Charles Spinelli Speaks on The Compelling Reasons for Working with a Workers’ Compensation Lawyer When Claim Is Rejected

Charles Spinelli

Dealing with a denied workers’ compensation claim seems to be extremely complex and challenging without having the assistance of a legal expert with specialization in the specific niche. According to Charles Spinelli, rejection of worker’s compensation claims is a very common incidence and there can be a variety of reasons behind being rejected. 

From lack of sufficient medical evidence associated with the injury on work to missing of deadline, pre-existing medical conditions, lack of employer statement, or injury when beyond the clock hours can lead to claim rejection. Moreover if in investigation, it is discovered that the worker was in an intoxicated condition while on the clock or the cause of the injury is self-inflicted, etc. the claim is likely to be denied. 

However, there is no lack of instances where insurance companies use many crooked tactics to deny, reduce, or delay the claim payment of a worker. So, especially for those who guess that their claims are rejected unjustly, seeking the expertise of a legal expert in workers’ compensation claims can prove invaluable. The article aims to focus on why is it wise to work with a legal expert, once the claim is rejected. 

Understanding the Ground of Rejection 

Noteworthy, the law associated with workers’ compensation varies by state, and an insurer may deny claims on different grounds as stated above. Under such circumstances, consulting with a legal professional who has a specialization in worker’s compensation law is the best choice as they can assist the victim in deciphering the reasons why the claim was rejected. They listen to the concerns of the injured workers with diligence, evaluate the legitimacy of the denial, and determine possible ways for appeal.

Dealing with the Appeal Process

Disputing a rejected compensation claim encompasses a variety of procedural actions and legal prerequisites. 

  • Gathering Evidence: A specialist lawyer understands which evidence can empower the claim and accordingly attempts to gather such proofs like medical records, statements of witnesses, etc. to strengthen the case before appealing.  
  • Preparing Legal Papers: Being seasoned in preparing legal briefs, they draft arguments to articulate why the claim needs to be reconsidered for further judgment based on the available facts and related legal provisions.
  • Representation at Hearings: A lawyer is an expert in representing the worker at the appeal hearings before the judge or board of workers’ compensation to represent the facts of the case, advocating the worker’s rights.

Maximizing the Compensation

Workers’ comp. benefits aim to give coverage of medical expenses, lost wages partially as well as rehabilitation costs caused by work-related injury or illness. It is a common tendency of insurers to offer settlement money that does not compensate the losses adequately or precisely, undervalue claims. 

The biggest plus point of working a worker’s comp lawyer lies in their expertise in negotiating on behalf of their clients and maximizing the compensation that the injured or sick worker is worthy of by law says Charles Spinelli. They evaluate the value of a worker’s compensation claim based on a series of factors including the severity of the injury, potential impacts on the worker’s ability to work, future medical expenses, and so on. 

In a nutshell, after the rejection of a worker’s comp claim, working with a lawyer specialist in the domain makes sense for numerous compelling reasons. From evaluating the validity of rejection to dealing with further appeals, and gathering relevant evidence to maximize the compensation and thereby protect the legal right of an injured worker on the job.

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