Legal Help After Workers’ Comp Claim is Denied in Ohio

A workers’ compensation claim may be denied for a variety of reasons, but you may still obtain benefits by going through the appeals process. Contact us at Kisling, Nestico & Redick today to receive help if your claim has been denied.

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If you’ve been injured on the job and filed a workers’ compensation claim that was denied, you are likely frustrated and upset. The good news is that you have the opportunity to appeal the claim so that you can secure the benefits to which you may be entitled.

At Kisling, Nestico, & Redick, we focus on workers’ compensation claim denials and can help you navigate the complicated appeals process and improve your situation. Call us at 1-800-HURT-NOW for a free case evaluation.

Common Reasons for Claim Denials

A workers’ compensation claim may be denied for a variety of reasons. In many cases, claims are denied because they are not filed in a timely manner. In an Ohio workers’ compensation claim, a worker must report their injury right when it is discovered. Their employer must also inform the Bureau of Workers’ Compensation quickly.

Here are several other common reasons your claim may be denied:

  • Your injury did not occur on work premises
  • The severity of your injury does not warrant benefits
  • There is discrepancy between your documented injuries and accident report
  • Your employer is disputing your claim
  • You did not seek medical treatment

The Workers’ Comp Appeals Process

If your workers’ compensation claim has been denied, you may still obtain benefits by going through the appeals process. In Ohio, there are three levels of administrative appeals which include district, staff, and commission. Hearings at the district, state, and commission level are informal, far less intimidating than courtroom proceedings, and will still give you the opportunity to present your position.

All appeals begin at the district level and can proceed further if necessary. At every level, a hearing will take place within 45 days of when the appeal was filed. During this time, you will provide evidence to support why your claim should be approved. An officer will hear your appeal and come to a decision within seven days.

In the event that your claim gets denied again, you’ll have 14 days to file an appeal to the next level. If the commission refuses to hear your appeal, you can take your claim to the Court of Common Pleas of the county in which your injury took place.

If you choose to take your claim to court, you’ll have 60 days to file the court appeal. Claims appealed in court involve a more formal process which may include depositions and expert testimony. In addition, court appeals often lead to jury trials.

Why Hire an Ohio Workers’ Compensation Attorney

The importance of hiring an experienced Ohio workers’ compensation attorney from Kisling, Nestico & Redick should not be overlooked. An attorney can help you navigate the complex appeals process and increase your chances of obtaining workers’ compensation benefits to pay for your medical care and wages.

You can count on us to complete all appropriate paperwork on your behalf, meet deadlines, acquire medical information, locate and interview witnesses, prepare and present your case at hearings, and negotiate with insurance companies, if necessary.

Contact Kisling, Nestico & Redick Today

At Kisling, Nestico & Redick, our highly skilled Ohio workers’ compensation attorneys have a successful track record of assisting injured workers in obtaining the benefits they need even after their claim has been denied. If your workers’ compensation claim has been denied, don’t give up. Call us today at 1-800-HURT-NOW or contact us online.

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