Appeals

Workers' Compensation Appeals Lawyer in Columbus, OH

Steps to Appeal a Denied Workers' Compensation Claim in Ohio

Has your workers' compensation claim been unfairly denied? If so, it is important that you realize that there are options for contesting your workers' compensation denial so you can have a fair chance at getting the benefits you rightfully deserve.

Our Columbus workers' comp appeals attorneys at Zamora & Hogan Co., L.P.A. may be able to help you gather the necessary supporting evidence for your work-related injury and file an appeal.

Whether your denial was due to a lack of the appropriate medical information or challenges made by your employer, we can help you determine the best approach for proving that you truly qualify for workers' compensation benefits.

We want to help you ensure that you have access to the medical care and financial support that is needed while you recover from your workplace injury!

Call Zamora & Hogan Co., L.P.A. today at (614) 344-6822 or contact us online to schedule a consultation!

Understanding the Workers' Compensation Appeal Process in Columbus

In the state of Ohio, if any party involved in a workers' compensation claim disagrees with the outcome, that party can file an appeal. The appeal typically must be filed within 14 days of the initial order, according to the Ohio Bureau of Workers' Compensation.

Appeals may be filed online directly with the Industrial Commission of Ohio; or an IC-12 form may be filed in person or by fax.

Key Components of a Workers' Compensation Appeal in Ohio:

the name of the injured worker and his or her employer
the claim number
the date of the workers' compensation order
explanation of why the order is being contested

Next, the Industrial Commission of Ohio conducts a hearing, where both parties have the chance to present evidence. The parties involved later receive written notice of the final decision. Additional appeals may be available before the Industrial Commission or to the Ohio Courts.

Common Reasons for Workers' Compensation Denials

Workers' compensation claims can be denied for several reasons. Understanding the common causes can help you avoid delays and increase your chances of a successful appeal.

Lack of Medical Evidence: Without clear medical documentation, insurers may argue that your injury or illness is not severe enough to warrant workers' compensation. You may need additional tests, reports, or expert opinions to support your claim.
Failure to Report Injury on Time: In Ohio, you must report your injury to your employer within a specific time frame, usually within 7 days. If you wait too long, the insurer may deny your claim based on untimeliness.
Disputes Over Whether the Injury is Work-Related: Sometimes employers or insurers question whether your injury is directly linked to your job. For example, if you have a pre-existing condition, they may argue that your injury was not caused by work.
Issues with the Workers' Compensation Insurer: Some denials occur because the insurer rejects the claim due to administrative errors or disputes over what is covered. These issues can often be resolved with additional documentation or clarification.

Types of Workers' Compensation Benefits You Can Appeal

If your workers' compensation claim is denied, there are various benefits you may still be able to contest. Here are the most common ones:

Medical Treatment Coverage: If the insurer denies coverage for your treatment or suggests alternative treatments, you can appeal to ensure you get the necessary medical care.
Wage Replacement Benefits: If you’re unable to work due to your injury, you may be entitled to wage replacement benefits. These benefits can be challenged if the insurer believes you are capable of returning to work or if the amount offered is too low.
Permanent Disability Benefits: If your injury results in permanent impairment, you may be entitled to long-term disability benefits. A denial can occur if the severity of your condition is disputed, but this can often be contested with proper evidence.

Time Limits for Appealing a Workers' Compensation Denial in Ohio

Understanding the time limits for filing an appeal is critical. If you miss the deadline, you may lose your chance to challenge the denial.

Appeal Deadline: In Ohio, you must file your appeal within 14 days of the initial denial decision.
Consequences of Missing the Deadline: If you don’t file on time, you may lose the opportunity to present your case. That’s why it’s crucial to act quickly and consult with an attorney as soon as possible after a denial.

Remember, the clock starts ticking from the date of the denial, not when you receive the notice. Missing the deadline could severely impact your ability to recover benefits, so it’s essential to stay on top of timelines.

Why Choose Zamora & Hogan Co., L.P.A. for Your Workers' Compensation Appeals in Columbus

When it comes to navigating the complexities of workers' compensation appeals, having a dedicated legal partner by your side can make all the difference. At Zamora & Hogan Co., L.P.A., we understand the challenges you face after a workplace injury, and we're committed to fighting for your rights. Here are a few reasons why choosing us is a smart decision:

In-Depth Knowledge of Workers' Compensation Law: Our experienced lawyers are well-versed in Ohio’s workers' compensation laws and can guide you through the intricacies of the appeal process.
Client-Centered Approach: We believe in a client-first approach. From your initial consultation to the resolution of your case, we provide personalized attention and tailored strategies to meet your unique needs.
Successful Track Record: Our firm has successfully represented numerous clients in their appeals, securing the benefits they deserve. We take pride in our history of favorable outcomes.
Supportive Legal Guidance: We recognize that dealing with a denied claim can be stressful and overwhelming. Our compassionate team is here to support you every step of the way, providing guidance and reassurance during the process.
No Upfront Fees for Our Services: We operate on a contingency fee basis, meaning you don’t pay us unless we win your case. This allows you to pursue your appeal without financial stress.

Choosing the right legal representation can significantly impact the outcome of your workers' compensation appeal. Contact Zamora & Hogan Co., L.P.A. today to schedule a free consultation and take the first step towards securing the benefits you deserve.

