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What to Expect When Appealing a Denied Workers’ Compensation Claim in Chicago

On Behalf of | Workers' Compensation

If you’re injured on the job, filing a workers’ compensation claim is an absolute must. These claims allow you to receive a portion of your wages while you recover and ensure that your employer covers any medical treatments you receive as a result of your injury. While many claims are approved quickly, some will be denied by the insurance company. Though the reason for the denial will vary based on your unique situation, you don’t have to accept it. Instead, you can file an appeal.

The appeals process is different from filing your initial claim, and you’ll want to make sure you know what to expect before you start the appeals process with your Chicago workers’ compensation attorney. Here’s what you need to know.

You’ll Want to Find Out Why Your Claim Was Denied

Insurance companies must have a valid reason for denying your claim. They can’t do it just because they don’t want to send you money. Once your claim is denied, follow up with the insurance company and find out why they denied your claim. If it’s something simple like a missing document or incorrectly filled out paperwork, you may be able to resubmit your claim for approval. If the reason is more nuanced, you may need to consult with an experienced attorney.

What types of reasons may require legal help? Here are a few instances when you’ll want to work with an attorney immediately:

  • The insurance company believes your injury didn’t happen at work.
  • The insurance company believes you have a pre-existing condition.
  • The insurance company claims you were intoxicated or under the influence at the time of the injury.

The sooner you can get legal help, the easier it will be to appeal the decision. To be successful, you’ll need to file an appeal by the deadline stipulated in your claim denial.


Make Sure You Have All Documentation Available

When filing an appeal, the more documentation you can provide, the better off you’ll be. As soon as you decide to file an appeal, compile all of your documentation. This should include medical records, statements from coworkers about what happened at the time you were injured, and any other documents that your attorney recommends.

Remember, you’ll use these documents to build your case and prove that you’re entitled to workers’ compensation.

Get Help From a Chicago Workers’ Compensation Attorney

Though it’s possible to file an appeal and navigate the process on your own, doing so is almost always never in your best interest. The appeals process is complex and can require tons of paperwork, and may require you to appear before a judge to argue your case. This is always easier with an experienced workers’ compensation expert. They’ll be able to advise you on what to say and can make arguments on your behalf.

Filing an Appeal Is Possible

Filing an appeal for a denied workers’ compensation claim is both possible and a great idea. If you were injured on the job and had your claim denied recently, don’t wait. Contact Anesi Osmon, LTD., as soon as possible to schedule a free consultation. Our team will review your case and help you file your appeal.