Dispute Resolution for Workers Comp Claims

If you are a Texas business owner, you must purchase commercial insurance for your company. One common type of commercial insurance is workers’ compensation insurance. If your company is located near Coppell, TX, our team at The Select Insurance Agency can help you understand your obligations regarding workers’ compensation insurance. We’ve been working with companies like yours since 2003.

Dispute Resolution for Workers’ Compensation Claims

When a workers’ compensation claim has been reviewed and denied, the employee has the right to dispute the claim. It may be helpful for you to review the procedure for a claim dispute. According to the Texas Department of Insurance, the employee should first contact an attorney and then contact the insurance agency’s adjuster. If your company’s attorney cannot reach an agreement with the employee, the dispute will proceed to a Benefit Review Conference.

If the Benefit Review Conference does not result in a settlement, the case would move to arbitration. An arbitrator is an impartial individual who hears both sides and proposes a solution. If the employee disagrees with the arbitrator’s decision, they can further dispute the claim. After arbitration, the case would go to an Appeals Panel and then to judicial review.

Call Us Today for Your Appointment

When one of your employees is injured, it’s reassuring to know that you have the right workers’ compensation policy. Our team at The Select Insurance Agency can review your insurance portfolio to ensure you have the right policy to fit your company’s needs. Business owners in Coppell, TX, have learned they can rely on our team for help with their insurance needs. Call us today for an appointment and let us have the privilege of working with your company.