Why Would You Dispute A Claim
There are various reasons why you, as an employer, may need to deny a workers’ composition claim in Los Angeles. Some of the legitimate reasons why you may have to deny a claim (or at least question the veracity of the claim) include the following:
- There were no witnesses to the injury
- The injured worker did not immediately report the injury
- There are discrepancies between the accident report and the initial medical records
- Alcohol or drugs played a role in the injury
- A claim was filed after a person was terminated or laid off
- The injured worker refused to give authorization for medical records to the insurance carrier
- The incident occurred due to horse-playing in the workplace
In and of themselves, these reasons may not be enough to justify the denial of a claim. However, they are enough to question whether or not a claim should be accepted or warrant further investigation.
At Sacks Law Group, APC, we help employers understand their rights. California has a specific process for employer disputes of workers’ compensation claims, and we make sure that you follow this process thoroughly and completely.
After you provide information to a claims adjuster about a possible illegitimate workers’ compensation claim, the claims adjuster could deny the claim. However, if the claims adjuster does not deny the claim, you will be required to take additional steps to dispute the workers’ account of the events. This will include attending various hearings.
During the dispute process, the allegedly injured worker will have the right to legal representation, which means you need to be represented by legal counsel as well. It is crucial for you to understand your rights so that you do not have to put up with fraudulent or wrongful claims that could end up hurting your bottom line. Rightfully disputing workers’ compensation claims can help the overall workplace by keeping your costs down, thereby allowing you to spend more money on other employee benefits.
Call A Los Angeles Workers’ Comp Attorney Today
If you are an employer and find yourself having to dispute a workers’ compensation claim made by an employee, you need to seek legal assistance as soon as possible. At Sacks Law Group, APC, our Los Angeles-based attorneys have extensive experience representing employers in complex disputes against employees. Our employer vs. employee disputes attorney will fully investigate your case so we can help you get through this and ensure you are treated fairly. You can contact us for a consultation of your case by clicking here or calling 310-216-7778.
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The workers’ compensation defense attorneys at our firm know how to build a strong wall of defense around employers, protecting California employers from frivolous and fraudulent workers’ compensation claims. Sacks Law Group, APC, is skilled at working with in-state and out-of-state employers on all workers’ compensation defense issues, particularly in the areas of:
Prior to any alleged injury or accident, we also counsel employers on ways to stay compliant with the ever-evolving California workers’ compensation laws. California employers benefit from our extensive experience and strong credentials when dealing with employee workers’ compensation fraud, as well as allegations of employer workers’ compensation fraud.
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