Denied Workers’ Comp Claim: Exploring Your Options

Dealing with a denied workers’ compensation claim can be stressful and overwhelming. When you have suffered a work-related injury or illness, being denied benefits can have serious consequences for your health and financial stability. However, it is important to remember that a denied claim is not the end of the road. There are several legal options available to you in the event of a denied workers’ comp claim.

1. File an Appeal

The first step when your workers’ comp claim is denied is to file an appeal. According to the National Council on Compensation Insurance, approximately 50% of workers’ compensation claim denials are overturned on appeal. It is important to carefully review the reasons for the denial and gather any additional evidence or documentation that supports your claim before filing an appeal.

2. Seek Mediation

If the workers’ compensation insurance company remains steadfast in their denial, seeking mediation may be an option worth considering. Mediation involves a neutral third party who helps facilitate a resolution between the injured worker and the insurance company. According to the United States Department of Labor, mediation is a voluntary process and can often lead to a mutually acceptable resolution without the need for litigation.

3. Consult an Attorney

If the denial of your workers’ comp claim persists despite filing an appeal and exploring mediation, it may be time to consult with a knowledgeable workers’ compensation attorney. An experienced attorney can review your case, assess the strength of your claim, and guide you through the legal process. They can represent your interests and fight for the compensation you deserve. It is worth noting that hiring an attorney does not necessarily mean that your case will go to court. Often, the involvement of an attorney will prompt the insurance company to take your claim more seriously and reconsider their position.

4. Litigation

If all other options fail to resolve your denied workers’ comp claim, litigation may be the next step. Filing a lawsuit against your employer or the workers’ compensation insurer is a complex and time-consuming process that can vary depending on the laws of your state. It is essential to have an experienced attorney by your side to navigate through the legal intricacies and ensure you have the best chance of success.


Having your workers’ comp claim denied can be incredibly frustrating, but it is not the end of the road. By exploring your legal options such as filing an appeal, seeking mediation, consulting an attorney, or pursuing litigation, you can fight for the benefits you deserve. Remember, the process can be complicated, and having a skilled attorney by your side can significantly increase your chances of success.

If you find yourself in a situation where your workers’ comp claim has been denied, John B. Jackson Law is here to help. With our team of experienced workers’ compensation attorneys, we can provide you with the guidance and representation you need. Contact us today at for a free consultation.