Question By: Several common reasons may lead to the dispute of a workers' compensation claim:
Pre-existing conditions:
Insurance companies may dispute claims if they believe the injury or illness is related to a pre-existing condition rather than a work-related incident.
Failure to report promptly:
Delayed reporting of an injury or illness may raise suspicion about its legitimacy, leading to a dispute.
Discrepancies in medical records:
Inconsistencies between the employee's description of the injury and the medical documentation can raise doubts about the claim's validity.
Employer disputes:
Employers may dispute claims if they believe the injury did not occur at work or if they suspect fraud.
Independent medical examinations (IMEs):
Insurance companies may require claimants to undergo IMEs conducted by doctors of their choosing. If the IME contradicts the employee's medical reports, it could lead to a dispute.
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