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    Pasadena Workers' Compensation Denial Lawyer

    When you have suffered a workplace injury and your workers’ compensation claim has been denied, you need an experienced Pasadena workers’ compensation denial lawyer to protect your rights. 

    At LNN Trial Lawyers, we understand the frustration and financial hardship that comes with a denied claim. Our dedicated workers’ comp attorneys have extensive experience challenging wrongful denials and securing the benefits injured workers deserve.

    Common Reasons for Workers’ Comp Claim Denials

    If you are injured at work, you expect to begin receiving workers’ comp benefits relatively soon. Learning your claim was denied can be stressful, but always remember you have the right to appeal, and our workers’ compensation attorney in Pasadena could review the denial and help you take action.

    Insurance companies may deny workers’ compensation claims for various reasons, many of which can be successfully challenged with the assistance of proper legal representation. Common denial reasons include claims that the injury did not occur at work, missed filing deadlines, insufficient medical documentation, or allegations that the injury was pre-existing. Some employers may dispute whether you were performing work duties when injured or claim you were an independent contractor rather than an employee.

    Your Rights After a Denial

    California law provides specific rights to workers whose claims have been denied. You have the right to appeal the decision, request a hearing before a workers’ compensation judge, and present evidence supporting your claim. The appeals process involves strict deadlines and procedural requirements that you must follow precisely to preserve your rights. Working with an attorney from the start ensures these critical deadlines are met.

    We Handle a Wide Range of Workplace Injury Cases, Including:

    airline-and-airport-employees
    Airline & Airport Employees
    auto-workers
    Auto Workers
    brain-injuries
    Brain Injuries
    business-professionals
    Business Professionals
    fire-fighter-injuries
    Fire Fighter Injuries
    health-workers
    Health Workers
    Hospital Workers
    Hospital Workers
    industrial-workers
    Industrial Workers
    neck-and-back-iInjuries
    Neck and Back Injuries
    police-officer-injuries
    Police Officer Injuries
    repetitive-stress-injury
    Repetitive Stress Injuries
    restaurant-worker-injuries
    Restaurant Worker Injuries
    shoulder-and-elbow-injuries
    Shoulder and Elbow Injuries
    union-workers-injuries
    Union Workers Injuries

    What Is the Appeals Process for Denied Workers’ Compensation Claims?

    The first step involves filing a formal appeal with the Workers’ Compensation Appeals Board. This must be done within specific time frames to avoid losing your right to benefits. Our attorney helps you prepare and file an application for adjudication of claim, which initiates the formal dispute resolution process. This document must clearly state the nature of your injury, the benefits you are seeking, and the basis for challenging the denial.

    Building Your Case

    A successful appeal requires comprehensive evidence gathering and strategic case preparation. This includes obtaining detailed medical records, securing witness statements, gathering employment documentation, and potentially hiring medical experts to testify about your injuries and treatment needs. Our Pasadena workers’ compensation attorney may also need to depose company representatives and insurance adjusters to uncover the real reasons behind the denial.

