After receiving a denial notice from your employer’s insurance company, the first step is to figure out why the claim was denied. If the issue is missing information or paperwork, then this could be resolved. However, clerical errors are not usually the issue.
The next step is usually to file a formal claim. There are strict deadlines for an appeal that changes depending on your state. In California, you have a year to file an appeal within a year of refusal. However, Ohio gives only 14 days after a denial notice. Since the proper filing procedures changes per state. It is important to have an experienced workers’ comp denial attorney help ensure your appeal is successful.
The insurance company can also refute the evidence, however the judge will take around 30 days to make a decision. Sometimes, an insurance company may want to mediate to settle a dispute instead going to court.