Can I appeal a workers’ compensation award in Tennessee?

workers' compensation claim form

If your Tennessee workers’ compensation claim was denied or you believe you are entitled to more funds than awarded, you may have the right to appeal the decision. Injured workers are eligible to file an appeal through the Tennessee Bureau of Workers’ Compensation and, in certain circumstances, the Workers’ Compensation Appeals Board or Tennessee Supreme Court. If this reflects your circumstances, understanding how to navigate the appeals process and familiarizing yourself with the evidentiary requirements is critical to protecting your right to compensation following a workplace injury. Keep reading to learn whether you can appeal a workers’ compensation award in Tennessee and how a seasoned Memphis Work Injury Lawyer can help you file a formal appeal.

What Is a Workers’ Compensation Appeal in Tennessee?

The possibility of serious injuries and illnesses still exists, regardless of whether you work a menial job that is not directly dangerous. Unfortunately, serious workplace accidents can result in catastrophic injuries that negatively affect a worker’s everyday life and functionality. If you suffer an accident while on the job, your injuries or illnesses may prevent you from working and earning a living.

When this is the case, you are entitled to workers’ compensation. In Tennessee, most employers are required to carry this special type of insurance coverage for their employees, as it provides cash benefits for medical care, wage replacement, and permanent disability in the case of a job-related injury.

Oftentimes, employees wonder whether they can appeal a workers’ compensation award because sometimes a claim is denied or a worker does not agree with the determination of their benefit amount.

A workers’ compensation appeal allows injured employees to challenge:

  • A denied workers’ compensation claim
  • Reduced wage replacement awards
  • Denied medical care
  • Permanent disability determinations
  • Employer disputes regarding whether or not the injury was work-related

Workers in Memphis and across Tennessee often appeal workers’ compensation decisions when they believe the claim was undervalued or wrongfully denied. These claims often arise following injuries sustained in Memphis warehouses, retail stores, construction sites, and manufacturing jobs throughout Shelby County.

How Do I Appeal a Workers’ Compensation Award in Tennessee?

In Tennessee, if you believe that you were wrongly denied workers’ compensation benefits or have not received sufficient funds, you are entitled to file a formal appeal to the Workers’ Compensation Appeals Board.

However, to appeal a compensation order, a Notice of Appeal must be filed within 30 days of the date the award order was issued.

If you are appealing a workers’ compensation award because you believe you do not agree with the determination of your benefits, you must file a Petition for Benefits Determination with the Tennessee Bureau of Workers’ Compensation. You are required to file a formal appeal within 1 year of your injury.

After appealing, if you are not satisfied with the court’s determination, you can file another appeal for a rehearing with the Workers’ Compensation Board. However, it must be made within 30 days of the board’s final ruling.

It is pertinent to note that you also have the option of bringing your case directly to the Tennessee Supreme Court. Nevertheless, if the board’s decision is unfavorable, you can appeal their final ruling.

Before a formal hearing occurs, injured workers can also participate in mediation through the Tennessee Bureau of Workers’ Comp, in which a neutral third party can help facilitate conversation between the employee and employer in the hopes of reaching a benefits agreement. If mediation is unsuccessful, the case may proceed to a formal hearing in front of a workers’ compensation judge.

Tennessee Workers’ Compensation Appeal Deadlines

  • Notice of Appeal: Typically must be filed within 30 days of the decision
  • Appeal to the Workers’ Compensation Appeals Board: Typically must be filed within 30 days of the judge’s ruling
  • The Tennessee Supreme Court may review matters under certain circumstances

Common Reasons Workers Appeal Compensation Decisions

  • Their workers’ compensation claim is denied
  • They are offered an insufficient settlement
  • Medical care is denied
  • The employer claims the injury is not work-related
  • Benefits are prematurely terminated
  • Disputes arise over disability ratings

What Happens After a Workers’ Compensation Claim Is Denied in Memphis?

In the event your employer’s workers’ comp insurance denied your injury claim, it’s critical to understand that you still have legal options. Unfortunately, many injured workers incorrectly assume a decision is final, though Tennessee law allows workers to challenge unfavorable decisions.

In certain circumstances, an attorney may be able to directly negotiate with the workers’ compensation insurance and resolve the issue without the need for a formal hearing. However, if this is unsuccessful, the next step is to file a Petition for Benefits Determination with the Tennessee Bureau of Workers’ Compensation.

What To Anticipate From the Appeals Process

  • Formal review of medical records and workplace incident reports
  • Communications with insurance adjusters
  • Potential mediation proceedings
  • Possible workers’ compensation hearing
  • Medical expert testimony
  • Official ruling from a judge regarding eligibility for benefits

Evidence That Can Strengthen Your Appeal

  • Medical records
  • Workplace incident reports
  • Wage documentation, including past tax returns and paystubs
  • Witness testimony
  • Photos and videos of the hazardous conditions

What Should I Do If I Suffer A Work-Related Injury?

In many cases, an individual is denied this type of compensation because they do not have enough evidence to prove their injuries were job-related and prevented them from working.

Steps to Take After Sustaining an Injury at Work

  • Notify your supervisor of your job-related injury
  • Seek immediate medical attention
  • Keep track of all pertinent medical records and bills
  • If possible, collect evidence at the scene of the accident that caused your injuries. This may include capturing pictures of any hazardous conditions
  • Gather contact information from any co-workers or witnesses who observed the incident that caused your injuries
  • Retain the legal services of a qualified Memphis work injury lawyer who can help you file a Notice of Appeal within the right time frame to ensure you have an opportunity to challenge the board’s determination regarding your compensation

It’s important to understand that taking these steps after a work-related injury can significantly strengthen your case and ensure that your health and well-being are prioritized.

Contact an Experienced Shelby County Workers’ Compensation Attorney Today

In the unfortunate event that you or a loved one has suffered a job-related injury, it is critical to acquire the right legal representation to ensure you take the necessary steps to appeal a workers’ compensation award. At Ballin, Ballin & Fishman, P.C., our firm is committed to helping our clients seek reasonable compensation for their losses. Contact us today to learn more.

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