Being denied a work cover claim even after nursing injuries from work is very stressful. Being denied the claim does not mean you do not deserve it. There might be some misunderstandings that made the claim to be denied by your employer.
When you receive feedback about your claim being denied, the first thing you need to do is sit back and calm yourself. Do not try to create a scene with your employer as it may only put you in legal issues. If you live in Bendigo, ensure that you understand the worker’s compensation laws of that region so you can know the next steps to follow. Here are crucial steps to take after being denied a work cover claim.
Steps to Take after being denied claim by work cover
– Carefully review the denial letter
You should carefully review the denial letter for your claim, noting down the major reasons that led to the decision. You might have omitted crucial information in your application or failed to follow the company’s policies when applying for the claim. So understanding these reasons is essential to help you know what to do next.
– Check for missing information or errors in your claim
Once you have understood the reasons that led to your disqualification for a claim, you may want to review your claim thoroughly to find out where you did not provide proper information. If you find the area with missing or incomplete information, you should immediately correct the mistake and resubmit the claim with an apology letter.
– Gather additional evidence
Your claim may also be denied due to insufficient evidence that you provided. In this case, you should find more solid evidence that can support your claim, including filing witness statements, attaching medical records and any additional information as stated in the denial letter.
– Reach out to the employer
After submitting your claim you should reach out to your employer as soon as possible to discuss the matter further. They may be able to disclose the hidden reasons that led to the denial of your claim. The employer might also provide extra support in ensuring that your claim is processed within the required period.
– Seek legal appeal
If you are overwhelmed with denial letters and get stuck along the way, you may benefit from the services of a good lawyer. The lawyer can help you in gathering crucial evidence and facts that can help you to win the claim. The lawyer can also represent you in the appeal process and court if worse comes to worse. This legal assistance can give you a great boost towards increasing your chances of getting the claim approved.
– Consider alternative dispute resolution
If you cannot agree with your work cover, consider using Alternative Dispute Resolution (ADR). Here you will have to find a mediator who will act as the neutral judge as you and your workcover try to reach a negotiation. This is much faster and less expensive than when things go to court.
Summary
Dealing with a denied work cover claim can be frustrating, but there are options you can take to ensure you get your claim. You will have to thoroughly go through the denial letter to understand the reasons that led to the denial. Afterwards, you will know if you will have to invite a lawyer or just provide the required additional information and resubmit your application. If the claim is still being denied, consider using an alternative dispute resolution formula that is much faster and more affordable. It is best to talk to Bendigo’s specialist lawyer for workcover claims to get the right advice.