Claim Denial Defense

Indiana Claim Denial Defense Attorneys

Experienced Claim Denial Defense Attorneys in Indianapolis and the Surrounding Areas

Filing a worker's compensation claim does not automatically mean it will be approved. An individual seeking worker's compensation for an injury sustained on the job must prove to his or her company's worker's compensation provider that their claim is for a valid issue and within the terms of their coverage policy.

As a worker's compensation insurance provider, you will have to deny some of the claims that come to you. Sometimes, the claimant challenges your denial and may bring the claim to court, where you must expend time and money to fight the claim through litigation. It is important to work with an experienced claim denial defense attorney to build a strong case and demonstrate your right to deny the claim.

The experienced attorneys at Due Doyle Fanning & Alderfer, LLP provide extensive litigation in claim denial matters. As aggressive litigators, our attorneys give clients substantial representation in the court room and are not afraid to fight on your behalf.

Reasons to Deny a Worker's Compensation Claim

There are many valid reasons to deny a worker's compensation claim. Some of these reasons include:

  • A lack of witnesses at the accident when it occurred. It can be impossible to prove that an injury occurred on the job if there are no witnesses to it;
  • The employee did not report the injury to his or her supervisor within the legally-required time frame;
  • The claimant's medical records do not match the information in the accident report;
  • The employee was fired or laid off before he or she filed the worker's compensation claim. A claim is only valid if the employee is currently part of the company where he or she was injured; or
  • Illegal drugs were found in the claimant's system which could have caused his or her injury.

If you are unsure of whether or not a worker's compensation claim you are facing is valid, contact an experienced insurance attorney to comb through the circumstances of the claim to help determine the claim's validity. Consult with all eyewitness and official reports of the accident, documentation of medical services rendered, and any other necessary documentation regarding the claim to work out whether or not the claimant is entitled to compensation.

Depending on the circumstances of the claim, you might have to work with the Indiana Department of Insurance to deny it. This state agency handles all issues related to insurance coverage and claims in Indiana, and enforces the laws that regulate what an individual may file a claim for and the claim filing process. You may also refer to the rules set forth by the Worker's Compensation Board of Indiana to determine your rights and obligations as an insurance provider.

Insurance Claim Denial Defense Attorneys in Indianapolis

Not every worker's compensation claim is valid. Our experienced attorneys understand the worker's compensation claim defense process and can provide high quality legal advice and representation for your company. It is important not only to build a strong case for your claim denial, but to be proactive and to stand firm when the claimant challenges your denial. For legal advice and representation, contact Due Doyle Fanning & Alderfer, LLP at 317-635-7700.

8440 Allison Pointe Blvd
Suite 350
Indianapolis, IN 46250