What to Do When Your Workers' Comp Brain Injury Claim Is Denied

Your Workers' Comp Claim Was Denied—Now What?

A denial is devastating but not the end. Many legitimate brain injury claims are initially denied. Here's how to fight back.

Why Brain Injury Claims Get Denied

• "Pre-existing condition" - They claim your injury existed before
• "Not work-related" - They argue it didn't happen at work
• "Late reporting" - You didn't report quickly enough
• "Insufficient medical evidence" - Records don't support diagnosis
• "Surveillance evidence" - Video shows you're "not injured"

The Pennsylvania Appeals Process

1. Claim Petition - Your attorney files with the Bureau of Workers' Compensation
2. Discovery - Both sides exchange evidence
3. Hearings - Before a Workers' Compensation Judge
4. Decision - The judge grants or denies your claim
5. Appeals - To Appeal Board, then Commonwealth Court if necessary

How to Strengthen Your Appeal

• Get neurologist evaluations and brain imaging
• Keep a daily symptom diary
• Gather witness statements
• Don't miss medical appointments
• Be careful with "Independent" Medical Examinations

The Importance of Legal Representation

Insurance companies have teams of lawyers. A Certified Workers' Compensation Specialist can:

• Identify why your claim was denied
• Gather compelling medical evidence
• Cross-examine insurance company doctors
• Navigate the appeals process

Call (833) 898-4587 immediately if your claim was denied. Free Consults 24/7.