Below is a timeline of how a Workers’ Compensation claim may play out.

  1. An employee has 90 days to file a claim, otherwise they waive their right to a claim. Even though you have 90 days, you should submit your claim as soon as you can. The longer you wait the more likely it will be that the insurance company will deny your claim.It is also important that you visit your Doctor as soon as possible. You must be honest and forthcoming with your Doctor. Your credibility and honesty will matter during your claim. Describe your injury as completely and thoroughly as you can.The Workers’ Compensation insurer will have 60 days to accept or deny your claim. If your claim is accepted you will receive a Notice of Acceptance from the insurer. This notice will list the conditions that the insurance company will pay to treat.
  2. The Workers’ Compensation insurer will have 60 days to accept or deny your claim. If your claim is accepted you will receive a Notice of Acceptance from the insurer. This notice will list the conditions that the insurance company will pay to treat.If your Doctor restricts you from working, then you will receive temporary disability payments. You will receive these payments every two weeks and they will equal 66% of your average weekly wage.
  3. If your claim is denied, you will receive a Notice of Denial. You have a right to challenge the denial. By challenging the denial you will receive a hearing that will be heard by an Administrative Law Judge (ALJ0). You must make this request for a hearing within 60 days of the date of your denial.If you receive a denial then it is time for you to get a lawyer involved. If you contact me I may help you. If you hire me I will file your appeal and assist you in challenging your denial.