Fresno Workers' Comp Appeals Attorney

How to File a Denial Appeal in Fresno and Bakersfield

Upon having a workers' compensation claim denied by an insurance provider, an injured worker is able to take the next step and file a denial appeal with the California Workers' Compensation Appeals Board. It is a judicial body that performs two main functions: to review the Petitions for Reconsideration of the selections made by administrative law judges who have ruled a decision on workers' compensation, and the regulation of the adjudication process concerning disputes. Dealing with the denial of workers' compensation is a difficult journey, but it is every denied inured worker's right who has submitted a workers' comp claim in good faith to file an appeal. There is a limited time following the denial of your workers' compensation claim to file a denial appeal, so do not hesitate. In order to reverse the judicial decision made concerning your denied claim, we urge you to contact a Fresno workers' compensation lawyer today for help filing a denial appeal.

Possible Settlement Outcomes of Your Denial Appeal

Once your denial appeal is reviewed and approved by the Board, a form of workers' compensation settlement will be determined. A common settlement plan is called the "stipulated finding and award", in which the injured worker will be paid a certain amount of compensation over a designated period of time. Paid medical care is continuous and usually covered completely, although the weekly stipend is contingent upon the degree of the disability. This form of settlement often times requires legal maintenance, as the medical and legal issues are ongoing throughout the entire compensation period. A surprising amount of law firms tend to avoid this commitment to the client, as it can pursue for decades into the future. The Law Office of Wm. Todd Berry, APC, wants you to know that it is a privilege to represent your case, no matter how long it may take.

Another settlement that might result from denial appeals is the "compromise and release", which is simply a lump sum settlement that closes the case for good. There are pros and cons to consider to the settlement. For instance, an injured worker proactively forfeits his or her rights to receive compensation for future medical care by the insurance provider. However, the lump sum will usually be greater than the permanent disability that he or she would have received over time. This settlement would be beneficial to those whose private insurance will cover the medical bills.

Filing a denial appeal is complex. Contact a Fresno workers' compensation appeals attorney to help you with your denial appeal to pursue the benefits that you deserve.