    California Workers' Comp Faqs

    Workers’ compensation is a social insurance program that provides benefits to employees who suffer from a job-related injury. It is designed to ensure the employee receives prompt medical treatment and compensation for lost wages, regardless of who is at fault. The program was adopted in California and most other states during the early 20th century, and replaces the right of employees to sue employers over work-related injuries in exchange for benefits.
    If an employee incurs a work-related injury or illness and the employer does not have valid workers’ compensation insurance, workers’ compensation may not be available as a remedy. However, the employee can still file a civil action against their employer in addition to filing a workers’ compensation claim. Employees should reach out to their local DWC office to discuss their options further. The employee can also work with a workers’ compensation attorneto help them pursue compensation.
    The last thing you want to deal with after being hurt on the job is fighting with the insurance company just to get your wages paid or to see that your medical bills are taken care of. Has your workers’ comp claim been denied or delayed? Do you suspect some type of insurance bad faith? Our Los Angeles workers’ compensation attorneys are here to help. We can file an appeal on your behalf and continue pursuing the compensation you deserve.
    Workers’ compensation claims can be difficult to navigate, especially after you have been injured. Our Los Angeles workers’ compensation attorneys are here to guide you every step of the way and ensure you have the best chance of success.
    Many workers’ compensation claims are complicated. The best way to ensure that you obtain your full benefits after an on-the-job injury is by consulting with a Los Angeles workers’ compensation attorney. Without the help of an attorney, you may not receive the compensation you are entitled to for your medical care, disability payments, and more. An experienced attorney can help you understand your rights and responsibilities regarding your workers’ compensation claim. They can also assist you with an appeal if your claim is denied. Workers’ compensation claims require adherence to tight deadlines, failure to report an injury in a timely manner can result in your claim being rejected. It is generally in your best interest to consult with a Los Angeles workers’ compensation attorney as early in the process as possible.
    Individuals in California who are injured on the job or have a work-related illness may be entitled to several benefits through their company’s policy. Most employers in the state are required to either purchase a workers’ compensation policy from a licensed insurer or become self-insured. If you are injured at work, your employer’s workers’ compensation benefits may include payment for:
    • Medical care
    • Temporary disability benefits
    • Permanent disability benefits
    • Supplemental job displacement benefits
    • Death benefits
    It is important to discuss your case with a Los Angeles workers’ compensation attorney as soon as possible after your injury. An attorney can help you understand how to file a claim through your employer’s policy and ensure that you receive the maximum compensation available based on your case.
    An employer cannot fire you for filing a workers’ compensation claim. It is unlawful for an employer to retaliate against an employee who has been injured on the job and is seeking workers’ compensation benefits. In addition, an employer cannot deduct a portion of your paycheck in order to help offset the cost of workers’ compensation benefits. If you filed a workers’ compensation claim and were subsequently fired from your position, you might be entitled to file a wrongful termination lawsuit. There are strict state and federal laws that protect workers from wrongful dismissal. Our attorneys can help you file the appropriate claim against your employer if you were wrongfully terminated.
    Depending on the severity of the injury, you may be unable to return to your previous job duties. If you have long-term medical problems related to your on-the-job injury, you might be entitled to permanent disability benefits. Permanent disability benefits are designed to compensate those whose injury results in a reduced earning capacity. You might still be able to collect permanent disability benefits even if you are able to return to work. In order to qualify for permanent disability benefits, a doctor must first find that your condition is not likely to change or improve. The doctor may state that your injury has reached its maximum medical improvement or has become permanent and stationary.
    If you have a work-related injury, you need to act quickly to protect your right to compensation. First, report the injury to your employer. In some cases, your injury may be caused by repeated exposure as opposed to a single accident. It is critical to report the injury immediately upon discovery, even if it occurs over time. Second, you need to seek emergency medical treatment. Any delay in treatment may directly affect your ability to receive full workers’ compensation benefits. Seek and continue treatment. Do not miss doctor’s appointments and follow through with any referrals to specialists or other recommendations. Finally, contact a Los Angeles workers’ compensation attorney. An attorney can help you file a claim for benefits and ensure that you receive fair and full compensation for your losses.
    In the unimaginable event that you have lost a loved one due to a job-related injury or illness, you might be entitled to workers’ compensation death benefits. Generally, spouses, children, and other dependents are entitled to death benefits. A Los Angeles workers’ compensation attorney can help you understand your rights and whether you qualify for death benefits. We know that no amount of money could ever fully compensate you for the loss of your loved one, but these benefits may help to relieve unexpected costs such as burial expenses.
    By law, most employers in California are expected to have workers’ compensation coverage for their employees to compensate them if they are injured on the job. Your employer is required to pay a specific amount to you; however, if a third party was involved—such as a manufacturer or someone not employed by your employer—then you may be entitled to secondary compensation.
    In California, workers’ compensation covers all of your authorized injury-related expenses, including (but not limited to) medical costs, rehabilitation costs, therapy, and any job-related retraining you may need to get back to work. You may also be eligible for temporary total or temporary partial disability benefits if your injury has put you out of commission for a time. Should your injury pose permanent limitations on your ability to do your job or eliminate your ability to work at all, you may be able to receive permanent disability benefits.
    Talk to your employer about your injury or developed illness right away. Ideally, do this as soon as you are injured or become aware of your illness so that your employer has the option to send you to a physician in their medical provider network. Seek medical attention and keep record of any diagnoses, x-rays, doctor’s notes, prescribed treatments, etc. If your injury requires you to receive immediate medical attention, do so before talking to your employer, but do not wait more than 30 days to report your injury. Make your workers’ comp claim official by filing an Application for Adjudication of Claim no more than 1 year after your injury. This is one of several forms you will need to file in order to recover costs associated with your injury or illness.
    Every employer in the state of California is required to hold a workers’ compensation insurance policy with a licensed insurer and provide related benefits to their employees when the need arises. Even small companies with only a few employees must provide workers’ compensation for their employees and have sufficient insurance.
    If your employer is not properly insured and cannot cover your injury-related costs, the state of California has what is known as the Uninsured Employer’s Benefit Trust Fund (UEBTF), which serves as a fallback and provides the funds for hurt workers.
    LNN is located in downtown Los Angeles. We can take all workers’ compensation cases based in California.

    Strategic Legal Representation for a Workers’ Comp Denial

    Many denied claims can be resolved through skilled negotiation without the need to proceed to trial. Our attorney engages with the insurance company’s representatives to present evidence supporting your claim and negotiate a fair settlement. This process often involves demonstrating the weaknesses in the insurance company’s denial rationale and the strength of your proof. Settlement negotiations can result in lump-sum payments or agreements for ongoing benefits. Our experienced workers’ compensation denial lawyer in Pasadena knows how to leverage evidence effectively during these significant negotiations.

    If settlement negotiations fail, your case may proceed to a hearing before a workers’ compensation judge. Trial preparation involves organizing medical evidence, preparing witness testimony, and developing legal arguments that address the specific reasons for denial. Our attorney presents your case, cross-examines opposing witnesses, and argues why the denial should be overturned. The judge considers all your evidence before deciding on your benefits.

    Hire a Workers’ Compensation Denial Attorney in Pasadena

    When facing a workers’ compensation denial, you do not have to attempt to understand the complex appeals process alone. Our experienced attorneys at LNN Trial Lawyers have a proven track record of successfully challenging denied claims. Contact us today to speak with our Pasadena workers’ compensation denial lawyer about obtaining the benefits you deserve.

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    If your claim has been denied or your attorney has decided to give up, reach out to our firm for a second opinion.