Why Workers’ Comp Benefits Get Rejected​ in Florida

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Written by TOI Desk

August 3, 2023

Workplace injuries can have​ a significant impact​ on​ an employee’s life, both physically and financially.​ To protect workers from the burdens​ оf medical expenses and lost wages, Florida has​ a workers’ compensation system​ in place. However, despite the system’s intention​ to provide support, there are instances when workers’ comp benefits get denied, leaving the injured worker​ in​ a state​ of distress. It’s important​ to understand the different benefits that are involved with workers’ compensation. That way you aren’t surprised by anything​ if you need​ to apply.

Failure​ to Report the Injury Timely

One​ of the main reasons that claims for workers’ compensation get denied​​ in Florida​ is the failure​ of the injured worker​ to report the injury. According to​ tо Florida law, employees are required​ to report workplace injuries​ to their employers within​ a specific timeframe. Failing​ to adhere​ to this requirement can lead​ to suspicion and raise questions about​ if your claim​ is legit.​ If you want​ to avoid this type​ of trouble, immediately report your accident​ to your employer.

Lack​ оf Medical Evidence

A medical record​ is the cornerstone​ оf any successful workers’ compensation claim. Insufficient​ оr inconsistent medical evidence​ is​ a leading cause​ оf claim denial​ in Florida. When filing​ a workers’ compensation claim,​ it is in your best interest​ to seek medical attention immediately. Then you can ensure that the healthcare provider thoroughly documents the injuries sustained, treatment plan, and potential long-term effects. The medical evidence should​ be consistent with the workplace incident and demonstrate that the injuries were​ a direct result​ of the work-related accident.

Pre-existing Conditions

Workers’ compensation benefits may​ be denied​ if the employer​ оr insurance company can establish that the injured employee had​ a pre-existing medical condition that contributed​ tо​ оr caused the injuries. Which can​ be annoying​ in most cases and leaves employees feeling lost.​ In such cases, the burden​ оf proof falls​ on the injured worker​ to show that the workplace accident aggravated the pre-existing condition​ оr continued​ to cause harm​ to the condition.​ It​ is crucial for employees​ to​ be transparent about any pre-existing medical conditions when filing their claims.

Disputes Over the Nature​ оf Employment

Another common reason for the denial​ оf workers’ compensation benefits​ is disputes over the nature​ of employment. Employers may try​ to argue that you were​ a contract-based employee, not​ a salary-based one. These disputes require several parties​ to go through your employment​ to make sure your claim​ is able​ to stand. Seeking legal counsel​ in such situations can significantly increase the chances​ оf​ a successful claim. Your attorney will​ go through everyone’s claims​ to make sure that you are still​ in the right.

Violation​ оf Company Policies

Workers’ compensation claims may also​ be denied​ if the employer can prove that the injured worker was engaged​ in activities​ оr behaviors that violate company policies.​ Or​ if the employee was participating​ in activities that didn’t follow safety regulations​ at the time​ оf the accident. Engaging​ in horseplay, being under the influence​ of drugs​ or alcohol,​ or intentionally putting oneself​ at risk can jeopardize the claim.​ If you were still following company policies when the accident occurred, then your case still stands. It’s important​ to review your actions though​ in case your employer attempts​ to say otherwise.

Workers’ compensation​ is​ an essential safety net for employees​ in Florida, providing financial support and medical care​ in times​ оf need. However, the denial​ of workers’ compensation benefits can​ be distressing and frustrating for injured workers.​ To avoid claim rejection, employees need​ to follow the specific rules laid out​ to avoid conflict. Seeking legal advice​ in case of​ оf disputes and strictly adhering​ to company policies can also significantly increase the likelihood​ оf​ a successful claim. They will give you the advice necessary​ to continue seeking justice for your claim. You have​ a right​ to your employee benefits, even​ if other parties are trying​ to get you down.

Workplace injuries can have​ a significant impact​ on​ an employee’s life, both physically and financially.​ To protect workers from the burdens​ оf medical expenses and lost wages, Florida has​ a workers’ compensation system​ in place. However, despite the system’s intention​ to provide support, there are instances when workers’ comp benefits get denied, leaving the injured worker​ in​ a state​ of distress. It’s important​ to understand the different benefits that are involved with workers’ compensation. That way you aren’t surprised by anything​ if you need​ to apply.

Read more: Why Workers’ Comp Benefits Get Rejected​ in Florida
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TOI Desk

Published by the editorial team at 'Time of Info', 'TOI Desk Report' delivers the latest breaking news, trending topics, and timely updates across entertainment, lifestyle, sports, tech, and global affairs. The team is committed to bringing reliable, concise, and engaging content to keep readers informed and inspired.

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