A workers\u2019 compensation claim can be denied for a variety of reasons. Some of the most common include:<\/p>\n\n\n\n
- \n
- Failure to Report the Injury on Time<\/strong> \u2013 In Wisconsin<\/a>, you must report your injury to your employer within 30 days, but it\u2019s best to report it as soon as possible. Delayed reporting can raise doubts about your claim.<\/li>\n\n\n\n
- Missed Filing Deadlines<\/strong> \u2013 There are strict deadlines for filing a workers\u2019 compensation claim. If you miss them, your claim may be denied.<\/li>\n\n\n\n
- Lack of Medical Evidence<\/strong> \u2013 If you didn\u2019t seek medical treatment or there\u2019s not enough documentation linking your injury to your job, your workers’ compensation claim may be rejected.<\/li>\n\n\n\n
- Pre-Existing Conditions<\/strong> \u2013 If the insurance company believes your injury is due to a pre-existing condition rather than a workplace incident, they may deny your claim.<\/li>\n\n\n\n
- Employer Disputes the Claim<\/strong> \u2013 Your employer might argue that your injury wasn\u2019t work-related or that you weren\u2019t following workplace safety rules when it happened.<\/li>\n\n\n\n
- Independent Medical Exam (IME) Findings<\/strong> \u2013 If the IME doctor, chosen by the insurance company, downplays your injury\u2019s severity, it can lead to a denial.<\/li>\n<\/ul>\n\n\n\n
Steps to Take After a Workers\u2019 Compensation Claim Denial<\/strong><\/strong><\/h2>\n\n\n\n
If your workers’ compensation claim is denied, don\u2019t panic. You have options to fight back and get the benefits you deserve. Here\u2019s what you should do next:<\/p>\n\n\n\n
1. Review the Workers\u2019 Compensation Claim <\/strong><\/strong>Denial Letter<\/strong><\/h3>\n\n\n\n
When your workers’ compensation claim<\/a> is denied, you will receive a letter explaining the reason for the denial. Carefully review this letter to understand the specific issue so you can address it in your appeal.<\/p>\n\n\n\n
2. Gather Additional Evidence<\/strong><\/h3>\n\n\n\n
Strengthening your claim with more evidence can increase your chances of approval. This may include:<\/p>\n\n\n\n
- \n
- Additional medical records<\/li>\n\n\n\n
- Statements from coworkers or witnesses<\/li>\n\n\n\n
- A second medical opinion from an independent doctor<\/li>\n\n\n\n
- Workplace incident reports<\/li>\n<\/ul>\n\n\n\n
3. File an Appeal<\/strong><\/h3>\n\n\n\n
In Wisconsin, if your claim is denied, you can request a hearing before the Wisconsin Department of Workforce Development (DWD). The appeal process typically involves:<\/p>\n\n\n\n
- \n
- Filing an application for a hearing<\/li>\n\n\n\n
- Attending mediation or pre-hearing conferences<\/li>\n\n\n\n
- Presenting your case before an administrative law judge (ALJ)<\/li>\n<\/ul>\n\n\n\n
4. Consult a Workers\u2019 Compensation Attorney<\/strong><\/h3>\n\n\n\n
Having an experienced workers\u2019 compensation lawyer on your side can significantly improve your chances of success. A lawyer can help gather evidence, handle negotiations, and represent you in hearings.<\/p>\n\n\n\n
![\"Workers'](\"data:image\/gif;base64,R0lGODlhAQABAAAAACH5BAEKAAEALAAAAAABAAEAAAICTAEAOw==\")
<\/figure>\n\n\n\n5. Consider a Settlement<\/strong><\/h3>\n\n\n\n
In some cases, negotiating a settlement with the insurance company might be an option. A skilled attorney can help you determine if this is the right move for your case.<\/p>\n\n\n\n
CONTACT OUR skilled Workers\u2019 Compensation Attorney<\/strong><\/strong><\/h2>\n\n\n\n
A workers\u2019 compensation denial isn\u2019t the end of the road. Understanding why your claim was denied and taking the right steps can make all the difference in getting the benefits you deserve. If your claim was denied, don\u2019t hesitate to seek legal guidance\u2014having a knowledgeable attorney can help you navigate the appeals process and fight for your rights.<\/p>\n\n\n\n
Need help appealing a denied workers\u2019 compensation claim? Contact our office today for a free consultation and let us help you get the benefits you deserve.<\/p>\n\n\n\n
Contact Bykhovsky Law’<\/a>s skilled Wisconsin workers’ compensation attorney for a Free Consultation<\/strong><\/a>.<\/p>\n\n\n\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Suffering a workplace injury is stressful enough, but receiving a denial for your workers\u2019 compensation claim can make the situation even more frustrating. If your claim was denied, don\u2019t lose hope\u2014many denials can be successfully appealed. Here\u2019s what you need to know about why claims get denied and what steps you should take next. Common…<\/p>\n","protected":false},"author":1,"featured_media":7180,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[18],"tags":[194,244,196,192,193,190,191,119,23,198,11,38,197,5,30,195,120,25,24,28,26,97,29,19,16,95,118,31,116,115,114,113],"class_list":["post-7176","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-workers-compensation","tag-back-injury","tag-back-injury-claim","tag-back-injury-lawyer","tag-construction-related-injury","tag-construction-work-injury","tag-construction-worker","tag-construction-workers-compensation","tag-milwaukee-attorney","tag-milwaukee-lawyer","tag-milwaukee-personal-injury","tag-personal-injury-attorney","tag-personal-injury-case","tag-personal-injury-claims","tag-personal-injury-lawyer","tag-wisconsin-lawyer","tag-work-back-injury","tag-work-injury","tag-workers-compensation-attorney","tag-workers-compensation-claim","tag-workers-compensation-injury","tag-workers-compensation-lawyer","tag-workers-compensation-milwaukee","tag-workers-compensation-wisconsin","tag-workers-compensation","tag-workplace-accident","tag-workplace-compensation","tag-workplace-employee-rights","tag-workplace-injury","tag-workplace-injury-attorney","tag-workplace-injury-lawyer","tag-workplace-injury-milwaukee","tag-workplace-injury-wisconsin"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/posts\/7176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/comments?post=7176"}],"version-history":[{"count":3,"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/posts\/7176\/revisions"}],"predecessor-version":[{"id":7187,"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/posts\/7176\/revisions\/7187"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/media\/7180"}],"wp:attachment":[{"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/media?parent=7176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/categories?post=7176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/byklaw.com\/wp-json\/wp\/v2\/tags?post=7176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
- Missed Filing Deadlines<\/strong> \u2013 There are strict deadlines for filing a workers\u2019 compensation claim. If you miss them, your claim may be denied.<\/li>\n\n\n\n
![\"Workers'](\"https:\/\/byklaw.com\/wp-content\/uploads\/2025\/02\/Claim-Denied-Consult-Workers-Compensation-Attorney.jpg\")
<\/figure>\n\n\n\n