If you were hurt in a job-related incident, filing a workers’ compensation claim is the first step to getting the wage and medical benefits you need as you recover.
However, tens of thousands of workers’ compensation claims are denied each year across Ohio, Indiana, and Kentucky. Many of these claims are legitimate but are rejected due to simple mistakes made in the filing process.
If you need help filing for Workers’ Compensation benefits, or if you believe you have a valid claim that was wrongfully denied, please call Young, Reverman & Mazzei at 513-721-1200 or contact us online to arrange your free consultation. Our Cincinnati workers’ compensation lawyers have extensive experience helping injured workers in the tri-state area recover the benefits to which they’re entitled.
The most common reasons claims for Workers’ Compensation benefits in Cincinnati, Ohio, are denied include:
The appeals process for denied workers’ comp claims varies by state. Here’s a brief look at how Ohio, Indiana and Kentucky handle workers’ comp appeals.
The Ohio Bureau of Workers’ Compensation has 28 days to accept or reject your initial claim.
You will receive notification by letter, and if denied you have 14 days to file an appeal, which can be mailed, faxed or delivered in person. The Bureau then has 28 more days to make a decision, and the ruling will be given in a written notice.
Note that each claim must include the right paperwork and forms, as well as proof of employment, proof of accidental injury, and proof of workplace-related injury. If you did not submit this information with the initial application, you will need to do so upon appeal.
If your appeal is denied, the Industrial Committee (IC) can be petitioned to hold a hearing. The IC will hold a hearing for your appeal and then mail written notice of the final decision. You have the right to legal representation throughout the workers’ compensation application and appeals process.
The Kentucky Department of Workers’ Claims has a slightly different process. Injured employees themselves cannot file a claim, so you will need a representative from your company or the help of a Workers’ Compensation attorney.
Within 30 days of receipt of your claim, the Department of Workers’ Claims will notify you via mail of its decision. If your claim was denied, you can file an appeal to the Administrative Law Judge of Kentucky within 30 days.
You may also appeal the Administrative Law Judge’s final decision to the Workers’ Compensation Board, which must be filed within 30 days of the Judge’s final decision. The Board will mail its final decision within 60 days of the last filing.
If your workers’ compensation claim is denied in Indiana, you will need to submit either: a.) An informal request for assistance or b.) A more formal application for a claim adjustment. Also note that coworker testimony, pay stubs, receipts showing medical care, and other evidence are needed for an approved workers’ compensation appeal in Indiana.
If you file a request for assistance and it is denied, you can then seek an adjustment appeal, which will involve a hearing with the Workers’ Compensation Board of Indiana. If the claim is denied after the hearing, you can file an appeal to the Full Workers’ Compensation Board within 30 days. If your claim is again rejected, you have the option to petition the Indiana Court of Appeals, for which legal representation is recommended.
Regardless of your state, there is extensive work involved in the workers’ compensation appeals process. Completing the required documentation and gathering adequate evidence to support your claim can be overwhelming, especially while you’re recovering from an injury.
Working with a knowledgeable personal injury lawyer can help ensure your claim is sufficiently detailed and filed on time, and relieve some of the stress you feel so you can focus on getting better. If you were hurt in a workplace accident or suffered a job-related medical condition, it’s a good idea to consult with an attorney as soon as possible after receiving treatment.
The attorneys at Young, Reverman & Mazzei have decades of experience with workers’ compensation claims and appeals. To learn how we may be able to help you, please call us at 513-721-1200 or contact us online.
We offer free initial consultations to help you understand your options, and we have multiple offices to serve injured workers from the greater Cincinnati and Dayton areas, including in Florence, Kentucky, and Lawrenceburg, Indiana. Please see our locations page for a complete list of our offices and directions.