Mistakes in workers’ compensation claims can lead to delays, reduced benefits or even denials. When an error occurs, acting quickly to protect your rights is important.
Understanding the steps to take can help ensure the compensation you deserve.
Identify the mistake
The first step is identifying the mistake in the workers’ compensation process. Errors can include incorrect information on the injury report, miscalculated benefits, missing medical records or an incorrect classification of the injury. Review all paperwork and documents to pinpoint the issue.
Notify the employer and insurance company
Contact the employer and the insurance company as soon as you notice a mistake. Reporting the error to the employer helps correct internal records. Contacting the insurance company brings the issue to the attention of those handling the claim. Provide clear and accurate information about the mistake, and be ready to supply any additional documents or evidence that supports the claim.
Submit a formal request for correction
If the error is not resolved quickly through informal communication, submit a formal request for correction. Write a letter or fill out the necessary forms to correct the mistake. Include detailed information about the error and the desired resolution. Clearly state the impact the mistake has had on the claim. Keep copies of all correspondence and records related to the correction request.
Request a review or appeal
If the mistake continues to impact the claim, consider requesting a formal review or filing an appeal. The Georgia State Board of Workers’ Compensation has a process for reviewing or appealing workers’ compensation decisions. Follow the specific guidelines and deadlines for submitting an appeal. Present all evidence and documentation gathered during the process to support the case.
Resolving a mistake in a workers’ compensation claim can take time. Stay informed about the status of the claim and follow up regularly with the employer and insurance company. Persistence can make a significant difference in correcting the error and securing the benefits that are rightfully yours.
