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

When liability for payment of compensation is denied, the Commission, claimant, his or her attorney, if any, and all known providers of health care shall be promptly notified of the reason for such denial. The denial Form 61 shall not be worded in general terms, but must detail the exact reason for the denial of liability.

If a claim is denied by the insurance company or selfinsurer, the employee may request a hearing before the Industrial Commission by submitting Form 33 Request for Hearing.

The N.C. Industrial Commission has created an Ombudsman Section to assist claimants who are not represented by an attorney*, employers, and other parties in protecting their rights. In addition, the Ombudman Section serves as the information source for the Industrial Commission, and answers questions pertaining to all aspects of workers` compensation.

If you need help with a claim, have a workers` compensation question, or want to know your rights as an employee, please direct your questions to the Ombudsman Section of the N.C. Industrial Commission. They can be contacted at the numbers listed below.

Ombudsman Section of the N.C. Industrial Commission
(800) 6888349 or call (919) 7330345

Other North Carolina Workers' Compensation FAQs

Q: How Long After An Injury Do I Have To Report It To My Employer?
A: An employee must report the injury to the employer, in writing, immediately and in any event within 30 days. Any delay may result in your benefits being prohibited.
Q: How Do I Know If My Employer Is Covered By Workers' Compensation?
A: In North Carolina, any employer who employs three or more employees must carry workers` compensation insurance. Every executive officer selected or appointed and … 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: The employer or its insurance company provides and directs medical treatment. The Commission may permit the employee to change physicians or approve a physician of … More
Q: When Will My Benefits Begin And How Much Will They Be?
A: No compensation is due for the first seven (7) days of lost time unless the disability exceeds 21 days. Therefore, the first check will not include payment for days … More
Q: If I Am Unable To Return To The Type Of Work I Did Before I Was Injured, What Happens?
A: If your employer has employment available to you within your medical restrictions and you decline, your employer may request a modification or termination of your … More

Workers' Compensation Sub-categories

Denial of Benefits and Appeals
Employer Responsibilities
Work Injury
Worker Compensation Board
Worker Compensation Insurance

Worker's Compensation Law
Workers Comp Claim
Workers Compensation Benefits
Workers Compensation Fraud