Timeline for a Workers’ Compensation Claim To Be Completed

If you have been injured on the job, a workers’ compensation claim is important to ensuring that your medical expenses are covered, and that your family remains financially stable. Of course, this process takes time, which can add to your already stressful situation. To help, here is a breakdown of the timeline for most workers’ compensation claims.

Timeline a Workers’ Compensation Claim Takes to Complete

  • Immediately: Immediately after an injury, you should do the following:
    • Seek medical attention (keep all records)
    • Notify your employer
    • Complete a form C-3
  • Within 14 Days: Within 14 days of reporting your accident, the following should have occurred:
    • Your doctor completed a C-4 form (sent to employer and insurance companies)
    • Insurance company sends notification of rights
    • Insurance adjuster or other applicable party investigates the claim
    • Notice of acceptance or denial sent
  • Within 30 Days: Within 30 days of filing a workers’ compensation claim, you should have received an acceptance or denial notification. The following may also apply:
    • Insurance company requests an extension for investigation
    • Some states allow 30 days for decisions, rather than 14.
  • 30 to 60 Days: If your claim was denied or disputed, you have a certain period of time to take further action. This includes:
    • For denials, you have 30 days to file an appeal requesting a hearing
    • A hearing date must be set within 30 days of the request
    • The hearing officer generally has 15 days to make a decision.

Remember that there are some factors that can impact the timeline of your claim, such as state laws, your employer, your injury and its severity, and more. For more detailed and individualized information, contact a workers’ compensation attorney to discuss your case.