My Employer Has Denied My Claim, What Do I Do?

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My Employer Has Denied My Claim, What Do I Do?

If you, your employer, or your employer`s workers` compensation insurance company may have a dispute or disagreement about your claim. You should try to resolve the dispute among yourselves, if possible. Many times, disputes can be cleared up quickly and easily by communication. Commission staff can help you try to resolve a dispute informally. If the dispute cannot be resolved informally, you may be required to attend one or more dispute resolution proceedings.

An administrative dispute resolution process attempts to resolve claim disputes informally whenever possible. If disputes cannot be resolved informally, disputes are resolved in an internal administrative process that includes hearings and reviews by a threejudge appeals panel. Disputes may be resolved in court only after attempts to resolve the dispute through the Commission`s administrative process have failed. The Texas Workers` Compensation Act also created an Ombudsman Program, which provides free assistance to injured workers and other system participants who have not hired attorneys to represent them.

An injured worker has the right to receive information and assistance regarding the worker`s claim. Commission staff will explain the worker`s rights and responsibilities under the Texas Workers` Compensation Act. Additionally, an injured worker has the right to be assisted by a Commission ombudsman in informal dispute resolution and in administrative proceedings if the worker is not represented.

If you require further assistance, you can contact the Texas Workers` Compensation Commission at the following address or phone number.

Texas Workers` Compensation Commission
Southfield Building, MS3
4000 S. IH35
Austin, TX 787047491
Phone: 5128044435

Customer Relations & Customer Services
To request general information or assistance with a claim.
5128044100 or
5128044636

Other Texas Workers' Compensation FAQs

Q: How Long After An Injury Do I Have To Report It To My Employer?
A: An injured worker must tell his or her employer within 30 days of the date of the injury, or within 30 days of the date the worker first knew the illness might be … More
Q: How Do I Know If My Employer Is Covered By Workers' Compensation?
A: Texas is the only state that still allows private employers to choose whether or not to maintain workers` compensation insurance. Employers who choose not to maintain … More
Q: What Workers' Compensation Benefits Am I Entitled To?
A: You may be entitled to receive all reasonable and necessary medical treatment, benefits for lost wages, benefits for specific injuries resulting in permanent … More
Q: If I Am Injured On The Job Can I Choose The Doctor Who Treats Me?
A: An injured worker has the right to the initial choice of doctor. You may not change doctors except with the approval of the Commission. An injured worker does not need … More
Q: When Will My Benefits Begin And How Much Will They Be?
A: An injured worker becomes eligible for temporary income benefits on the eighth day of disability. Benefits are not paid for the first week of lost wages unless … More
Q: If I Am Unable To Return To The Type Of Work I Did Before I Was Injured, What Happens?
A: If you are able to do some type of work that is within your medical limitations, you may be eligible for wage loss benefits. Temporary income benefits will equal 70 … More