Even with a legitimate claim, an insurance company can deny your claim 😧 for many reasons, including mistakes for which they are responsible.
Act quickly to protect your family from financial hardship!
‣ We put the needs of our clients first.
‣ Every question pertaining to workers’ compensation is a valid one and we will help you to understand the entire process.
‣ Our team negotiates interim payments so that you can get your bills paid while your case is ongoing.
IDAHO WORK COMP CLAIMS AT A GLANCE
Report the Injury
The injured employee should immediately report the incident to his or her employer.
Reporting will help to verify the accident later because a written record of injury will be made.
It is also important that the employee seek medical attention as soon as possible. This lays the groundwork for the claim.
Next, the employer must fill out an accident report. The employer is required to complete the First Report of Injury or Illness form, as required by the Idaho Industrial Commission, and send it to the insurance company.
The insurance company will speak to the attending physician to determine whether to honor the claim and how to value it. This can be time-consuming and difficult, especially since the adjuster may not understand the extent of the injuries or the seriousness of the situation.
Acquire Legal Counsel
After filing your accident report, immediately acquiring legal counsel is key. Call Litster Frost Injury Lawyers today for a free consultation!
Report the Injury
Acquire Legal Counsel
* While these are not the only steps, these are very important.
WHAT IF YOUR CLAIM IS DENIED?
Denial of workers compensation claims is not an uncommon occurrence.
Claim denials introduce a lot of paperwork.
There are two types of benefits afforded by workers compensation.
Temporary: Temporary disability is when a professional deems that the employee is injured but has the potential to fully heal and return to work.
Permanent: Someone with a permanent disability will be diagnosed by a medical professional who advises that the employee can no longer work in their previous capacity due to the accident. It is the doctor’s opinion that there is no chance of complete rehabilitation. You never want to fully trust medical professionals who were recommended to you by the insurance company of your employer.
Why do insurance companies deny claims?
From the misspelling of a name to something more technical, workers compensation claims can be tied up for a very long time.
Make sure you are putting yourself in the right position to get your claim approved. Making small mistakes can hold up your claim for months, and fighting with an employer who is trying to deny you benefits can take even longer.
WHAT HAPPENS AFTER THE CLAIMS PROCESS?
Once the claim is under review again, we work to come to an agreement with the insurance company.
Each day, workers compensation claims are filed and denied.
The longer you wait, the greater your chances of being denied, especially if you are seeking medical attention.
We fight to get you interim payments to offset your income during this time.
Let's Talk. We're Standing By to Help.
Call now for a free evaluation
SHOULD I ACCEPT A
LUMP SUM SETTLEMENT
LUMP SUM SETTLEMENTS
An attorney can help determine whether the settlement will cover your condition. Remember, your injuries could worsen over the years, but a lump sum settlement closes your case for good.
Types of lump sum settlements include:
– DCS – settles a denied claim. The denial is made final, and you forfeit your right to future payments.
– CDA – settles an accepted claim. While you give up other benefits, you retain the right to medical treatment and preferred worker benefits.
SEE IF YOU HAVE A CASE IMMEDIATELY:
To schedule a consultation about your accident, call our office at (208) 333-3333 or fill out your case evaluation form now.