Common Reasons for Denied Workers’ Compensation Benefits in Maryland

Workers’ compensation benefits in Maryland play a critical role in protecting your health and financial security when work-related injuries or illnesses happen. Benefits available help cover your medical expenses, lost wages, and other costs, but not all workers’ comp claims get approved.

Many workers in Maryland are surprised and frustrated when their workers’ compensation claims get denied. Our Maryland workers’ compensation attorney explains the common reasons for denied benefits and how to avoid potential pitfalls when filing your claim.

Why Was My Maryland Workers’ Compensation Claim Denied?

According to the Bureau of Labor Statistic, over 40,000 people suffer work-related injuries and illnesses in Maryland each year. Falls, getting struck by objects, burns, overuse, repetitive stress, and exposure to hazardous substances are all common causes.

Fortunately, when on-the-job injuries or occupational illnesses prevent you from working, benefits available through the Maryland Workers’ Compensation Commission (WCC) can help cover medical expenses, lost earnings, and other costs. The WCC handles thousands of claims each year, but many are not approved. The following are some of the most common reasons for denial:

• Not reporting your injuries or illness in a timely manner: Under Maryland law, employees must notify their employer within 10 days when workplace injuries happen or once an occupational injury is diagnosed.
• Failing to seek medical care: Not getting immediate medical care and failing to follow doctor instructions are common reasons for denied claims.
• Disputes over whether your injuries or illness is work-related: Your injury or illness must result directly from employment and not due to activities in your off hours or a pre-existing condition.
• Not submitting the appropriate documentation: Not providing sufficient documentation of your injury or illness and its impact on your life can cause the insurer to downplay the situation and deny benefits.

What to Do If Your Maryland Workers’ Compensation Claim Gets Denied

Getting a workers’ compensation denial in Maryland can be devastating, but do not give up. There are still options available to get your benefits. If workers’ compensation insurers attempt to downplay or otherwise dispute your claim, you can appeal the decision. However, the process is often time-consuming and complex. To improve your chances of success, our Maryland workers’ compensation attorney recommends taking the following steps:

• Carefully review the denial letter to identify the specific reason for denied benefits;
• Gather additional evidence to support your claim, such as witness statements and medical records;
• File an appeal;
• Request a hearing, where you will get the opportunity to argue your case.

For Help Navigating The Appeals Process, Contact Our Maryland Workers’ Compensation Attorney

At Berman | Sobin | Gross LLP, we understand how stressful facing a denied workers’ compensation claim is. Our experienced Maryland workers’ compensation attorney provides the trusted, professional legal representation needed to protect your rights and navigates you through the appeals process.

If you get denied workers’ compensation benefits in Maryland, do not give up. To get the total amount you are entitled to, contact our office and schedule a consultation today.

Sources:

bls.gov/regions/mid-atlantic/news-release/workplaceinjuriesandillnesses_maryland.htm

wcc.state.md.us/