If your Nevada workers compensation claim is denied, you may feel frustrated and confused. You may not know what to do next. The following is a guide to help you navigate the process and appeal your claim denial.
1. Review the denial letter.
The first step is to carefully review the denial letter. This letter will explain the reasons your claim was denied. It is important to understand the grounds for the denial so that you can appeal the decision.
Some of the most common reasons for claims to be denied include:
- you did not provide enough evidence to support your claim
- you did not meet the eligibility requirements
- the insurance company determined that your injury was not caused by the accident
- the accident was not covered by your insurance policy
If you believe that the insurance company’s decision was unjust, you can file an appeal. This process can be complicated, so it is important to seek legal assistance. An experienced attorney can help you gather the evidence you need to support your appeal and represent you in court if necessary.
2. Gather evidence.
When you file an appeal for worker’s compensation, you will need to provide evidence to support your claim. This evidence should include medical records and documentation of your injuries. You should also compile evidence to support your lost wages claim.
The best way to gather this evidence is to keep detailed records of everything related to your injury. This includes medical records, bills, wage information, and any other relevant documentation. You should also make note of any conversations you have with your employer or the worker’s compensation insurance company.
3. File an appeal.
Filing an appeal with the workers’ compensation board is the next step in the process if your claim is denied. You must file the appeal within 60 days of receiving the denial letter. Be sure to include all of your evidence with your appeal. The workers’ compensation board will review your case and make a decision based on the evidence you provide. If you are not happy with the board’s decision, you may file a lawsuit.
4. Prepare for a hearing.
If your appeal is denied, you may be required to attend a hearing before the workers’ compensation board. This hearing will allow you to present your evidence and make your case. It is important to have a lawyer represent you at the hearing. The lawyer can help you prepare your case and argue on your behalf. If you are unable to attend the hearing, the lawyer can appear on your behalf.
5. Request a reconsideration.
If your hearing is unsuccessful, you may be able to request a reconsideration from the workers’ compensation board. This is a formal request to review your case again. You must submit this request within 30 days of the hearing.
The workers’ compensation board will review your case and make a decision based on the evidence presented. If the board decides that your hearing was not fair or that you were not treated fairly, they may order a new hearing.
6. Appeal to the court.
There are a few things you can do if your case is still denied after you have completed the entire appeal process. First, you can file a lawsuit against your employer. This can be a costly and time-consuming process, so it is important to speak with an attorney beforehand. You can also file a complaint with the state workers compensation board.
You must file a lawsuit within two years of the date of the denial letter. Be sure to speak with a lawyer to learn more about your options. A lawyer can help you understand the complex legal process and give you advice on how to best proceed with your appeal.