Frequently Asked Questions (FAQ)

What should I do if my workers' compensation claim is denied?
If your claim is denied, it’s important to act quickly. You can file an appeal within 14 days of the denial. The first step is to consult with an experienced workers' compensation attorney to review your case and gather the necessary evidence to strengthen your appeal.
How long does the workers' compensation appeal process take?
The appeal process can take several months. After filing your appeal, there will be a hearing where both parties present evidence. The final decision can take additional time, depending on the complexity of the case. Your attorney can guide you through this timeline.

Can I continue receiving medical treatment while my appeal is pending?
Yes, you can continue to receive medical treatment while your appeal is ongoing. However, if your claim was denied for medical reasons, you may need to appeal the denial of medical coverage to ensure ongoing treatment is covered.
What if I miss the 14-day deadline to file an appeal?
If you miss the 14-day deadline, you may lose the opportunity to challenge the denial. However, in some cases, you may be able to request an extension or demonstrate good cause for the delay. It’s essential to contact an attorney immediately to explore your options.
Can I appeal if my wage replacement benefits are insufficient?
Yes, you can appeal if your wage replacement benefits are not enough to cover your lost income. Your attorney can help ensure that the proper calculations are made and challenge any discrepancies in the benefit amount.
Do I need a lawyer to file a workers' compensation appeal?
While you can represent yourself, having an experienced workers' compensation lawyer greatly increases your chances of success. An attorney can help you navigate complex laws, gather evidence, and present your case effectively at hearings.
What happens if my appeal is successful?
If your appeal is successful, you will receive the workers' compensation benefits you deserve, including medical treatment, wage replacement, or permanent disability benefits, depending on the nature of your claim. The claims procedure will then proceed to ensure these benefits are properly provided and you receive the support you need for your recovery.

Need Help with Your Denied Workers' Compensation Claim?
Contact Zamora & Hogan Co., L.P.A. today at (614) 344-6822 for a free consultation.

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THE OPINIONS THAT MATTER MOST

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“Up front and honest”
Abbie has been nothing but amazing with my workman's comp claim. She is up front and honest about everything regarding my claim. She is down to earth and very approachable. She made sure they approved and paid for everything within my claim. If I ever needed her again I would absolutely choose her. I will also refer others to her as well.

- F. Towns
“Fantastic”
Wish I had contacted Chuck Zamora earlier in the workers comp process. Him and his group were fantastic, can't thank them enough.

- Daniel S.
“Highly recommended”
Mr Chuck helped me with a worker compensation claim,they worked with me throughout the process from day one until the end. He is respectful,knowledgeable on what he does and always open to answer your questions or concerns.....highly recommended

- Former Client
“Extremely knowledgeable”
Mr Zamura was extremely knowledgeable with all phases of my Ohio Police and Fire disability claim. He followed up on all aspects and made sure I was informed and up to date with everything going on. He was prompt at returning calls and emails if needed. His application paperwork was done very thoroughly which helped the process go much easier with the OP&F review board. His staff was great also. I would recommend him to anyone looking into a possible disability claim. I am from Akron and he is in Columbus. I only made 2 trips down to see him face to face. Everything else was done electronically or by phone.

- Steve H.
“A professional with high ethical standards”
I hired Mr Zamora and could not have been happier. He was a professional with high ethical standards and represented me well, gave me excellent legal advice, peace of mind through the process and handled everything efficiently and effectively! I would highly recommend him to any of my fellow police officers or fireman!

- Don M.
“ALWAYS treated me with kindness, dignity, & respect”
If I had to go through such a situation with BWC I’m forever grateful it was with these people walking through it together...Charles & his secretary Iesha & Danielle. They ALWAYS treated me with kindness, dignity, & respect. They treated my situation as if it just as important to them as it was to me. They ALWAYS made me feel like I was their only one... trust me they have many & for good reasons. It makes my heart happy knowing there are still hardworking wonderful people out there doing what they do & fighting for the right reasons because they genuinely care. I’ll always feel fortunate to have met them. 🙏❤️🙏

- Erica
“If you've been injured at your job then you need Abbie from Zamora & Hogan Co., L.P.A. She is the best!”
If you've been injured at your job then you need Abbie from Zamora & Hogan Co., L.P.A. She is the best! She is smart, patient, and hard working. Attorney Abbie Hogan will get you the maximum compensation you deserve.

- Mostafa O.
“This firm is very professional! They go above and beyond.”
“I would highly recommend to my family and friends.”

- Trish R.

Representing Victims in the OH Appeals Process

Our Columbus workers' comp appeals lawyer can help you represent you at your hearing and aggressively argue your case on your behalf. Companies (especially major corporations) tend to have access to some of the best defense attorneys when it comes to handling disputes such as these.

It is the job of these lawyers to do everything possible to twist the facts around and make you appear undeserving of compensation. For this reason, it is important for you to have strong legal representation of your own.

It may be necessary to provide additional medical documentation that more clearly proves the extent and costs of treating your injury. Or, it might be necessary to provide additional evidence that establishes how your injury was caused. We can help gather that type of evidence and clearly present it at your hearing.

Contact us for high-quality legal representation in the workers' compensation appeals process! Your first workers' compensation consultation is free of charge.

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We are devoted to fighting for the rights of injured workers and their families. We provide personal attention to your claim, answer your questions promptly, and pursue all benefits you are entitled under the law.