How to Appeal a Denied Workers’ Compensation Claim in Georgia

Fight Back Against a Denied Claim & Get the Benefits You Deserve

If your Georgia workers’ compensation claim has been denied, don’t give up—many denials can be successfully appealed. Employers and insurance companies often reject legitimate claims to avoid paying out benefits, but that doesn’t mean you aren’t entitled to compensation.

At Garner Law Office, P.C., we help injured workers in Carrollton, Dallas, Hiram, and across Georgia fight back against unfair claim denials. Whether your claim was wrongfully denied or you need assistance navigating the appeals process, we are here to ensure you receive the medical care and wage benefits you deserve.

Steps to Appeal a Workers’ Comp Denial in Georgia

How to Fight for Your Benefits

Request a Hearing with the Georgia State Board of Workers’ Compensation

If your claim is denied, you have the right to file an appeal with the Georgia State Board of Workers’ Compensation (SBWC). This is done by submitting a Form WC-14, which requests a hearing before an administrative law judge.

Gather Additional Evidence

To strengthen your appeal, collect evidence such as:

• Medical records from your treating physician.
• Witness statements from coworkers who saw the accident.
• Accident reports or documentation of unsafe working conditions.
• Surveillance footage, if available.

Attend Your Workers’ Compensation Hearing

A workers’ compensation judge will review your case and decide whether to overturn the denial. This is similar to a courtroom trial, where both you and the insurance company present evidence.

Appeal to the Georgia Appellate Division (If Necessary)

If the judge rules against you, you can file an additional appeal with the Appellate Division of the State Board of Workers’ Compensation within 20 days. This appeal is based on legal arguments and written briefs.

Take Your Case to the Georgia Superior Court (If Needed)

If the Appellate Division denies your appeal, you may have the option to take your case to the Georgia Superior Court for further review.

Why Was Your Claim Rejected?

Workers’ comp insurance companies often deny claims for technical reasons or to minimize payouts. Some of the most common reasons include:

• Failure to Report the Injury on Time – You must report your injury within 30 days to qualify for benefits.
• Employer Disputes the Claim – Your employer may argue that your injury didn’t happen at work.
• Lack of Medical Evidence – If you didn’t seek immediate medical treatment or see an approved doctor, your claim may be denied.
• Pre-Existing Condition – Insurers may claim your injury existed before the workplace accident.
• Missed Filing Deadline – Workers’ comp claims must be filed within one year of the injury.
  

Frequently Asked Questions