What Happens If My Workers’ Comp Claim Is Denied in Missouri?
June 20, 2025
What Happens If My Workers’ Comp Claim Is Denied in Missouri?
If you’ve been injured on the job in Missouri, workers’ compensation benefits are designed to help cover your medical bills and lost wages. But what happens when your claim is denied? A denial doesn’t necessarily mean the end of the road — you still have legal options to pursue the compensation you may be entitled to.
At The Khouri Law Firm, we assist injured workers throughout Missouri who are facing challenges after a denied workers’ comp claim. Here's what you should know if you’ve received a denial letter.
Common Reasons for Workers’ Comp Denial
Claims can be denied for many reasons, including:
- Missing deadlines: Missouri has strict time limits for reporting injuries and filing claims. Failure to report within 30 days of the injury can result in denial.
- Disputes over whether the injury is work-related: Your employer or their insurance carrier may argue that your injury didn’t happen on the job.
- Pre-existing conditions: Insurers may claim your injury is part of a pre-existing condition and not eligible for benefits.
- Lack of medical evidence: Without proper documentation from a physician, a claim can be denied.
Steps to Take After a Denial
If your claim is denied, don’t panic — you can appeal. Here’s how the process works in Missouri:
- Review the denial letter: This letter should explain why your claim was denied.
- Gather supporting documentation: Collect medical records, witness statements, and any additional evidence that supports your claim.
- File a claim with the Missouri Division of Workers’ Compensation: This initiates the formal dispute process.
- Request a hearing: If the issue isn’t resolved informally, a judge will review the case at a hearing.
- Consider legal representation: An attorney can help present a strong case on your behalf and protect your rights throughout the appeal process.
How The Khouri Law Firm Can Help
Dealing with a denied workers’ compensation claim can be overwhelming, especially while trying to recover from an injury. At The Khouri Law Firm, we help Missouri workers understand their rights and pursue the benefits they may be owed. We handle the paperwork, communicate with the insurance company, and represent clients during hearings to seek a favorable resolution.
Don’t Give Up on Your Claim
A denial is not the final word. Many workers successfully appeal and receive benefits after initially being denied. If your claim has been denied, contact The Khouri Law Firm to discuss your next steps. You may still have a strong case — and we’re here to help you pursue it.
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Work accidents can happen at any time, in any industry, and often result in significant physical, emotional, and financial strain on employees and their families. At Khouri Law Firm in Missouri, we understand the complexities surrounding workplace injuries and are committed to helping workers navigate their legal rights to obtain the compensation they deserve. Common Causes of Work Accidents Workplace accidents can arise from various conditions, but some common causes include: Slips, Trips, and Falls: These are among the most frequent workplace injuries, particularly in environments such as construction sites or retail spaces, where surfaces can be slippery or uneven. Overexertion: Lifting heavy objects or performing repetitive motions can lead to musculoskeletal injuries, which are prevalent in industries such as manufacturing and healthcare. Machinery Accidents: Employees operating heavy machinery or equipment are at risk of serious injury if safety protocols aren’t followed. Exposure to Harmful Substances: Chemical burns, respiratory problems, and other injuries can occur in workplaces where toxic materials are handled. Transportation Accidents: Drivers or workers operating vehicles for their job, like delivery or commercial truck drivers, face risks of crashes or collisions. Missouri Workers’ Compensation Laws Missouri law requires most employers to carry workers’ compensation insurance. This system provides benefits to employees injured on the job, regardless of fault. Key benefits include: Medical Expenses: Coverage for medical treatment and rehabilitation services. Lost Wages: Compensation for wages lost during recovery, either partial or total, depending on the injury's severity. Permanent Disability: Benefits for those who suffer a long-term or permanent disability due to a work accident. Death Benefits: Financial compensation for the family of a worker who tragically loses their life in a workplace accident. What Should You Do After a Work Accident? If you’ve been injured at work, it’s important to take the following steps to protect your rights: Report the Injury: Notify your employer immediately about the accident and the injury. In Missouri, you typically have 30 days to report a work-related injury. Seek Medical Attention: Get medical care right away. Your employer or workers’ compensation insurer may require you to visit specific doctors for treatment. File a Workers’ Compensation Claim: After your injury is reported, your employer should assist with filing a claim to ensure you receive benefits. Document Everything: Keep records of your injury, medical treatments, communication with your employer, and any other relevant information. When Should You Contact an Attorney? Although Missouri’s workers’ compensation system is designed to help injured workers, disputes and complications can arise. You may need to consult with an experienced attorney at Khouri Law Firm if: Your claim is denied or delayed. You are offered inadequate benefits. Your employer retaliates against you for filing a claim. You suffer a permanent disability and need assistance with securing long-term benefits. At Khouri Law Firm, we specialize in handling work accident cases and are dedicated to ensuring our clients are fairly compensated for their injuries. We will work diligently to guide you through the workers’ compensation process and fight for your rights, whether it involves negotiating a settlement or pursuing litigation. Workplace accidents can cause devastating effects on your health, finances, and overall well-being. Missouri workers’ compensation laws are in place to protect you, but having the right legal support can make a significant difference in securing the compensation you deserve. If you or a loved one has been injured in a work-related accident, Khouri Law Firm is here to help. Contact us today for a consultation and let us help you get back on your feet.