Denied a Workers’ Compensation Claim in Pennsylvania? Here’s What You Can Do Next
If you were hurt on the job and your workers’ compensation claim was denied in Pennsylvania, don’t panic—denials are common, and many are overturned on appeal. With the right approach, you may still be able to secure the benefits you deserve.
Understand Why Your Claim Was Denied
First, carefully review the denial letter. Common reasons include:
- Failure to notify your employer promptly (within 120 days)
- Missing paperwork or filing errors
- Disputes about whether the injury occurred at work
- Lack of sufficient medical evidence
Act Quickly
You have the right to file a Claim Petition with the Pennsylvania Workers’ Compensation Office of Adjudication. While you technically have three years from the injury date, it’s best to act as soon as possible.
Prepare Your Evidence
Gather everything that supports your claim, including:
- Medical records and doctors’ opinions
- Witness statements
- Copies of incident reports
- Any communication with your employer or insurer
Hire an Experienced Workers’ Compensation Lawyer
The appeals process involves hearings before a Workers’ Compensation Judge, cross-examinations, and potentially depositions. A skilled attorney can manage the process and present your case persuasively.
Know Your Rights
Pennsylvania’s workers’ comp system is “no-fault.” You don’t need to prove your employer was negligent—only that your injury occurred in the course of your job. If your claim is valid and well-supported, an appeal may result in full or partial benefits, including:
- Medical treatment costs
- Wage loss benefits
- Specific loss benefits (e.g., for permanent impairment)
Stay the Course
Being denied doesn’t mean you don’t qualify. Many workers get approved after the appeals process—with the help of legal counsel.
If your workers’ compensation claim was denied in Pennsylvania, don’t accept it at face value. Contact a qualified attorney to review your case and guide you through the appeals process. Your health and livelihood are too important to give up on.
