BOSTON LAWYER FOR FILING AFTER A WORKERS COMPENSATION DENIAL

Suffering an injury at work is stressful enough, but having your workers’ compensation claim denied can make matters even worse. If you’re facing a denial, you may feel frustrated, confused, and worried about how you’ll cover your medical bills and lost wages.
At Markey Law Partners, we understand the challenges injured workers face when navigating Massachusetts’ workers’ compensation system. A denied claim does not mean you are out of options. With the right legal support, you can appeal the denial and fight for the benefits you deserve.

Workers’ compensation claims can be denied for a variety of reasons, many of which are based on technicalities or disputes over the facts of your case. Some of the most common reasons for denials include:

• Injury Not Work-Related: The insurer may argue that your injury did not occur in the course of your employment or is unrelated to your job duties.
• Late Reporting: Massachusetts law requires you to report your injury to your employer as soon as possible. Delays in reporting can lead to a denial.
• Incomplete or Incorrect Paperwork: Errors on your initial claim form (Form 110) or missing documentation can result in a denial.
• Disputes Over Medical Evidence: Insurers may claim that your injury is not as severe as you say or that it is related to a pre-existing condition.
• Allegations of Misconduct: If the insurer believes your injury was caused by intoxication or violation of company policies, they may deny your claim.

Insurance companies often prioritize their profits over your well-being. Our skilled Boston workers’ compensation attorney can help you challenge their decision and prove your case.

If your claim has been denied, don’t panic—you have legal options to fight for your benefits. Massachusetts provides a structured appeals process through the Department of Industrial Accidents (DIA). Below is a step-by-step guide on how to challenge your denial:

1. Conciliation
   The first step in appealing a workers’ compensation denial is conciliation, an informal meeting between you (or your lawyer) and the insurance company, facilitated by a conciliator from the DIA. The goal is to resolve the dispute without a formal hearing. If no agreement is reached, the case proceeds to the next step.
2. Conference with an Administrative Judge
   If conciliation does not result in a resolution, the next step is a conference before an administrative judge. You will present your case, including medical records and supporting evidence. The judge will issue a temporary order either approving or denying benefits. If your claim is denied again, you can request a formal hearing.

3. Formal Hearing
   At this stage, the hearing functions like a trial. Both sides can present witnesses, medical experts, and additional evidence. The judge will issue a binding decision based on the presented arguments.

4. Review Board Appeal
   If you disagree with the judge’s decision, you can file an appeal with the Review Board, which will evaluate whether the judge made legal errors. This step is typically pursued when there is strong evidence that the decision was unfair or incorrect.

The appeals process can be complex and time-consuming, but with the help of an experienced Boston workers’ compensation lawyer, you can navigate each stage effectively and maximize your chances of success.

The workers’ compensation appeals process is complex, and insurance companies often have legal teams working to minimize payouts. Markey Law Partners has extensive experience handling workers’ compensation denials and knows how to present compelling cases to maximize your chances of success.

When your workers’ compensation claim is denied, having a knowledgeable and determined legal team on your side can make all the difference. At Markey Law Partners, we have a proven track record of successfully representing injured workers across Massachusetts, helping them secure the benefits they deserve. We take a personalized approach, carefully assessing your case and developing a legal strategy tailored to your unique situation. Our attorneys are relentless advocates, standing up to insurance companies that try to minimize or deny rightful claims. We know their tactics, and we won’t back down in the fight for your compensation.

A denied claim is not the end of the road. With the right legal representation, you can challenge the decision and obtain the compensation you are entitled to.

📞 Call Markey Law Partners today at 877-488-2667 for a free consultation, or fill out our online contact form to get started.