Erasing Uncertainty: How To Determine When To Deny And Fight A Workers Compensation Claim

Chasing perfect claims results can seem like chasing the wind, especially when it comes to making denial decisions. As Isaac Newton presented in his third law of motion, every action has an equal and opposite reaction, and deciding when to deny a claim is no exception.

Knowing when to deny a claim is critical, but it’s important to remember that there will be repercussions no matter the decision you make.

When initially evaluating claims, there are three general claims types encountered: the likely valid, the possibly valid, and the likely invalid.

There is an art to analyzing and balancing these three types of claims and deciding which should be denied and fought.

An initial analysis requires a grasp of the applicable legal standards and associated potential risks and exposure.