How do I appeal a denied workers' comp claim in California?

You can file a Petition for Reconsideration with the Workers' Compensation Appeals Board (WCAB), generally within one year of the denial.

What is the most common reason workers' comp claims are denied in California?

The insurance company disputing that the injury is work-related is the most common reason for denial, followed by missed deadlines and disputes over medical evidence.

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Denied & Disputed Workers’ Comp Claims

A denial isn’t always the end of the road. Insurance companies deny or dispute a significant share of workers’ comp claims — often for reasons that can be challenged with the right evidence and representation before the Workers’ Compensation Appeals Board (WCAB).

Common Reasons Claims Are Denied: The injury wasn't reported quickly enough; the insurance company disputes that the injury is work-related; missed deadlines or paperwork issues; a medical exam that downplays the severity of your condition.

How the Appeal Process Works: You have the right to challenge a denial before the Workers' Compensation Appeals Board (WCAB), including requesting an independent medical review or a hearing before a judge.

What You May Be Entitled To: Full medical treatment, back pay for lost wages during the dispute, and any permanent disability compensation you're owed once your claim is properly recognized.