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Denied claim? 3 challenges you might face when filing an appeal

On Behalf of | Jan 15, 2025 | Workers' Compensation |

Workers’ compensation claims support injured employees, covering medical expenses and lost wages. However, when a claim faces a denial, it stresses an already difficult situation. Understanding the challenges of appealing a denied claim in North Carolina can help you prepare for the process.

1. Understanding legal procedures

Navigating the legal process for an appeal can be overwhelming. The North Carolina Industrial Commission oversees the appeals process, requiring strict adherence to specific rules and deadlines.

Missing a deadline or incorrectly filing paperwork can result in further delays or denial. Familiarizing yourself with these procedures or seeking guidance can be crucial to success.

2. Gathering sufficient evidence

One of the most challenging aspects of an appeal is gathering the necessary evidence to support your claim. This may include medical records, witness statements and documentation of the injury’s impact on your ability to work.

Inadequate or incomplete evidence can weaken your case. To strengthen your appeal, it is essential to be thorough and organized when compiling this information.

3. Facing potential opposition

Employers and insurance companies may contest your appeal, presenting their evidence and arguments against your claim. This opposition can involve questioning the legitimacy of the injury or the extent of its impact. Preparing for such challenges requires a clear understanding of your rights and the ability to counter these arguments effectively.

Seeking legal support

Facing a denial for your workers’ compensation claim can be stressful, but an appeal may still be possible. Navigating the appeal process can be overwhelming and you may want to seek help from a legal professional. They can guide you throughout the procedure and represent your best interests in court. They can also increase your chances of a more positive outcome.

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