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WORKERS’ COMPENSATION

The Workers’ Compensation Appeals Process: Why Your Claim Was Denied & How to Appeal

If you’ve had your workers’ compensation claim denied, I understand how stressful and frustrating this can be. You’ve been injured at work, and now you’re facing the daunting task of navigating an appeal.

You don’t have to go through this process alone. As a workers’ compensation attorney in Columbus, Ohio, I’m here to help you fight for the benefits you deserve.

Why Was My Workers’ Compensation Claim Denied?

Understanding why your claim was denied is the first step in the appeal process. There are several common reasons why workers’ compensation claims are denied:

  • Disputes Over the Cause of Injury: Your employer or their insurance company may argue that your injury didn’t happen while you were on the job or wasn’t work-related.
  • Incomplete or Inaccurate Documentation: Errors in your accident report or claim forms can lead to a denial.
  • Allegations of Misconduct: If your employer claims that you were under the influence of drugs or alcohol at the time of the injury, your claim could be denied.
  • Missed Deadlines: Ohio has strict deadlines for filing workers’ compensation claims. If you miss these deadlines, your claim might be denied.
  • Questions About the Severity of Your Injury: If there’s doubt about the extent or legitimacy of your injury, the insurance company may refuse to approve your claim.

If your claim was denied for any of these reasons, don’t lose hope. You have the right to appeal the decision, and my team and I are here to guide you through this process.

Learn more about denied claims
a husband looking at the denied workers comp claim with his wife

The Workers’ Compensation Appeals Process in Ohio

Appealing a workers’ compensation claim denial can be complex, but I’m committed to making it as straightforward as possible for you. Here’s a general overview of the appeals process in Ohio:

STEP 1: Filing a Notice of Appeal: The first step is to file a Notice of Appeal with the Ohio Industrial Commission. This must be done within 14 days of receiving the denial.

STEP 2: Hearing Before a District Hearing Officer: After filing the appeal, you’ll have a hearing before a District Hearing Officer (DHO). During this hearing, we’ll present evidence supporting your claim and address the reasons for the denial.

STEP 3: Appeal to the Staff Hearing Officer: If the DHO denies your appeal, the next step is to appeal to the Staff Hearing Officer (SHO). This is your second chance to present your case.

STEP 4: Appeal to the Industrial Commission: If the SHO also denies your appeal, you can request a review by the Ohio Industrial Commission. This is the final administrative step before taking your case to court.

STEP 5: Appealing to the Court of Common Pleas: If all administrative appeals are denied, you have the right to take your case to the Court of Common Pleas. This is a more formal legal process where a judge will review your case.

How I Can Help You Appeal a Workers’ Compensation Denial

Appealing a denied workers’ compensation claim involves detailed legal work and strict deadlines. I will carefully review your case, identify any mistakes or oversights that led to the denial, and develop a strong strategy to help you secure the benefits you need.

Here’s what you can expect when you work with me:

Personalized Attention:

I’ll take the time to understand your situation and provide the guidance you need to feel confident moving forward.

Experienced Advocacy:

With years of experience in workers’ compensation law, I know the ins and outs of the appeals process in Ohio.

Compassionate Support:

I understand that this is a difficult time for you, and my team and I are here to offer the support and reassurance you need.

Tenacious Representation:

I’m committed to fighting for your rights and ensuring that your voice is heard throughout the appeals process.

Get Started With Your Appeal Today

If your workers’ compensation claim has been denied, don’t wait to take action. The sooner we begin the appeals process, the better your chances of securing the benefits you deserve.

Contact my office today to schedule a consultation. We can discuss the details of your case and explore the best path forward together. Let me and my team help you turn a denial into the benefits you need to recover and move forward with your life.

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