To file a workers’ compensation claim in Colorado, you must seek medical care, report your injury to your employer in writing within ten working days, document your injuries, and file a WC15 form with Colorado’s Division of Workers’ Compensation (DOWC).
Workers’ compensation provides medical benefits and wage replacement if you’re injured or become ill at your workplace, but understanding the process can be daunting.
While many claims are processed without issue, challenges can arise—especially when benefits are denied, delayed, or minimized. Knowing your rights and the process ahead can make all the difference, and a Colorado Springs workers’ compensation lawyer can ensure the process goes as smoothly as possible.
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Tell us about your caseWhat Is Workers’ Compensation?
Workers’ compensation insurance provides benefits to employees who are injured or become ill because of their job and miss three or more work shifts as a result. In Colorado, most employers with one or more employees are required to carry workers’ compensation insurance.
Key workers’ compensation benefits include:
- Coverage of medical bills for work-related injuries or illnesses
- Partial wage replacement if you cannot work during recovery
- Permanent impairment benefits if your injury results in lasting limitations
- Vocational rehabilitation if you can’t return to your previous job
- Death benefits to dependents in the event of a fatal workplace injury
Types of Covered Injuries
Most types of work-related injuries are covered, regardless of who is at fault. Examples include:
- Sudden injuries (e.g., a slip and fall or machinery accident)
- Repetitive strain injuries (e.g., carpal tunnel syndrome or tendonitis)
- Occupational illnesses (e.g., respiratory conditions caused by chemical exposure)
Because this is a no-fault system, you generally don’t need to prove your employer (or anyone else) was negligent to receive benefits. However, the claims process can still be challenging.
A Step-by-Step Guide to Filing a Workers’ Compensation Claim in Colorado
Whether you suffered a sudden accident or developed a repetitive strain injury over time, the steps you take immediately afterward can significantly affect your claim. In Colorado, strict timelines, specific reporting requirements, and potential disputes can delay or reduce your benefits if you do not handle the process correctly.
Here’s how the process generally works:
Step 1: Get Medical Attention
- Designated providers: Your employer has the right to direct you to a designated medical provider.
- Emergency situations: You can seek immediate care anywhere but must make any follow-up appointments with an approved provider.
- Documentation: Always keep copies of your medical records and any treatments you receive.
Step 2: Report the Injury to Your Employer
- When: According to the Colorado Department of Labor and Employment, you must report your injury to your employer within ten working days.
- How: You must file an official report in writing. This is beneficial because it allows you to prove you gave notice on time in the event of a dispute.
- Why it matters: Failure to notify your employer promptly may result in reduced or denied benefits.
Step 3: The Insurance Company Files a First Report of Injury (Form WC1)
Your employer’s workers’ comp insurance company must submit a First Report of Injury (FROI) or WC1 form to the DOWC within 10 days of your report to your employer.
Step 4: Filing Your Claim (Form WC15)
You (the injured employee) must then file a WC15 form with the DOWC. The deadline for doing so is typically two years from the date of injury.
Step 5: Receive Approval or Denial
The insurer generally must notify you whether they accept or deny the claim within 20 days of receiving the report of the injury. There are two likely outcomes:
- General Admission of Liability: Your claim is approved, and you will begin receiving benefits.
- Notice of Contest: Your claim is denied, but you have the right to appeal.
Following these steps correctly is crucial. Even small mistakes, like missing deadlines or using an unapproved medical provider, can delay or jeopardize your claim.
How Can a Lawyer Help During the Workers’ Comp Claims Process?
While Colorado’s workers’ compensation system is designed to be as accessible as possible, many injured workers encounter confusing rules, unexpected delays, or unfairly denied claims. A workers’ compensation attorney can help ensure your rights are protected and that the process moves forward smoothly.
Here’s how our legal team at Matlin Injury Law can help:
- Clarifying eligibility and walking you through each step, especially if your injury developed over time or no one witnessed your accident
- Ensuring you meet deadlines and complete all required documents, such as form WC15
- Challenging a claim denial by preparing for hearings, gathering evidence, and representing you before the Office of Administrative Courts.
- Negotiating a settlement to ensure you don’t accept less than you’re entitled to, which is especially important if your injury may lead to long-term impairments.
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Tell us about your caseCommon Challenges and Mistakes to Avoid When Filing Your Workers’ Comp Claim in Colorado
Even with the best intentions, workers can make missteps that jeopardize their workers’ compensation claims. Knowing what to avoid can help protect your benefits. Common mistakes include:
- Failing to report your injury on time: Missing the 10-day reporting window can result in reduced benefits or a denied claim.
- Using an unauthorized medical provider: Unless it’s an emergency, see a doctor approved by your employer or their insurance provider. Going outside the network may lead to denied medical benefits.
- Not following medical advice: Skipping doctor’s appointments or failing to follow restrictions can delay recovery and raise red flags with the insurance company.
- Returning to work too soon: You may feel pressure to return quickly, but doing so before you’re cleared can worsen your condition and complicate your claim.
- Accepting a settlement without understanding it: A settlement can close your case permanently. While getting a lump sum instead of bi-weekly checks can sound appealing, be sure you understand the long-term implications—especially regarding future medical care—before accepting.
Contact a Colorado Workers’ Comp Lawyer Today
Filing a workers’ compensation claim in Colorado requires prompt action, careful documentation, and a clear understanding of your rights. From notifying your employer and seeing the right doctor to responding to claim decisions and navigating potential disputes, every step matters.
Having legal support means not having to handle challenges and appeals on your own. Our Colorado workers’ comp attorneys can help ensure your paperwork is in order, your benefits are calculated fairly, and your voice is heard if you need to challenge a denial.
Let Matlin Injury Law help, so you can focus on healing while someone else advocates for the benefits you deserve. Contact us today for a free consultation.
Call or text (303) 777-1000 or complete a Free Case Evaluation form
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