Denied Claims
Our government protects our citizens: every legal right and interest is accepted and protected by law and is subject to claim if it is violated. Similarly, employee rights are protected by labor laws and the violation of such laws is subject to administrative and civil penalties. But in some cases, your claim can be denied either by your employer or the insurance company, so make sure you hire a competitive lawyer. The Van Nuys denied claim attorneys at Husain & Gutierrez have experience in helping individuals who have been injured and are facing a denied claim. A denied claim can bring much agony to your life and add to your pain of injury. Insurance companies and employers must be held accountable for denying a legitimate claim.
Our denied claim lawyers in Van Nuys are ready to serve you and help you exercise your right to appeal against the denial. But before you file for an appeal, make sure your case is strong enough to not be rejected a second time. For that, start by determining why your claim was denied. Once that is done, we can have all the information we need to file an internal appeal for your denied claim.
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To help avoid the denied claim, you should hire a denied workers’ comp claim attorney who considers the following aspects:
- Make sure your insurance has not expired
- Complete the claim request
- Immediate treatment
- No preexisting condition affecting the injury
- Avoid having a heated conversation with the insurance provider because talking too much can unintentionally damage your claim
- Avoid communicating with the business directly. Let your Van Nuys denied workers’ compensation claims attorney handle your postponed claim and speak with the insurance provider
- Refrain from doing anything that could lessen the severity of your injuries, like sharing photos on social media, hanging out, and attending events. Get well and law low.
Workers’ compensation claims are denied due to several valid reasons, but sometimes the insurance companies deny them in bad faith. Such companies try to save their money by deducting or denying the amount claimed. Some examples our firm has observed are below:
- The insurance company does not pay for the type of accident that lead to the injury
- The third party is not included in the claim
- The claim policy was out of effect at the time of the accident
- Inability to prove the accident
- The injury occurred due to the preexisting issue
- The limits of the policy have been crossed
- Delay in treatment
- No medical records
- Failure to mitigate injury
- Expiration of coverage
A denied claim is not the end of your case. Our denied claim lawyer in Van Nuys can fight your lawsuit in numerous ways to get you a fair compensation.
If your work injury claim has been denied, you will have to go through a process to analyze why your claim was denied. The process is as follows:
Review the denial letter
First, review your denial letter with the help of your denied workers' comp claims attorney to highlight the reasons behind the denial. While reviewing the process, pay keen attention to the policy that addresses your compensations and benefits to make sure there is no error in your claim concerning the insurance.
Send a dispute/request letter
Secondly, if a company denies your claim, you should ask for a written explanation of why the claim was denied after carefully reviewing the denial. File a request to get the reference for policy provision pertinent to accident or injury and get a letter from the insurance company to receive a review of the denial. After having a conversation with the supervisor in an insurance company, note down your discussion. Then, a request can lead to the reversal of the denial. Make sure your dispute letter is detailed with every relevant detail. Time is of the essence. If the insurance company does not cooperate, tell your denied workers’ compensation attorney from Hussain and Gutierrez to contact the firm and get your claim.
Contact A Well Informed Denied Claim Lawyer Today And Have Your Case Sorted
If your claim has been denied, you are still eligible to recover compensation. After a denied claim it gets difficult to get compensation, but it’s not impossible if you have the right people by your side. Insurance companies take advantage of every chance, no matter how small, to refuse any sort of claim and reduce the burden of paying compensations, but with the help of a good denied claim attorney in Van Nuys, you can surely get your desired compensation. Despite being a complex game, our lawyers are here to play for you. Contact our lawyers for the best services if you are also stuck with a denied claim. You can call us anytime or visit our firm for a free consultation from your prospective lawyer.
Frequently Asked Questions Have a question? Ask our team of expert
If a claim is denied illegally the company has to pay all the premiums that are already submitted. In addition to this, the company must justify why the claim was rejected.
Insurance lapse is the time when you stop paying your policy’s premium and your grace period has also ended as per the contract.
Bad faith is when the insurer denies to pay your claim or to defend you on unreasonable grounds.
The two major reasons behind a denied claim can be incorrect or missing information that creates issues for the applicant.
Unless required by law, it is recommended to not disclose your medical conditions so that insurance companies may not claim that your injury is irrelevant to the job.
