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6 reasons workers' compensation claims get denied

Not every workplace injury or illness entitles employees to workers’ compensation. When an injured worker files a claim, there may be several legitimate reasons the Ohio Bureau of Workers’ Compensation might deny it.

Here are six common reasons that workers’ comp claims fail, as provided by FindLaw:

  • Failure to give notice to the employer. Most states require an injured employee to inform the employers within a certain time period, typically 30 to 90 days. The notice should be given to a supervisor, and often may be given by third parties like the worker’s spouse or doctor.
  • Statute of limitations. Similarly, state laws do not allow workers to wait forever to file for workers’ compensation. Time limits range somewhere from one to three years, with greater flexibility for occupational illnesses, which may take longer to emerge.
  • Self-inflicted injuries. Of course, intentionally hurting yourself to obtain workers’ compensation should not lead to benefits.
  • Skipping doctor appointments. An injured worker is supposed to submit to an independent medical examination. Failure to come to the appointment may cause the claim to fail.
  • Negligence or horseplay by the claimant. In many cases, the worker’s injuries were due to his or her own actions, such as violating safety rules, or acting carelessly.
  • Uncertain cause of injury. Some injuries or illnesses may occur at work, but be due to non-work factors, such as a heart attack.

People who get hurt or sick on the job may be entitled to workers’ compensation, but they must follow the rules like everybody else.

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