What Happens if my Worker’s Compensation Claim is Denied?

If your workers’ compensation claim was denied, you may be worried about how you’ll pay your medical bills and support your family while you get better. But a denial isn’t the end of the process. At Sigman Janssen Injury & Disability Lawyers, our Green Bay workers compensation lawyers can investigate the reasons you were denied benefits, and help you take the steps necessary to get your claim approved.

Sigman Janssen has been helping people in Wisconsin for more than 85 years, and we want to put our experience to work for you. Contact our legal staff today to find out how we can help you get your workers’ compensation claim approved—just dial (877) 888-5201 or complete a free initial consultation form today.

Appealing Your Workers’ Compensation Claim Denial

If your workers’ compensation claim was denied or partially denied, there are four steps you can take to help get your benefits:

  • Informal Alternative Dispute Resolution (ADR)
    If your workers’ compensation lawyer believes your claim can be settled through ADR, your claim will be referred to a specialist in the Division of Workers’ Compensation ADR Unit. If he or she believes your claim can be resolved without a formal hearing, your attorney and the insurance company will attempt to resolve the issues that caused your initial claim to be denied.
  • Formal Hearing
    If your claim cannot be resolved through the informal ADR process, you may request a formal legal hearing with an Administrative Law Judge (ALJ). The ALJ will review evidence submitted by you and your work comp insurer and issue a decision based on his or her findings. The ALJ’s decision is a formal order that must be adhered to by all parties participating in the hearing.
  • Appeal to the Labor and Industry Review Commission (LIRC)
    If you believe the decision issued by the ALJ presiding over your formal hearing was incorrect, you can appeal your claim to the LIRC. The LIRC will review your case and issue a decision based on your findings.
  • Circuit Court Appeal
    If you disagree with the decision handed down by the LIRC, you can file an appeal with the circuit court.

Don’t Risk Your Benefits

You don’t have to go it alone if you’ve been denied the workers’ compensation benefits you need. At Sigman Janssen Injury & Disability Lawyers, we know Wisconsin law, and we won’t stop fighting until you get the best possible results for your claim. Contact our legal staff today to get the experienced representation you deserve.

Reviewed By

James Pitz

Attorney · Sigman Janssen Injury & Disability Lawyers
Licensed Wisconsin Attorney

James Pitz has spent more than three decades practicing civil litigation and personal injury law in Wisconsin, building a career defined by results rather than routine. Since earning admission to the Wisconsin bar in 1993, he has represented over 1,500 clients facing injury, disability, and wrongful death claims, developing a reputation for tenacity against seasoned opposing counsel. He holds a Juris Doctorate from the University of Wisconsin Law School and carries admission to both the Eastern and Western District federal courts in Wisconsin, extending his practice beyond state court. James maintains active standing across the state's leading legal associations, reflecting a career built on sustained engagement with the profession rather than a single credential.

  • J.D., University of Wisconsin Law School
  • Licensed to practice law in Wisconsin since 1993
  • Admitted to the U.S. District Court for the Eastern District of Wisconsin
  • Admitted to the U.S. District Court for the Western District of Wisconsin
  • Member, State Bar of Wisconsin
  • Member, Outagamie County Bar Association
  • Member, American Bar Association
  • Member, Wisconsin Association for Justice