Denied Workers’ Compensation Claims

Workers in Maryland often rely on workers’ compensation benefits to provide essential financial and medical support after a workplace injury. The claims process is not always straightforward, however, and it is not uncommon for valid claims to be denied. A rejected workers’ compensation claim can leave an injured employee struggling to pay medical bills, replace lost wages, and support their family during a difficult time, but they may have options for pursuing the benefits they are owed. If your workers’ compensation claim has been denied, it is essential to understand your rights, and you should talk to an attorney. At Foran & Foran, P.A., our dedicated Prince George’s County workers’ compensation attorneys are skilled at navigating the complex appeals process, and if we represent you, we will work tirelessly to help you pursue the benefits you deserve. Our firm regularly assists injured workers in Greenbelt, Hyattsville, and throughout Maryland.

An employer or their insurer may deny a workers’ compensation claim for numerous reasons, many of which are preventable or stem from administrative errors. Claims may be denied due to incomplete or inaccurate paperwork, lack of sufficient evidence connecting the injury to the workplace, or a dispute over whether the injury occurred within the scope of employment. In some cases, employers or insurance companies may argue that the injury was pre-existing or unrelated to the employee’s job duties or that it occurred due to misconduct or negligence.

The consequences of a denied claim can be devastating for injured workers. Without the support of workers’ compensation benefits, employees may struggle to access necessary medical treatments, including surgeries, physical therapy, or medications. Lost wages during recovery can cause financial instability, putting workers and their families at risk of falling behind on essential expenses such as housing, utilities, and childcare. Additionally, the stress and uncertainty of navigating a denied claim can take a significant emotional toll, compounding the physical challenges of recovering from a workplace injury.

Under Maryland law, most employers are required to provide workers’ compensation coverage to their employees, ensuring that those injured on the job can access medical and financial support. Benefits are available to workers injured while performing job-related duties, regardless of fault. Notably, only employees are eligible to recover such benefits, meaning volunteers and independent contractors are generally excluded.

Workers’ compensation benefits include medical expenses, wage replacement, and compensation for permanent impairments. Injured workers may receive temporary total disability benefits if they are completely unable to work during recovery, which provides two-thirds of their average weekly wage, subject to state limits. If a worker can perform some job duties but at reduced capacity, they may qualify for temporary partial disability benefits to offset the difference in earnings. Permanent total or partial disability benefits may also be awarded if the injury results in lasting impairments.

When an employer denies an injured employee’s compensation claim, the employee has the right to appeal the decision through the Maryland Workers’ Compensation Commission. The first step is to request a hearing, where evidence can be presented to support the claim. This may include medical records, witness statements, or testimony from treating physicians. If the claim remains unresolved after the hearing, further appeals can be pursued through the Maryland Circuit Courts or appellate courts. Given the complexity of the appeals process and the strict deadlines involved, it is crucial for anyone appealing a denied claim to work with an experienced attorney who can advocate effectively on their behalf.

The denial of a workers’ compensation claim can create overwhelming challenges for injured employees and their families. If your employer denied your workers’ compensation claim, it is critical to consult with a skilled attorney who can guide you through the appeals process and help you seek the benefits you need. At Foran & Foran, P.A., our experienced Prince George’s County workers’ compensation attorneys are committed to providing zealous representation for injured workers, and if we represent you, we will advocate tirelessly on your behalf. Our office is conveniently located in Greenbelt, Maryland, and we represent clients in Hyattsville, Bowie, Upper Marlboro, Waldorf, Rockville, Silver Spring, La Plata, and other cities in Prince George’s County, Montgomery County, Charles County, as well as all counties in the State of Maryland. To schedule a free and confidential consultation, please contact us online or call us at (301) 441-2022.