Common Tactics Used Against You In A Workers' Compensation Case

5 October 2020
 Categories: Law, Blog

When you are injured at work, you might assume that your workers' compensation case will be very easy to settle. After all, the workers' compensation insurance policy exists with your situation in mind. However, to avoid liability, some workers' compensation insurance providers will look for excuses to deny your claim. If you encounter one of these, you may need to speak with a workers' compensation attorney to figure out how to solve this issue.

Delay Tactics

When applying for workers' compensation, you may feel that it is taking forever for your claim to be processed. For example, your phone call might not be promptly returned or you might find out that your paperwork was misplaced. Under these circumstances, you will want to ask for help from a workers' compensation attorney who may be able to help accelerate the process.

Claim Denials

When your claim is denied, you might be discouraged at first. However, a claim denial is often the result of an insurance provider hoping that you will simply give up. Oftentimes, the approach is to deny several times before finally approving the claim. Therefore, you will want to speak with a workers' compensation lawyer to find out if you have a case.

Diminishing the Claim

You may have several areas of your body that were injured during the workplace accident. However, the insurance provider might require that you be treated by a doctor who only specializes in one area of your body. That way, you only receive part of the treatment you need with the hope that the insurance provider will not have to pay as much.

Denigrating the Care

You may need a certain form of care, such as a chiropractic adjustment, to recover. However, the claims adjuster might claim that the treatment is unrelated to your injury and may refuse to pay for it. However, if you are able to prove that the care you are receiving is helping you recover from your injury, the insurance provider is required to pay for your care.

Bizarre Demands

Insurance providers are allowed to issue demands under some circumstances. For example, they may require that you be seen by an approved healthcare provider. However, the insurance provider is not allowed to make an unusual or bizarre demand. If you believe that the demand you have been given is unreasonable, you should ask a workers' compensation attorney about whether you should obey the command.