What should an injured employee do if their claim is denied?

When an injured employee's claim is denied, the most appropriate action is to challenge the denial by filing an appeal. This process allows the employee to formally contest the decision made by the claims administrator, providing them with an opportunity to present additional evidence or clarify the circumstances surrounding their injury. Filing an appeal is a crucial step in ensuring that the employee's rights are protected and that they have a chance to receive the benefits they may be entitled to under California’s workers' compensation laws.

Taking the step to file an appeal demonstrates the employee's proactive approach to addressing the situation rather than passively accepting the denial. It is also important to be aware of the timelines and procedures for submitting an appeal, which are typically outlined in the denial letter or available through relevant resources.

In contrast, ignoring the denial or moving on would forfeit the employee's rights to benefits and undermine their recovery process. Reapplying for benefits after six months generally does not address the original denial and can lead to further complications. Consulting a lawyer only after receiving a final decision delays access to legal guidance, which might be beneficial during the appeal process itself to navigate complexities and strengthen the case.