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Why Workers’ Comp Gets Denied

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Were you harmed while on the job? Our Rockville, MD workers’ compensation lawyer has helped injured workers across Maryland fight back after a denied workers’ compensation claim. If your benefits were denied, you’re not alone—and it’s not always your fault. There are a few common reasons claims get rejected, and understanding them is the first step toward protecting your rights.

Employer Disputes And Denial Tactics

One of the most common reasons workers’ comp claims are denied is because the employer disputes that the injury happened at work. In some cases, they may argue that your injury occurred off the job or wasn’t related to your duties. Other times, employers claim that the injury resulted from horseplay, intoxication, or a pre-existing condition. These arguments often have little evidence behind them, but they can still lead to a denied claim.

Some employers may delay reporting the injury to their insurance carrier or fail to submit the proper paperwork, putting your benefits a t risk before the process even begins. We’ve seen many cases where an honest injury was treated with suspicion simply because the employer wanted to avoid higher insurance premiums.

Filing Errors And Missed Deadlines

Another major reason for denial is simple filing mistakes. Workers’ comp in Maryland requires you to report your injury to your employer as soon as possible. If you wait too long, your claim may be denied outright. In addition to timely reporting, you must file a formal claim with the Maryland Workers’ Compensation Commission within 60 days of the injury. Failing to submit the right forms or medical documentation can also result in a denial.

Our attorneys often work with clients who were unaware of these rules and missed a step through no fault of their own. The process is full of technical requirements, and even one error can give the insurance company a reason to deny your work injury claim.

Maryland Rules That Affect Eligibility

Maryland law has specific rules that affect whether or not you qualify for workers’ comp benefits. For an injury to be covered, it must arise “out of and in the course of employment,” which means it must happen while you’re performing your job duties. Repetitive strain injuries or occupational illnesses—like carpal tunnel or chemical exposure—can be harder to prove under this standard unless there’s clear medical evidence linking them to your work.

Maryland also doesn’t cover injuries that result from intentional misconduct or violations of workplace safety policies. Additionally, if your employer doesn’t carry the required insurance or misclassifies you as an independent contractor, that can complicate your claim even further. We know the Maryland system inside and out and can identify exactly where the denial came from and what to do next.

Legal Support For Denied Claims

If your workers’ compensation claim has been denied, don’t give up. Contact Antezana & Antezana, LLC today to schedule your free consultation. We have a bilingual staff and are dedicated to providing excellent legal services. Our lawyer will review your case, explain your options, and formulate a personalized legal strategy to get you the benefits you need. No case is too big or too small for our firm, so don’t wait to get the help you need after a workplace injury.

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