What can cause a claim to be delayed?

Answer

A lot of reasons can result in delay of your claim. Uh, sometimes the insurance company or the employer refuses to, uh, allow you the claim because they don’t want to pay. Uh, they may have nothing to do with the merits of your claim—they can just deny it. Or perhaps they have some question or they legitimately dispute the validity of the claim. Doesn’t mean you’re not entitled to benefits, but you’re going to have to fight them to get it, and, and of course, you will be wise to hire a lawyer to do that for you. Uh, other reasons for delay—and perhaps one of the most important reasons or things to know about why claims get delayed—is, under the system, if the insurer wants to, they can delay or put it off or start paying you but not, not properly, uh, grant your claim, and that’s something you want to avoid. And the way to avoid it is to promptly consult with a workers comp lawyer who knows exactly how quickly they can memorialize your claim so that your rights are officially protected and written in stone, so that they can’t pull the rug out from under you when you least expect it. Because again, what workers comp insurance companies can do is start paying you right away and make you feel as if everything is well and your claim must, of course, be approved if you’re getting paid—and it turns out that’s not the case legally. The law gives them a certain window of time, which they don’t really tell you about, to pay you without really accepting the claim, and they can decide at any time up to 13 weeks after your injury to stop paying you, to deny the claim, to pull the rug out from underneath you, and leave you scrambling with this interruption in your income stream, uh, as well as a—now a delay in getting medical treatment that you may be entitled to.

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