Why Are Workers’ Compensation Claims Denied?

by

Michael D. Ponce

Last Updated June 7, 2024 In Workers Compensation

Almost all employers in Tennessee with five or more employees are required to carry workers’ compensation insurance for their staff. The insurance is designed to compensate workers who get hurt or sick on the job and are out of work for a prolonged period of time. Injured or sick workers may be eligible for both temporary disability benefits and permanent disability benefits depending on the severity of their conditions, but getting approved for either can be difficult.

At Ponce Law, our Nashville workers’ compensation attorneys know that too many honest and hardworking people see their claims denied every day in Tennessee for work-related illnesses and injuries that weren’t their fault. Common reasons for denials include:

• Waiting too long to notify management of an illness or injury – Getting approved for benefits often requires conclusive proof linking a workplace to a health problem. If victims wait too long, it may be harder to prove that the injury or illness occurred at work and when it happened.
• Exaggerating or downplaying injuries or illnesses – It’s important for victims to be honest about the severity and extent of their injuries or illnesses. Exaggerating them can jeopardize claims—especially after a checkup by a doctor—while downplaying them can make them appear unworthy of benefits.

There are many hoops to jump through to get approved for workers’ compensation benefits, even when there’s ample evidence to show that your illness or injury happened at work. Having an experienced legal team on your side can expedite the process and maximize your chances of getting the money you deserve. Call today for a free consultation, and let us get to work for you.