
There are a variety of reasons an insurance company might deny an Illinois workers’ compensation case. Some are legit and some are nonsense. They include:
- You told the doctor you were hurt at home
- You failed a drug test
- A witness tells a different story than you
- There was a significant delay in you getting medical care
- They claim to be conducting an investigation
- No reason, they just hope you will be frustrated and go away
- Alleging your problems are pre-existing or from some other reason
A recent caller who works for a big box retailer experienced a new reason for denying a case and when I say it is total nonsense, it is so bogus that it makes me want to scream. This worker hurt their back while lifting a heavy box. They reported it to their supervisor right away and went to the company clinic. At the company clinic, they gave a clear and consistent history about how they were hurt. This worker was performing their normal job duties, but in this instance they were by themselves so there was no witness.
The insurance company talked to them, saw the medical records and then sent a letter telling the worker that the claim was denied “for lack of information.”
How To Prove An Injury Is Work Related In Illinois
Illinois workers’ compensation claims are not lawsuits. You do not have to prove fault/negligence. You just have to show that your injuries arose out of your work duties (meaning reasonable job activities) and in the course of your employment (while doing work for your employer).
How you prove this varies from case to case. But in general 98% of cases can get proven by one person. And that person is you!
Your statement as to how you got hurt at work is all the information an insurance company needs to process your claim. If you are the only witness, that is all that they need. If your statement is that you felt a strain in your back while lifting a box and that is what you told the doctor, there is no basis for any delay or in this case, denial of your Illinois work comp benefits.
Other things that can help prove your case include:
- Witnesses
- Video
- Statements of support from your employer
But none of these things are needed for someone who has an accident. If it’s a repetitive trauma claim, you will probably need a supporting statement from a doctor, but even then, if you have been doing the same repetitive activity for years, your statements alone can be enough to get a case started.
Illinois work comp insurance companies make billions. And one way they do it is with ridiculous case denials like this one. It should not happen, but regrettably does. The good news is that it is easy for an experienced Illinois work comp attorney to push back on.
By formally filing a case with an attorney, that will put pressure on the insurance company to either pay benefits or show a legal reason for denying you. And if they don’t, they can get hit with massive penalties and fees by an Arbitrator at the Illinois Workers’ Compensation Commission.
We cover all of Illinois via our state wide network and would love to help you. Please contact us any time for a free case review with a lawyer. We promise to give you the same guidance we would to a family member or friend.







