Denial of a Workers Compensation Claim
Denial of a Claim
Summary
Insurers can deny liability on certain grounds; denials must be in writing and can be reviewed.
No time limit applies for reviewing a denial. After denial, members should avoid direct discussion with the insurer without advice.
Referral or Escalation
Do a legal referral once a written denial is received or before any response to the insurer.
Practical Tips
- Keep all correspondence and decisions in writing.
Related Content
- Investigation of Claims
- Provisional Liability
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