Workers’ Compensation Claim Denied – Filing an Appeal
If your workers’ compensation benefits in St. Paul have been denied, the first and most important thing to know is that you can appeal the denial. The appeals process starts with the Minnesota Department of Labor & Industry (DLI). As that Department explains, the initial steps in the appeals process usually include the following:
- Call the insurance claims adjuster to inquire about being denied benefits. When you speak with the insurance claims adjuster, you should take detailed notes about the phone call in writing, including the date of the call, the time of the call, and the name of the adjuster. There is a chance that you were denied benefits because of a minor error you made in your application or even a bureaucratic error made by the insurance company. As such, it may be possible to correct the problem over the phone and to have your benefits application approved.
- Contact an Alternative Dispute Resolution (ADR) specialist at the DLI. That specialist can attempt to help with your problem, but if your claim is not resolved, you have other options.
- Go through mediation for resolving your workers’ compensation claim dispute. A DLI mediator trained specifically in workers’ compensation issues can try to help you reach a resolution with the insurer.
- File an Employee’s Claim Petition form. You do not have to go through mediation or other ADR processes before you seek other methods for appealing your denied workers’ compensation benefits. You can appeal your denial by filing an Employee’s Claim Petition form with the help of an experienced Minnesota workers’ compensation attorney.
What Is an Employee’s Claim Petition Form?
The Employee’s Claim Petition form is the document that an injured worker can file in order to request a hearing when benefits have been denied. The form requires the injured worker to fill out basic information, including relevant names, contact information, dates of injury, dates of employment, information about the injury, and what kind of appeal procedure the injured worker is requesting.
As we clarified above, it is important to work with a St. Paul workers’ compensation lawyer on your appeal. Even the process of filing the Employee’s Claim Petition form can be complicated, and a minor error can prevent you from successfully appealing the benefits denial.
Stages of the St. Paul Workers’ Compensation Appeals Process
Once an injured worker is denied benefits and seeks an appeal hearing by filing an Employee’s Claim Petition form, there are still several stages of review through which that injured worker can appeal subsequent denials. Those stages of review include the following:
What Should I Do If My Medical or Rehabilitative Benefits Have Been Denied?
In some cases, injured workers file a workers’ compensation claim and receive some benefits, but medical and/or rehabilitative benefits get denied.
If you are in this situation, you should contact the insurance company to determine whether the denial was in error.
If the insurance company still refuses to pay medical or rehabilitative benefits despite admitting liability for your claimed injury, you may be able to request a DLI conference by filing a Medical Request form or a Rehabilitation Request form depending on the circumstances.
Some cases require the injured worker to go through a dispute resolution process for denied medical benefits.
Contact a Workers’ Compensation Appeals Lawyer in St. Paul
Were your workers’ comp benefits denied?
A St. Paul workers’ comp appeals attorney can help you.
The advocates at our firm have years of experience assisting injured workers with claims and can discuss your rights with you today.
If you were injured on the job, you deserve to be compensated for your losses. Contact us for more information.