You got hurt at work, reported the injury, and filed a workers’ compensation claim—only to get a denial letter in the mail. It’s frustrating, confusing, and discouraging, especially when you’re already dealing with pain, missed work, and medical bills. But a denied claim is not the end of the road.
There are many reasons a workers’ comp claim might be denied in South Carolina. Some of the most common include:
Your employer disputes that the injury was work-related
You didn’t report the injury in time
There are no medical records to support the claim
The insurance company claims your injury was pre-existing
If your claim is denied, you have the right to appeal. The process can be complex, and it’s often difficult to win an appeal without legal help. Here are the basic steps:
Request a hearing with the South Carolina Workers’ Compensation Commission. This starts by filing a Form 50 or 52, depending on your situation.
Gather evidence, including medical records, witness statements, and documentation that supports your case.
Prepare for the hearing, where a commissioner will hear both sides and issue a ruling. You can also appeal that decision to a higher level if necessary.
Most importantly, don’t give up just because you received a denial. Insurance companies count on people walking away. With the right help, many workers are able to reverse a denial and get the benefits they deserve.
At Martin & Martin, P.A., we’ve helped countless injured workers in South Carolina fight denied claims and get their lives back on track. If your workers’ comp claim was denied, call us today for a free consultation. We’ll review your case, explain your options, and help you take the next step forward.