When you are injured while doing your job, you know that the law states you have the right to receive compensation for medical costs and replacement wages. That’s what a workers comp claim is supposed to do for you.
You have to file a workers comp claim with your employer, it gets approved and you start getting benefits paid. Unfortunately, that’s not how it works all the time. Indeed, as a workers compensation attorney in Greenville knows, the standard approach of any insurance company representing employers is to try and get claims denied.
And, in many cases, an injured worker seeks legal representation only after their workers comp claim was denied. In most of the cases, an experienced workers compensation attorney in Greenville can overturn this denial and win the benefits the employer deserves.
However, there are some cases when there is nothing a lawyer can do. In most of these unfortunate situations, the worker may have committed some errors which cost them the opportunity to get workers comp benefits. To avoid such situations, you should always contact a workers comp attorney as soon as possible after the workplace accident and learn what your rights and obligations are for filing a claim.
North Carolina Has a Deadline for Reporting Workplace Injuries
One of the most common reasons why a workers comp claim is denied is missing the deadline for formally reporting the injury. Many workers make the mistake of believing that it is enough to tell their employer that they were injured on the job.
Indeed, this is the first thing you should do after a workplace accident. However, the verbal notification must be followed by a formal one, submitted to the North Carolina Industrial Commission and to the employer. The deadline for this notification is 30 days after the date of the accident. Sadly, if you miss this deadline, your employer has the right to deny your workers comp claim.
The Most Common Reasons Why Your Workers Comp Claim May Be Denied
A workplace accident is not always easy to prove. When a situation appears difficult to clarify, an employer may assume that you are trying to file a claim fraudulently and will deny it.
This is why you should schedule a free case review with a workers compensation attorney in Greenville as soon as possible after your accident. It is your best chance of avoiding the risk of being treated unfairly and even accused of trying to defraud your employer.
Here are reasons why an employer would deny a claim and what to do:
There Were No Witnesses to Your Accident
Modern workplaces are designed to allow employees to work together efficiently. Therefore, an employer would reasonably expect at least one of your coworkers to see how you got injured. They get suspicious if you suffered an accident when no one was around and tend to believe that you actually got injured elsewhere – outside of the workplace and when you were not on the job.
An experienced workers compensation attorney in Greenville will find ways to prove your case. Even if there are no witnesses, most likely there is a CCTV camera that captured the moment of your accident. Or, the medical report will indicate that the injury is very recent and is consistent with the kind of accident you suffered.
You Were Not On the Job When You Suffered the Accident
You are eligible to file a workers comp claim strictly for accidents that happened while you were on the clock. Thus, if you were injured during the lunch break, you are not eligible to file a claim. Or, if you were covering for another employee without your employer’s knowledge and approval, you are also ineligible to collect workers comp benefits.
Sometimes, a matter of minutes can make the difference between having and not having a valid claim. An experienced lawyer can find the critical piece of evidence or the witness who can prove that you were on the job and, therefore, have the right to file a workers comp claim.
Your Blood Tests Come Positive for Drugs or Alcohol
This is one of the situations when a workers compensation attorney in Greenville cannot help you. Employers are not liable for any injuries you may have suffered if you were under the influence of drugs or alcohol.
It is possible to have a legal claim if the positive drug test result is triggered by medication prescribed by your doctor. In this case, you have to bring your doctor’s recommendation and prescription to the initial case evaluation with one of our lawyers.
You Wait to See a Doctor
One of the most reliable ways of proving that an injury happened on the job is seeking medical attention as soon as possible. The initial medical evaluation will include the date and time when the doctor saw you.
This is why you should never wait until the end of your shift or until the next day to get diagnosed and receive initial treatment. From your employer’s point of view, the medical report is not relevant in proving that your injury happened while you were at work, on the clock. You could have gotten injured at home and then decided to stay at home on workers comp benefits.
Thus, the golden rule is to tell your employer that you suffered an accident immediately after it happened and then go to the nearest hospital for medical care.
You Have a Pre-Existing Medical Condition
The existence of an old injury can determine an employer to deny your workers comp claim. Imagine this: you fell from your bicycle and injured your knee badly six months or one year ago. You made a full recovery and got the green light to resume all your normal activities, without restrictions.
Now, you suffer a workplace accident and injure the same knee. Your employer will claim that you actually had a bad knee and that you did not suffer a new injury. However, an experienced workers compensation attorney in Greenville can disprove this claim.
Using scans and the doctor’s opinion that you made a full recovery and the new scans after your workplace accident, the lawyer will show that this is a new injury, which you suffered while doing your job. Thus, you have the right to file a workers comp claim and collect benefits.
Our Workers Comp Law Firm Can Help You File a Workers Comp Claim Successfully
As you can see, your employer will not make it easy for you to file a workers comp claim. They don’t want to pay you while you stay at home – even though you got injured while working for them. This is why you need an experienced Greenville workers’ compensation attorney to guide you and represent you during the evaluation of your claim.
If your case has merits, we will give you instructions to avoid making costly mistakes. This is extremely important because your employer will not stop monitoring you, even after they approve your workers comp claim. Call us to schedule a free case review as soon as possible after your workplace accident!