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If you are a construction worker hurt on the job, receiving a denial for your workers’ compensation claim can feel like a punch in the gut. You were counting on those benefits to help cover medical bills, lost wages, and get back on your feet. The good news? A denial is not the end of the road. There are several steps you can take to challenge that decision and still get the benefits you deserve. Legal teams that handle workers’ compensation cases for injured construction workers are ready to guide you through the process.
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The first thing to do is figure out why your claim was denied and common reasons include:
Once you know the specific reason for your denial, which should be outlined in your denial letter, you will be in a stronger position to respond effectively.
In North Carolina, if your workers’ compensation claim is denied, you have the right to appeal. But do not wait because there are time limits. Generally, you must file a Form 33, Request for Hearing, with the North Carolina Industrial Commission to begin the formal appeal process. Waiting too long could mean forfeiting your right to benefits altogether.
Gather any documents that can help strengthen your case, including:
You will want to show clearly that your injury happened on the job and that it has affected your ability to work.
Let us be honest, workers’ compensation appeals are not simple. Employers and their insurance companies have teams of lawyers working to protect their profits. To counter this, you should consider hiring a workers’ compensation attorney who has experience with construction injury cases. A good lawyer can help:
Having an experienced advocate by your side can make all the difference in reversing a denial.
While workers’ compensation covers medical care and partial wage replacement, in some situations, you might also have a third-party claim. For example, if your injury was caused by a subcontractor, equipment failure, or unsafe conditions on a site not controlled by your employer. Your lawyer can help you evaluate whether additional legal action makes sense.
A denied claim does not mean you are out of options. It just means you need to take the next steps carefully and strategically. Whether your injury was due to a fall, heavy machinery, or unsafe working conditions, the law provides avenues for you to pursue the compensation you are entitled to. Therefore, talk to a lawyer, gather your evidence, and keep pushing forward. Do not let a denial keep you from exercising them.
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