What to Do If Your Workers’ Compensation Claim is Denied in Buffalo, NY

Suffering a work-related injury or illness can be a distressing experience, but knowing that you have workers’ compensation coverage can provide some comfort. Workers’ compensation is designed to provide financial assistance and medical benefits to employees who are injured or become ill while performing their job duties. However, there are instances where a workers’ compensation claim may be denied, leaving individuals feeling confused and anxious about their future.

If your workers’ compensation claim has been denied in Buffalo, NY, it’s crucial not to lose hope. Several steps can be taken to appeal the decision and ensure you receive the compensation and support you deserve. In this article, we will guide you through the process and provide you with essential information to help you navigate this challenging situation.What to Do If Your Workers' Compensation Claim is Denied in Buffalo NY

Understand the Reasons for the Denial

The first step after receiving a denial letter is to carefully review the provided reasons for the rejection of your claim. Common reasons for denial may include:

Failure to report the injury on time: In Buffalo, NY, there are strict deadlines for reporting workplace injuries. Failure to report your injury promptly could lead to a denial.

Lack of evidence: Inadequate documentation, medical records, or witness statements may result in a denial.

Pre-existing condition: If the insurer believes that your injury or illness existed before the work-related incident, they may deny the claim.

Disputes over the cause of the injury: If the insurer believes that the injury did not occur due to work-related activities, they might reject the claim.

Seek Legal Counsel

If your workers’ compensation claim is denied, it is highly advisable to consult with an experienced workers’ compensation attorney. A skilled attorney can review your case, help you understand your rights, and guide you through the appeals process. They will also ensure that all necessary paperwork is filed correctly and within the required time frames.

File an Appeal

In Buffalo, NY, you have the right to appeal the denial of your workers’ compensation claim. The appeal process typically involves several stages, and it’s essential to follow each step meticulously. Your attorney can assist you in gathering additional evidence, obtaining medical opinions, and building a strong case to support your claim.

Attend Hearings

During the appeals process, you may be required to attend hearings before the Workers’ Compensation Board. These hearings provide an opportunity for you and your attorney to present your case and counter any arguments made by the insurance company. Having legal representation during these hearings can significantly increase your chances of success.

Be Persistent

Appealing a denied workers’ compensation claim can be a lengthy and frustrating process. However, it’s vital to remain persistent and diligent in pursuing your case. Remember that your health and financial well-being are at stake, and a successful appeal can make a significant difference in your life.

Having your workers’ compensation claim denied in Buffalo, NY, can be a daunting experience, but it’s essential to remember that the process doesn’t end there. By understanding the reasons for denial, seeking legal counsel, and navigating the appeals process diligently, you can increase your chances of obtaining the benefits and support you rightfully deserve. Don’t hesitate to seek professional help and remember that perseverance and patience are key to overcoming this challenging situation.

How can Cole, Sorrentino, Hurley, Hewner & Gambino, P.C. help you if you have a worker’s compensation case in Buffalo, NY

At Cole, Sorrentino, Hurley, Hewner & Gambino, P.C., we are committed to helping individuals who are facing challenges with their workers’ compensation cases in Buffalo, NY. Our experienced team of attorneys specializes in workers’ compensation law and is dedicated to advocating for the rights of injured workers throughout the region. If you find yourself in need of assistance with your workers’ compensation claim, here’s how we can help you:

Extensive Knowledge and Experience

Our firm boasts a team of highly skilled attorneys with extensive knowledge and experience in workers’ compensation law. We stay up-to-date with the latest regulations and developments in the field to ensure that our clients receive the most current and effective legal representation.

Personalized Legal Guidance

Every workers’ compensation case is unique, and we understand that each client has individual needs and concerns. When you choose our firm, you can expect personalized legal guidance tailored to your specific circumstances. We take the time to listen to your story, evaluate the details of your case, and strategize the best course of action to achieve a favorable outcome.

Comprehensive Case Evaluation

If your workers’ compensation claim has been denied, our attorneys will conduct a thorough review of your case. We will examine the reasons for denial, gather all relevant evidence, obtain medical records, and interview witnesses, if necessary. Our goal is to identify any potential issues, strengthen your case, and ensure that you have the best chance of success during the appeals process.

Skillful Negotiation and Litigation

Our experienced negotiators are adept at handling insurance companies and employers who may be hesitant to pay the compensation you deserve. We will represent your interests during settlement negotiations, seeking the maximum benefits available to you. In cases where a fair settlement cannot be reached, our skilled litigators are prepared to vigorously advocate for your rights in court.

Guidance Through the Appeals Process

Navigating the appeals process for a denied workers’ compensation claim can be complex and overwhelming. With our firm by your side, you won’t have to face it alone. We will assist you in filing the necessary paperwork, preparing for hearings, and presenting a compelling case before the Workers’ Compensation Board.

Compassionate Support

We understand the physical, emotional, and financial toll that a workplace injury or illness can have on you and your family. Our team is committed to providing compassionate support throughout the entire legal process. You can rely on us to answer your questions, address your concerns, and provide regular updates on the progress of your case.

At Cole, Sorrentino, Hurley, Hewner & Gambino, P.C., we believe that injured workers deserve fair and just compensation for their injuries. If you are facing challenges with your workers’ compensation claim in Buffalo, NY, don’t hesitate to reach out to our firm. Let us put our experience and dedication to work for you, fighting for the benefits and support you rightfully deserve.

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