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Common Reasons for Workers’ Compensation Claims Being Denied [Infographic]

Several factors can lead to the denial of workers’ compensation claims, many of which are avoidable with proper attention.

One of the most common reasons is the failure to report the injury in a timely manner. Delayed reporting can make it difficult to establish a clear connection between the injury and the workplace, reducing the likelihood of a successful claim.

Another critical factor is the lack of medical evidence. Workers must provide detailed medical documentation that clearly links the injury to their job. Without it, claims are likely to be denied.

Additionally, discrepancies in the accident report—such as conflicting details about how, when, or where the injury occurred—can raise doubts about the claim’s validity, leading to its rejection.

Pre-existing conditions can also complicate claims. If a pre-existing condition is exacerbated by a workplace injury, specific medical evidence is needed to prove that the job aggravated the condition.

A denial can also result from doubts about whether the injury is truly work-related. Gathering witness statements and other evidence can help prove the injury occurred on the job.

Lastly, failure to follow employer’s safety protocols can void eligibility for compensation, as these rules are designed to protect employees from harm.