Was your workers’ comp claim denied?

A denial is NOT the end of the road.

Let our Macon attorneys fight to secure the benefits you’re owed.

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800-688-1651

Location

577 Mulberry St, Suite 600
Macon, GA 31201-8242

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    The information you obtain at this site is not, nor is it intended to be, legal advice. You should consult an attorney for advice regarding your individual situation.

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    Contacting us does not create an attorney-client relationship. Westmoreland Patterson Moseley & Hinson, L.L.P. does not represent you, and no attorney-client relationship exists, unless and until a written retainer or engagement agreement has been signed by both you and the Firm.
    Until such an agreement has been executed, the Firm has not agreed to act as your attorney or to take any action on your behalf.
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    Workers’ Comp Lawyers

    Workers’ compensation claims can be denied for a variety of reasons. A denial doesn’t mean a work-related accident did not happen and you were not injured, and it certainly isn’t the end of the road when it comes to seeking compensation for your on-the-job accident or illness. Most denied claim cases that we handle simply involve a failure to present all the facts in an effective manner.

    Experience and knowledge are paramount when selecting the right workers’ compensation lawyer to help you fight a denied claim. At the Macon law firm of Westmoreland, Patterson, Moseley & Hinson, our attorneys leverage 200 years of combined experience and insight to deliver the best possible results for our clients—whether you need help during the initial application process or appealing a denial.

    What is a personal injury lawsuit?

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    Millions Recovered

    SEE MORE RESULT

    550 THOUSAND

    Compression fracture of mid spine to an iron worker caused by a defective product

    540 THOUSAND

    Woman with a permanent knee injury after being hit by a negligent driver

    125 THOUSAND

    Man who had a steel plate dropped on his foot at a metal recycling business

    100 THOUSAND

    Young man hit in the head by an object falling from the upper shelf of a wholesale store

    Why was your claim denied – And what can be changed?

    Every workers’ compensation case is different and honest attorneys will wait to consider the unique factors that might be at play in your case before promising a positive outcome. That said, we’ve found that many of the injured workers we represent run into similar roadblocks in their workers’ comp claim.

    Our attorneys attend to every detail in investigating accidents, interviewing witnesses and reviewing medical reports to build fact-based claims. They also represent clients who have had a workers’ comp claim denied for the following reasons:

    • Incorrect filing information. A study by the National Institutes of Health revealed the vast majority of workers’ comp claims (78.8 percent) were denied because the medical provider and the patient had incorrect workers’ compensation carrier information.
    • The injury wasn’t work-related. If injuries are not believed to be related to the work accident or the injury occurred while not on the premises of the employer, the insurance company is more likely to deny your claim.
    • Delayed notification and missed deadlines. If you failed to notify your employer about your injury or illness as soon as possible, they or their insurer may try to argue that the incident wasn’t work-related and happened while you were “off the clock.” Generally, you must notify your employer of an injury within 30 days. The longer you wait, the more likely your claim will be denied.
    • The injury involved drugs, alcohol or misconduct. Allegations of “horseplay” or willful misconduct involving alcohol or drugs often result in insurers and employers denying workers’ compensation claims. Your employer generally has the right to test you for drugs and/or alcohol following a workplace accident, and you may not be entitled to benefits if a test shows that you were under the influence.
    • Pre-existing condition. If your medical records show that you suffered a related injury or illness before starting your job or that was the result of an incident outside the workplace, insurers are more apt to deny a claim by claiming that your pre-existing condition is to blame rather than a workplace environment or incident. It’s important to understand than you can still receive workers’ comp benefits for a pre-existing condition so long as you can prove that your job aggravated or worsened your condition. Nevertheless, this is a common reason why claims are initially rejected.

    Related Resources

    Georgia workers' compensation guide

    Georgia workers’ compensation guide

    Guide to controverted claims

    Guide to controverted claims

    Work-related car accidents

    Work-related car accidents

    A denial is NOT the final decision. Options exist in appealing the denial or pursuing a civil claim for your injuries. We treat each workers’ compensation claim individually, understanding that unique issues exist. Regardless of how we pursue compensation following a denial, we will employ all of our resources to fight for the best possible outcome.

