What to Do When Denied a Claim by W.R. Berkley*

Every year, people throughout the country suffer from a serious injury or illness. These situations are not only painful but stressful because it could mean the main income earner in a household has to take time off work to recover. Fortunately, if the injury or illness took place at work any expenses are usually covered by filing a claim for workers’ compensation.

This includes a proportion of lost earnings as well as most of the accumulated medical costs. In most situations your employer will be covered by this type of insurance so both you and your employer are covered if you either fall ill as a result of your job or you are injured while working.

W. R. Berkley Corporation– Company Profile

The company was founded in 1967 and the now W. R. Berkley Corporation has since grown from an insignificant investment management firm into one of the most significant casualty insurers found throughout the United States. The services the insurer offers include workers’ compensation insurance which is taken out by employers.

Revenue has grown to exceed the one billion dollar benchmark. Today, the Berkley brand is made up of 54 operations throughout the world and is still managed by the founder and biggest shareholder, Bill Berkley.

Denied by an employer's insurance company

Tips to Help You Decide on What to Do After a Workers’ Comp. Claim Has Been Denied

Once you have filed your workers’ compensation claim you may be informed by the workers’ comp. board in your state that your request has been denied. If this happens you will be given the reasons for this decision. However, all is not necessarily lost as many of the reasons given may be reversed if you hire a workers’ comp attorney to represent you.

Tip #1: Read through the denial letter carefully so that you can determine the precise cause of the decision. If you believe you have grounds to reject the reason you should discuss your concerns with an attorney.

Tip #2: Sometimes, the denial of a compensation claim is to do with the type of insurance your employer has taken out. Often, it’s simply to do with a clerical error in relation to the insurer and the information provided to the compensation board. This decision could be reversed if thought through competently.

Tip #3: If you followed all the correct procedures when filling in and filing your claim, such as telling your employer beforehand and submitting your claim within the set time frame and you can’t find any obvious errors, this is the time to act. That means talking to an attorney about filing an appeal. If it is suggested by your attorney that an appeal is worthwhile you should make sure it is filed within the specified time frame set aside for appeals.

Tip #4: Your attorney typically might say you need more documentation. This is likely if your employer is not convinced that your injury or sickness really occurred at work. In most cases a supervisor will record injuries and sickness as and when they take place. You may not have provided adequate proof of the type of medical treatment you received how much it all cost. You may have to go back to the medical center or hospital to get more written evidence. This will be necessary before the go ahead is given for the appeal.

Tip #5: Don’t forget to bring along all the required documents to the administrative hearing once the appeal has been received, including any new evidence. This will take place sometime after your appeal is received. A judge will be ready and waiting to see the new evidence so that a decision can be made whether to reverse it or not.

Use an Experienced Workers' Comp Attorney if Contemplating Appealing a Denied Claim

A lot of people file a workers’ comp. claim on their own and they get the desired results. However, don’t go it alone if your worker’s comp claim is denied, as you will need the help of an attorney to ensure the facts of the case are correct so that you can get the’ denial overturned. The attorney will be experienced in dealing with cases like yours and will instantly calculate what other documentation you will need at the appeal. Testing Testing Testing Testing

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*The content of this article serves only to provide information and should not be construed as legal advice. If you file a claim against W.R. Berkley, or any other company, you may not be entitled to any compensation.