Filing a workers' compensation claim may seem straightforward, but mistakes in the early stages can seriously damage your case. Insurance companies and employers look for any reason to deny or minimize claims. Following the correct steps protects your rights from day one.
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Report Your Injury Immediately
Report your injury to your employer as soon as possible — ideally the same day. Most states require written notice within 30 to 90 days. Waiting too long is one of the most common reasons claims are denied. Verbal reports are acceptable in emergencies, but always follow up in writing and keep a copy for your records.
- 2
Seek Medical Treatment
Get medical care right away. In most states, your employer or insurer has the right to direct you to a specific doctor or medical network, at least initially. Follow their instructions unless it's an emergency — going to an unapproved provider first can complicate your claim. Make sure the doctor knows the injury is work-related and documents it as such.
- 3
Your Employer Files the First Report of Injury
Most states require employers to file a First Report of Injury (FROI) with their insurance carrier within 5 to 10 days of a reportable incident. Ask your employer for a copy. Review it carefully — errors in the FROI can create problems later.
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The Insurer Accepts or Denies Your Claim
The insurance company typically has 14 to 30 days to accept or deny your claim. If accepted, you'll begin receiving TTD benefits within days. If denied, you have the right to appeal — a process that almost always benefits from attorney representation.
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Document Everything
Keep records of every medical visit, every bill, every day missed from work, and every communication with your employer and insurer. Photograph your injuries. Save all written communications. This documentation becomes critical if your claim is disputed or if you need to negotiate a settlement. See our common mistakes guide for more on this.
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Know Your Rights
You have the right to choose your own physician in many states (after an initial period). You have the right to appeal a denial. You have the right to consult a workers' compensation attorney — and most consultations are free. You cannot be fired solely for filing a workers' comp claim in any US state.
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