If an employee gets injured during the course and scope of their work, they can claim benefits under the workers’ compensation program.
An employee can claim disability benefits and compensation for loss of wages and medical expenses. However, there are chances that the employer may dispute the workers’ compensation claim. The employer can deny or dispute the claim due to a number of reasons. However, it does not mean that the employee will have to give up their right for compensation. Even though the employee cannot file a lawsuit, they can still plead their case with the insurance company or the state workers’ compensation board.
Our St. Louis workplace injury lawyer gives some common reasons why an employer may dispute a workers’ compensation claim. Here are the most important ones:
To Save Premium Costs
Workers’ compensation works like any other insurance. Once you have made a claim, you will have a higher premium to pay. In the same way, when an employer has to pay workers’ compensation to a number of employees, or pays a large sum as workers’ compensation to a particular employee, he will have to pay a higher workers’ compensation premium.
In many cases, the employer does not believe that the injury actually occurred during the course or scope of work or is serious enough to require medical treatment or time off work. Employers treat the cases of repetitive stress injuries such as carpal tunnel syndrome with suspicion.
Quite often, employers think that the employee who has filed workers’ compensation for an injury such as a lumbar back injury or carpal tunnel syndrome is malingering or in other terms, faking illness to avoid work or for financial benefits. Employers also act suspiciously towards cases where employees report inexplicable pain that is hard to verify using medical tests such as X-Rays.
There are several reasons why an employer may simply deny the workers’ compensation to an injured employee. The most common causes cited by employers who deny workers’ compensation are:
- The injury did not occur within the course and scope of work.
- The injury is not serious enough.
- The employee does not require time off work.
- The injury does not require medical attention.
When the Employer Denies a Workers’ Compensation Claim
In case the employer denies workers’ compensation benefits, it is their duty to notify you in writing. Once you get the notice, you should get in touch with the insurance company. If talking to the insurance company does not help, you should consult The Law Office of James M. Hoffmann at (314) 361-4300 and file an appeal with the Missouri workers’ compensation board.
Influencing Factors & Denied Claims
Social Media Workers Compensation
Workers Compensation Lawsuit Women
Workers Compensation Prosthetic
Workers Compensation Pre Existing Condition
Workers Compensation Diabetes
Workers Compensation Safety Programs
Workers Compensation Medical Testimony
Obesity and Workers Compensation
Workers Compensation Surveillance
Workers Compensation Retirement Age
Sick Leave and Workers Compensation
Workers Compensation Other State Coverage
Workers Compensation Refusing Medical
Failing to Maintain Workers Compensation
Workers Compensation Denied
Workers Compensation Denied by Employer
Workers Compensation Denied by Doctor
Workers Compensation Denied Surgery
Workers Compensation Denied Pre Existing Condition
Workers Compensation Denied Not Work Related
Workers Compensation Stopped Payments
Workers Compensation Disputes
Fired for Filing a Workers Compensation Claim
Workers Compensation Wrongful Termination
MMI Workers Compensation
Disputing Maximum Medical Improvement
Work Comp Accused Me of Fraud
Missouri Second Injury Fund
Person Comfort Doctrine
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