Your Worker’s Compensation Claim Was Denied: What’s Next?

When an employer purchases workers compensation insurance for its employees, they enter into a contractual agreement with the insurance company. If an employee has an injury that leaves them disabled, and it’s along the lines of what the policy dictates, the insurance carrier must pay the claim. Unfortunately, this isn’t always the case, and it may be necessary to implement the following tips to receive monetary compensation for a workers compensation claim.

Liberty Mutual Insurance Claims & Settlements

Founded in 1912, Liberty Mutual is the fourth largest property and casualty insurance company in the United States. Based on the American Association for Justice Report, Liberty Mutual is one of the least popular insurance companies. The reasons behind the poor rating include premium costs, denial of claims, and refusal to insure customers. This was substantiated by complaints, court documents and statements from consumers, adjusters and former agents. Liberty Mutual Workers Comp dispute policy has also been shown to increase the company’s corporate revenue by reducing the amount paid to a claimant. Many of the items the company has been accused of include the following:

  • Delaying and denying claims that should have been resolved with little to no problems
  • Neglected policyholders in Florida and Louisiana who filed hurricane damage claims
  • Spiked insurance rates artificially in bid-rigging fraud

What to Do if Your Claim Has Been Denied?

If you failed to provide all of the information on the application, you’ll have the opportunity to strengthen your case by providing the necessary documentation, reports and medical records pertinent to your case. Reconsideration can take between four weeks and six months for an approval, and it’s typically dependent on the case load of the agency. Your appeal should be sent within 60 days of your denial, and you need to find out the specific reasoning, so you know how to proceed.

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If your reconsideration request has also been denied, you need the help of an attorney to handle your claim. This gives the insurance company one last chance to consider your claim before further action is taken. Many times an attorney and insurance carrier can mediate an agreement, and a reversal can be issued. If it’s revealed that the insurance company failed to act in good faith, action will be taken and a law suit may be imminent.

Why You Shouldn’t Give Up

Approximately 65 percent of the worker’s compensation claims filed have been denied. This could be due to a number of reasons that include insufficient information and suspicion of an illegitimate claim. Insurance companies owe their policy holders the duty to act in good faith on their behalf. If they violate the guidelines and rules in place, the policy holder can sue the insurance company.

Some of the bad faith examples include denying or delaying a claim, refusing to defend a claimant, improper investigation tactics, purposefully making a low-ball offer, and unreasonable interpretation of the insurance policy terms.

Many people stop after first receiving a denial on their workers compensation claim. However, you’ll find there are plenty of opportunities to present your case thoroughly and provide substantial information to back up your case. Acting within the appropriate time frame, and implementing the help of an experienced and knowledgeable attorney, can strengthen your claim.

Valerie Stout Cyrus is a professional blogger who writes articles on various legal topics to help educate the public. Liberty Mutual workers comp dispute is a trending topic in the legal community. Many law firms are actively pursuing cases where Liberty Mutual and other insurance companies have acted in bad faith.

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