Appealing a Denied Workers’ Compensation Claim in Illinois

Workers’ compensation is designed to protect employees who are injured on the job. These benefits are meant to ensure that injured workers do not face financial hardship due to medical expenses or lost income. Unfortunately, some valid claims are wrongfully denied by employers or their insurance providers—leaving injured workers overwhelmed and unsure of what to do next.
 

At Rathbun, Cservenyak & Kozol LLC, we know how frustrating and frightening it can be to receive a denial when you’re already dealing with the pain of an injury. The good news is that a denial is not the end of your case. You have the right to appeal the decision, and with experienced legal guidance, many denied claims can still result in successful outcomes.
 

Why Was My Workers’ Compensation Claim Denied?

There are several common reasons a claim may be denied—many of them based on inaccurate or unfair conclusions drawn by your employer or their insurer. These include:
 

The Injury Was Not “Work-Related”
Your employer may claim the injury occurred outside of work or while you were off duty. However, workers’ compensation covers injuries that happen while performing any job-related duties—even if they occur off-site or outside your regular workplace.
 

A Preexisting Condition Is Being Blamed
Insurers often try to deny claims by stating that your injury was due to a preexisting condition. While you may have had a prior issue, if your job aggravated or worsened that condition, you are still likely eligible for benefits under Illinois law.
 

You Were Allegedly at Fault
Even if your own actions contributed to the accident, that typically does not disqualify you from workers’ comp. These benefits are not based on fault. The only major exception involves injuries sustained while under the influence of drugs or alcohol. If this is alleged, our team can help investigate and present evidence to the contrary.
 

A Delay in Reporting the Injury
You have up to 45 days under Illinois law to report your injury. Some employers may still try to deny your claim based on the timing, even if it was reported well within the legal window. We can help demonstrate that your notice was timely and properly submitted.
 

What Happens After a Denied Workers’ Comp Claim?

If your claim has been denied, the next step is to file an appeal. In Illinois, workers’ compensation appeals are heard by an arbitrator, not a traditional judge. This arbitrator will review all available evidence and decide whether you are entitled to benefits.
 

At Rathbun, Cservenyak & Kozol LLC, we prepare each case thoroughly, gathering medical records, witness statements, and expert opinions as needed to support your appeal. If the initial arbitration does not lead to a favorable result, we are fully prepared to pursue additional levels of appeal on your behalf.
 

How Our Firm Can Help

We represent injured workers throughout Illinois who have had their workers’ compensation claims unfairly denied. Our attorneys are:

• Experienced in the full appeals process

• Skilled at identifying and challenging weak or invalid grounds for denial

• Dedicated to recovering all the compensation you are entitled to—whether through arbitration or further appeal
   

You don’t have to face your employer or their insurance company alone. We are committed to helping you get the benefits you need to support your recovery and protect your financial future.
 

Contact Us for Help With a Denied Workers’ Compensation Claim

A claim denial is not the final word. With the right legal representation, many denied workers’ compensation claims can still result in full benefits.

If you’ve been injured at work and your claim was denied, contact Rathbun, Cservenyak & Kozol LLC today to schedule a free consultation.

We will listen to your story, review your claim, and stand by your side throughout the appeal process.