The real reason behind your denial.
The claim you made wasn’t covered by workers compensation in NC- not all injuries are.
Maybe they are saying that it was not an injury by accident: An injury by accident refers to the way the injury happened. Was it because of something that interrupted the normal work routine? Was it unexpected? Falls are one example, because falls are unexpected. Or maybe it was a new job that wasn’t routine.
Was it not reported on time? You have 30 days to report an injury, in writing. But you should do it as soon as possible. You may be able to prove that you didn’t know that it was a problem.
Was it an occupational condition, a disease that was caused by work? If so, you have to show that work not only caused, but also started the condition. You also have to show that your work puts you at an increased risk of getting the condition.
This is something that only a doctor can do. You may know that it came from your work. But you have to have medical opinions to show it, and often the employer or insurance company will deny it even if you do.
Maybe they just don’t believe you. Even when the injury is clear, they may not believe that the injury came from work.
But the real reason they are not paying -- they decided not to.
