When Will I Know the Outcome of My Workers’ Comp Case?
If you’ve been injured at work in Nevada, you don’t have to wait long to find out if your workers’ comp claim has been approved or denied. The state operates under a 30-day insurance review process, meaning that from the time the claim is received, the insurance company reviewing the claim has 30 days to approve or deny it.
It is possible for a decision to happen sooner than 30 days on a workers’ comp claim, but the timeframe of the review process has no effect on the outcome of the case. It is typical for it to take the full 30 days to find out the outcome.
What Happens If My Workers’ Comp Claim is Approved in Las Vegas?
Once a workers’ compensation claim is filed in Las Vegas, the insurance company will make a determination on the validity of the claim. During the review process, they will often speak to you and your employer, and review any medical records, reports of the incident, and any other supporting documentation.
If your worker’s comp claim is approved, the insurance company will be in contact with you to arrange payment details. Payments can include any lost wages, medical bills, and other associated pain and suffering.
Nevada operates under a 30-day insurance review process, meaning that from the time the claim is received, the insurance company reviewing the claim has 30 days to approve or deny it.
Can I Appeal if My Las Vegas Workers’ Comp Claim is Denied?
It is not uncommon for a workers’ comp claim to be denied by the insurance company, but this doesn’t mean that you have no options. It is possible to appeal a denied workers’ comp claim. You are allowed to file an appeal with the Nevada Department of Administrations (DOA).
Given the complexity of the appeals process, it is a good idea to have a Las Vegas workers’ comp attorney involved as soon as you are denied. With the right attorney, it is not uncommon for a workers’ comp claim appeal to be successful.
Nevada 70 Days to Appeal a Workers’ Comp Claim Denial
The first step in a workers’ comp claim appeal is to request a hearing before a Hearing Officer at the DOA. There is a Request for Hearing form that must be completed in full.
The Request for Hearing form, which is on the DOA website, must be filled out and mailed along with a copy of the denial letter within 70 days of receiving the denial letter from the insurance company. Your attorney can help with the documentation and proper mailing of your appeal.
From here, you will typically be involved in a short hearing before a Hearing Officer scheduled by the DOA. This is often held in person at the Las Vegas of Carson City offices. Both sides will have a chance to speak at this hearing before a decision is made.
Getting a Las Vegas Workers’ Comp Appeals Attorney
If you are unhappy with the decision made by the Hearing Officer during an appeal, there is the option of an Appeals Officer Review and even appealing through the court systems. Like the initial denial of your workers’ comp claim, this process should be done with the assistance of an experienced workers’ comp attorney.