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Reasons for Workers’ Compensation Claim Denials. Here are some of the most common reasons claims are denied: The injury isn’t work-related or was a preexisting condition.
If a claim was denied and the employee wants to appeal that decision, they should file an appeal with their state workers’ compensation agency. The case will be reviewed by the agency or by a judge.
Under California law, workers’ comp insurers must respond to your claim within 14 days of the time a work injury claim form is submitted. In some cases, employers will delay a decision on a claim.
Workers who have a workers' compensation claim must report the injury to their employer as soon as possible. Employees must complete a claim form and employers must offer a workers' compensation ...
Learn how workers’ compensation works, how it’s funded, who pays for it and why you need it for your business in this ...
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