Injured workers facing substantial medical expenses need prompt approval for workers' compensation benefits. Unfortunately, valid claims get disputed, leaving employees with either no compensation or an amount that doesn't adequately cover the full extent of their losses.
Ultimately, employers and insurers deny or reduce claims whenever possible. Employers want to keep their insurance premium costs down, which insurers base on the number of injured employees who receive benefits. For insurance companies, it's all about saving money by looking for reasons to undermine claims and pay less in compensation.
Claims can get flagged for many reasons, mainly because workers do not provide enough substantiating evidence.