When a Claim is Denied
Claims administrators review, approve, or deny all workers’ compensation applications. When a claim is denied, an Application for Adjudication of Claim can be filed seeking a review.
A state-qualified physician is involved, and a hearing before a judge is scheduled. Our Ventura workers’ compensation attorneys successfully represent clients at these reviews.
Workers’ Compensation Benefits
Injured employees are eligible for a portion of their wages and medical care to treat the workplace physical injury in anticipation that the attending physician will clear them to return to work when they heal. These are known as temporary disability benefits.
Other benefits are available, including:
- Medical care for emotional injuries linked to employment
- Permanent disability benefits if an employee is properly diagnosed
- Supplemental job displacement vouchers for retraining
- Lump sum payments, if applicable, with supplemental job displacement vouchers
- Death benefits for families
These benefits are not automatic, and there are deadlines from the beginning, including the time an employee has to notify an employer about a workplace injury. Do not try to guess what to do and risk a denial. A Ventura workers’ compensation lawyer could fight for maximum benefits and ensure the process runs smoothly.
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