Navigating the Workers’ Compensation Claims Process in Missouri

The workers’ compensation claims process in Missouri includes several steps, and injured workers often face challenges along the way.

work injury claim form being filled out

You may be entitled to workers’ compensation benefits if you’ve suffered a workplace injury in Missouri. However, navigating the claims process can be complex and overwhelming, especially when dealing with an injury’s aftermath. In this article, we’ll provide an overview of Missouri’s workers’ compensation claims process, including the steps involved, the role of the employer and insurance company, and potential roadblocks that claimants may encounter. We’ll also offer tips for claimants to increase their chances of a successful claim.

Step 1: Report the Injury

The first step in the claims process is to report the injury to your employer. It’s essential to report the injury as soon as possible to ensure your claim is processed promptly. In Missouri, you have 30 days from the date of the injury to report it to your employer. Failure to report the injury within this timeframe may result in a denial of your claim.

Step 2: Seek Medical Treatment

After reporting the injury, you should seek medical treatment as soon as possible. In Missouri, your employer is responsible for providing medical treatment for work-related injuries. You may be required to see a specific doctor or a list of approved doctors provided by your employer’s insurance company. Following your doctor’s orders and attending all scheduled appointments to document your injury and treatment is important.

Step 3: File a Claim

Your employer should provide you with a workers’ compensation claim form to fill out and submit to their insurance company. This form should include information about the injury, the date of the injury, and the medical treatment received. The insurance company will then investigate the claim and may request additional information, such as medical records and witness statements.

Step 4: Receive a Decision

After reviewing the claim, the insurance company will either approve or deny the claim. If the claim is approved, you’ll receive workers’ compensation benefits, including medical treatment, wage replacement, and vocational rehabilitation. If the claim is denied, you can appeal the decision.

Step 5: Appeal a Denied Claim

If your claim is denied, you have the right to appeal the decision and request a hearing before an administrative law judge. At the hearing, you’ll have the opportunity to present evidence and argue your case. A workers’ compensation attorney can help you prepare for the hearing and represent your interests.

Potential Roadblocks

There are several roadblocks that claimants may encounter during the workers’ compensation claims process. These may include:

Denial of the claim: If the insurance company denies your claim, you’ll need to appeal the decision to receive benefits.

Reduced benefits: The insurance company may offer a settlement that’s less than what you’re entitled to. It’s important to consult with a workers’ compensation attorney before accepting any settlement offers.

Retaliation: Some employers may retaliate against employees who file workers’ compensation claims. If you experience retaliation, you may have legal recourse.

Tips for Success in the Workers’ Compensation Claims Process

To increase your chances of a successful workers’ compensation claim, follow these tips:

  • Report the injury to your employer as soon as possible.
  • Seek medical treatment promptly and follow your doctor’s orders.
  • Keep detailed records of all medical treatment and expenses.
  • File the claim form accurately and include all necessary information.
  • Consult with a workers’ compensation attorney to protect your legal rights

Navigating the workers’ compensation claims process can be overwhelming, but with the right information and guidance, you can increase your chances of a successful claim. If you’ve been injured on the job in Missouri, it’s essential to know your rights and the steps involved in the claims process. By taking proactive steps and seeking legal representation when necessary, you can ensure that you receive the benefits you’re entitled to and can focus on your recovery.

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Updated: April 24, 2023

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