What Are the Odds That My Workers Compensation Claim Will Be Approved?

Usually, by the time we meet with a new client, their workers’ compensation claim has already been determined. If somebody’s workers’ comp claim is approved, there’s very little chance that we would see them. Most of the people that meet with our Baltimore workers’ compensation attorneys have already had their claim denied. They’re in a state of limbo where they aren’t sure if their medical care will be covered and they have no income coming in. That’s why they come to us to see if one of our workers comp lawyers in Baltimore can help appeal their claim and get them the benefits they deserve.

Here, we will discuss just how many workers compensation claims are approved the first time around. We will also explain what requirements you need to meet in order to collect workers comp benefits in Maryland. Finally, we will explain what your Baltimore workers compensation attorney can do if the insurance company refuses to pay your claim.

You Must Meet Certain Criteria to Qualify for Workers Compensation

In order to qualify for workers’ compensation, you must meet certain criteria. It doesn’t matter what state you live in, these criteria tend to be the same across the board. Some of the requirements for workers comp in Maryland include the following:

  • You must suffer an accident on company time and on company property
  • You must have been acting within the scope of your employment at the time of your injuries
  • You must report your accident to your manager or human resources right away
  • You must submit to a drug test, and it must be clean
  • You must be treated by a state- approved workers compensation physician
  • You must comply with your doctor’s treatment plan
  • You cannot work a second job without reporting it to your employer
  • You must return to work when your doctors determine that you’ve reached maximum medical improvement

If you meet all these requirements, there’s no reason why your claim should be denied. If it is, there must be something else going on. Your workers comp lawyer in Baltimore will find out what that is and get to the bottom of it.

workers compensation

There is a Good Chance Your Claim Will Be Approved On Your First Try

As mentioned above, most workers’ compensation claims are approved right away. In fact, on average, more than 90% of workers’ compensation claims are approved. The ones that are denied are denied for certain reasons. Sometimes, the insurance company chooses to deny claims simply because they are large. For example, if you broke your neck or back in a workplace accident, the claim could end up costing the insurance company hundreds of thousands of dollars. Rather than agree to pay that amount, they may hope that you come back to them and settle for a lesser amount down the road.

Aside from the amount of your claim, there are other reasons why it may be denied. Our Baltimore workers compensation attorneys have found that their clients claims are denied for the following reasons:

  • your drug test comes back positive
  • your employer does not believe your accident happened on company time
  • you refused to be treated by the assigned doctor
  • you refused to participate in your medical treatment
  • you exaggerated your injuries
  • you have a history of filing workers compensation claims

Regardless of the reason, your Baltimore workers compensation attorney will work hard to get your claim approved. If they’re unable to do so on appeal, you still have the option of filing suit against your employer.

Worst Case, Your Workers Comp Lawyer in Baltimore Can File Suit

If you do need to file suit, there’s a good chance your workers comp lawyer in Baltimore will settle the matter. Once they demonstrate that your injuries did indeed occur while at work, they may be able to convince your employer to settle for a fair amount. They will also need to negotiate with your employer when you’ll return to work. Depending on the nature and extent of your injuries, this could be a matter of weeks or even months. This is why we suggest you meet with one of our Baltimore workers compensation attorneys sooner rather than later.

You Need to Focus on Recovering from Your Injuries – Not Fighting with Insurance Companies

If you’ve recently suffered a workplace accident, then there’s a good chance that you’re in pain and still getting medical treatment. If your injuries were serious enough to put you out of work, then there’s a good chance you’ll need physical therapy and ongoing treatment before you return to work. The last thing you’re going to feel like doing is fighting with your employer and their insurance carrier. If your workers’ compensation claim was denied, you need somebody by your side to help you fight back. That’s where our Baltimore workers compensation attorneys come in.

Our attorneys have decades of combined experience handling cases just like yours. Given that more than 90% of all workers’ compensation claims are approved, there must be something unique about your case that made it stand out to your employer. Our workers comp lawyers in Baltimore will find out what that unique thing is. The best way to get your claim approved is to find out exactly why it was denied.

Sometimes the insurance companies are willing to tell you this information and sometimes they are not. They may give your attorney a blanket statement as to why your claim was denied hoping that you will just walk away. The good news is that your workers comp lawyer in Baltimore won’t do that. They’ll fight to make sure you get the benefits you deserve.

We recommend that you contact our office as soon as possible after your workplace accident. You can sit down and meet with one of our Baltimore workers compensation attorneys Absolutely free. All you have to do is call her office and schedule your free, initial consultation.


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