Denied Benefits and Appeals Attorney in Vero Beach, Florida

If you're an injured worker who has experienced the frustration of having your workers' compensation benefits denied, it may feel like a devastating setback. But it's important to remember that a denial doesn't mean the end of the road. You have the right to challenge itl, and with the right support, you can navigate this process effectively.

Whether the insurance company has denied your claim based on a positive drug test, a perceived lack of connection between the accident and your medical needs, or any other reason, it's crucial to know that you can contest their decision. 

At the Law Office of Olivia Devonmille, P.A., I understand how disheartening it can be to receive a denial of benefits. As a workers' compensation attorney with decades of experience, including time spent as a Workers' Compensation Judge, I'm well-equipped to help you challenge these denials. Not only can I thoroughly investigate your case to determine the validity of the denial, but I can also guide you through the appeals process, which includes filing a Petition for Benefits and representing you in mediation and trial before the Judge of Compensation Claims.

If you're unsure whether you're receiving all the benefits you're entitled to, I can review your case and pursue any additional benefits that may be owed to you. You don't have to face this journey alone; I'm here to provide the support and knowledge you need.

Understanding Denied Benefits 

If you're an injured worker, it's possible you've faced a denial of benefits from insurance companies. I've seen this happen a lot in workers' compensation cases. But remember, if you've received a denial, you're not without options. You have the right to challenge it. The appeals process can feel overwhelming, which is why having an experienced attorney by your side can make all the difference. 

Insurance companies may deny benefits for various reasons. They might cite a positive drug test, claim the accident didn't occur within the course of employment, or argue there's no causal relationship between the accident and the need for medical treatment. Other reasons could include voluntary limitation of income, misconduct at work, insurance fraud, or the recommended medical service not being deemed reasonable and medically necessary. It's also possible they'll use the concept of Major Contributing Cause to deny your claim.

But even insurance adjusters can make mistakes when denying claims. That's why it's crucial to have your case thoroughly investigated to determine if the denial is valid. As a workers' compensation attorney, I have the knowledge to review your case, gather evidence, and build a strong argument to challenge the denial of benefits. 

Navigating the Appeals Process 

While most issues in a workers' compensation case can be resolved informally, disputes that cannot be settled may require filing a Petition for Benefits. This action will trigger the scheduling of a mediation and a trial before the Judge of Compensation Claims. Presenting your case before a judge without legal assistance can be challenging. There are numerous procedural and evidentiary rules to follow, and having someone who understands these rules is needed to protect your rights. 

With decades of trial experience, including serving as a Workers' Compensation Judge, I'm well-equipped to handle your appeals process. I understand the benefits you're entitled to and can help you pursue them. My office is located in Vero Beach, Florida, and I serve clients throughout Sebastion, Florida, and Indian River County.

Pursuing Additional Benefits and Your Rights 

Are you currently receiving workers' compensation benefits but are unsure if you're getting everything you're entitled to? It's essential to have your case reviewed by an experienced attorney. Mistakes can occur during the claims process, which may result in additional benefits owed to you.

Errors in calculating your Average Weekly Wage could significantly impact your benefit checks. Plus, penalties and interest for late payment of lost wages may be owed to you. There's also a chance you've been wrongfully denied a medical benefit or a recommended surgery by your authorized doctor.

I can thoroughly review your file materials, including medical records, to determine whether you're entitled to additional benefits. I'll then diligently pursue those benefits on your behalf, ensuring that you receive the full compensation you deserve. You don't have to navigate this process alone. I'm here to help.