    How were you injured?

    Our Georgia personal injury lawyers are always ready to help people who have been seriously injured or who have lost a loved one in an accident. We have extensive experience handling personal injury claims arising from the following types of accidents:

    Pursuing personal injury compensation in Georgia

    In a personal injury case, the financial compensation owed to you after a serious accident or injury is known as “damages.”

    No matter how you were hurt, our Georgia attorneys are ready to help you obtain the compensation you need and deserve for damages, including:

    • Lost wages and income due to disability
    • Medical expenses for treatment and physical rehabilitation
    • Pain, suffering and emotional distress caused by your injury

    Did you lose a loved one in a fatal accident?

    If the careless and negligent actions of another individual resulted in the death of your spouse, parent or child, you may be eligible for the following wrongful death compensation:

    • Loss of income, benefits and financial support
    • Medical and funeral expenses
    • Loss of companionship and guidance
    • Other damages caused by the loss of your family member
    Debunking common personal injury myths

    Debunking common personal injury myths

    There are several myths associated with the personal injury lawsuit process that you might be inclined to believe if you don’t talk to your attorney about the details beforehand. Some details can get confusing as your claim progresses.

    OUR INJURY ATTORNEY EXPLAINS THE FACTS

    Personal injury FAQ: Common questions and answers

    Q: How do I know if I have a personal injury case?

    A: You must have suffered an injury to your person or property that was the fault of someone else. It isn’t always necessary to have a physical injury to bring a personal injury lawsuit — some personal injury claims can be based on a variety of non-physical losses and harms.

    In the case of an assault, for example, you don’t need to show that a person’s action caused you actual physical harm, but only that you expected some harm to come to you. Similarly, you may have a case if someone caused injury to your reputation, invaded your privacy or intentionally inflicted emotional distress upon you.

    Q: How soon after I’m injured do I have to file a lawsuit?

    A: Every state has certain time limits, called “statutes of limitations,” which govern the amount of time you have to file a personal injury lawsuit. If you miss the deadline for filing your case, you may lose your legal right to damages for your injury.

    The amount of time you have to file a personal injury lawsuit depends on the type of claim you wish to file. Consequently, it’s important to contact a lawyer as soon as you suffer or discover an injury.

    Q: What is negligence?

    A: The critical issue in many personal injury cases is just how a “reasonable person” was expected to act in the particular situation that caused the injury. A person is negligent when he or she fails to act how an ordinary reasonable person would have acted.

    The determination of whether a given person has met the “ordinary reasonable person” standard is often a matter that is resolved by a judge or jury after presentation of evidence and argument at trial.

    READ MORE FAQs
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    Excellent job

    Mr. Hinson handled a personal injury matter for me. He kept me well informed and did an excellent job. I was very pleased with the outcome.

    H. Coolidge   

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    The Resources Needed to Win

    Unlike some personal injury attorneys who settle all of their cases, we are not afraid to go to court if needed. Our firm has the resources needed to thoroughly prepare, try and win complicated cases.

    We are dedicated to doing everything legally and ethically possible to obtain the best results for our injured clients. Hard work and dedication have allowed us to recover millions of dollars in verdicts and settlements for people in personal injury and wrongful death claims.

    Injured Near Macon, GA? Our personal injury lawyers may be able to help.

    If you or a loved one was seriously hurt because of someone else’s negligence, our injury and accident attorneys can help. Don’t delay. Your free case evaluation awaits.

    Best of all, we never charge attorney fees in injury or disability cases unless we are able to obtain money for you. So you have nothing to lose by talking to us—and everything to gain.

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    Personal injury resources and links

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    Once again, Westmoreland Law has been recognized by its peers as part of an elite group of approximately 10 percent of all attorneys who hold an AV Preeminent Rating. An AV Preeminent Rating is a designation trusted worldwide by buyers and referrers of legal services.