persistence and a clear strategy. Stay proactive and seek legal guidance if necessary, to navigate the complexities of the appeals process and work towards obtaining the benefits you rightfully deserve.