How to Appeal a Denied UPS Workers’ Compensation Claim

Have you received a workers’ compensation claim rejection notification from your employer’s insurer? UPS employees may suffer from an accident while at work and face a financial headache unless their company’s insurance policy can be used to recover the cost of medical treatment and lost wages. If you have had a genuine workplace injury at UPS and believed you were entitled to obtain compensation for the financial losses involved, you will probably be wondering what you should do next. You may still be able to receive the compensation you are owed if you file an appeal with the help of a workers’ comp. attorney.

Contact UPS's Insurance Company

When you receive a notification from UPS’s insurer letting you know what their decision is about your WC claim, check to see why your claim was denied. If the details are not set out or are unclear, contact the insurer directly. They must let you know why your claim has been rejected. It is not acceptable for the insurer to deny you compensation if your claim was valid. Sometimes, there are simple reasons why a claim has not been accepted. You may have not filed the claim on time, or there was a mistake with the date of the injury, or your employer did not inform either the insurer or the workers’ compensation board as they should have done. These administrative errors can usually be sorted out fairly easily.

Insurers sometimes reject a claim if they are not sure that you actually injured yourself at work. Evidence from other co-workers can help to convince insurers that your claim was genuine, but this should be supplied with the claim to avoid having to appeal the denied claim later on.

How to Appeal a Denied UPS Workers’ Compensation Claim

File Your UPS Workers’ Comp. Appeal

If you have tried to sort out any simple errors or mistakes with your original claim and not been successful, you have the option of filing an appeal. It is best to contact a workers’ compensation attorney before resorting to an appeal. The appeal procedure is quite lengthy and is controlled by the state body responsible for workers’ compensation in the state you work in.

You may be asked to attend a mediation session first. A mediator will be represent as will be a representative from the insurance company, you and your attorney, if you have one. Mediation is meant to provide an informal environment to iron out differences between you and the insurer over the legitimacy of your claim. If there is still a negative response from the insurer or the claim amount is unsatisfactory, you can take the appeal further.

An administrative hearing will be scheduled next. A workers’ comp. panel, or an individual judge, will be present at the hearing to examine all the latest information regarding your injury, the claim you made and the insurer’s response. The judge will make a decision about the claim which can still be challenged by a further appeal if it is not in your favor.

A Workers’ Compensation Attorney Can Help File an Appeal

An appeal against a denied workers’ comp. claim should not be taken lightly. It is hard knowing what to do unless you get legal advice throughout the whole appeal process from an experienced workers’ compensation attorney.

Disclaimer

Additional Resources

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