Getting a denial letter after filing a workers’ compensation claim can feel discouraging. But a denial doesn’t mean your case is over. You have several options to challenge the decision and protect your right to benefits. Understanding each step helps you take control of your situation.
Find out why your claim was denied
Start by reading the denial letter carefully. Wisconsin employers and insurance companies must explain why they denied your claim. Common reasons include missing deadlines, incomplete medical records, or disputes over whether your injury was work-related. Once you know the reason, you can gather the right evidence to respond.
Gather supporting medical and employment records
Strong evidence makes the difference in most denied claims. Collect copies of your medical reports, doctor’s notes, and any diagnostic test results. These records help show that your injury happened at work and required treatment. Also, ask coworkers who witnessed your injury to provide written statements if possible. Your employment records, like timecards or incident reports, can also strengthen your case.
Request a hearing
If your employer or its insurer still refuses to pay, you can request a hearing through the Office of Workers’ Compensation Hearings. An administrative law judge reviews the evidence from both sides and decides if you qualify for benefits. This hearing gives you the chance to tell your side of the story and present your medical documentation.
Prepare thoroughly for your hearing
Organization matters. Keep copies of all forms, correspondence, and medical records in one place. Review the main points you want to make about your injury and how it affects your ability to work. The judge may ask questions about when the injury happened, what treatment you’ve received, and how the denial has impacted your income. Clear, detailed answers help support your case.
Keep track of deadlines and next steps
Workers’ compensation claims have strict timelines. Missing a filing deadline can delay or end your claim. The DWD usually provides notice of hearing dates and any additional paperwork you need to submit. Stay alert for mail or email updates so you can respond quickly and keep your case moving forward.
A denied claim may feel like a setback, but it can also be a turning point. When you understand the process and stay proactive, you increase your chances of receiving the benefits you deserve. Taking each step with care shows that you’re committed to getting fair treatment for your workplace injury.