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Workers Comp Claim Procedures

Workers compensation exists to provide benefits to individuals in New Jersey who become or injured or ill because of their jobs. However, workers’ compensation benefits do not immediately kick in simply because you are injured. Instead, in order to receive the benefits that you deserve, you must follow certain procedures set out by the New Jersey Department of Labor and Workforce Development.

Providing Notice

You only have a certain amount of time to notify your employer that you require medical attention for a work-related injury or illness. If you miss this deadline or do not provide all of the necessary information, you may be denied benefits. This time limit can vary depending on the nature of your injury or illness, so you should always discuss your specific situation with an attorney as soon as possible to ensure no deadlines are missed.

Seek Medical Treatment

It is highly imperative that you seek the necessary medical treatment for your injury or illness and that you follow all of your doctor’s orders/ If you fail to do so, your employer or the workers’ compensation insurer may claim your injury was not as serious as you claimed. Your employer may require that you go to a specific medical professional for treatment, depending on your circumstances. Workers’ compensation benefits should cover any and all reasonable treatment that you received.

What Happens if Your Claim is Denied?

In some situations, you may undergo medical treatment expecting benefits only to learn that your claim has been denied. Claims can be denied for many reasons, including:

  • Your employer disputes that your injury or illness was work-related
  • Your employer disputes the severity of your injury and your need to miss work
  • Your employer disputes that the medical treatment you received was necessary

While receiving a denial can be stressful, you should realize that there is a specific process to appeal these denials. The appeals procedures are strict with deadlines imposed, however, so you should enlist the help of a skilled workers’ compensation lawyer immediately after learning your claim was partially or completely denied.

Call 973-426-0021 today for a free consultation.

Having a New Jersey workers’ comp attorney on your side can greatly improve your chances of receiving the benefits you need and deserve without delay. Your focus should be on your physical recovery and not on the often stressful process of obtaining workers’ compensation benefits. Please call David H. Kaplan Attorney at Law for assistance today.