Pepsico employees face a number of injury risks while at work. Pepsico is required to have workers’ compensation insurance cover to protect their employees if they suffer an injury while at work. Compensation must be claimed and should cover all medical costs involved in treating the injury as well as a percentage of lost wages. Not all compensation claims are successful and Pepsico’s insurer may decide to reject a claim for a number of possible reasons. They are not able to just reject your claim for no reason or because they think you were at fault. Workers’ comp. is a no-fault type of insurance, but that doesn’t always mean that payments are automatic. If you do discover that your claim has been denied, you may be able to file an appeal. This is not an easy or straightforward procedure. It takes some persistence and through preparation to succeed with an appeal. It helps to have an experienced workers’ comp. attorney helping you with legal advice. Contact Pepsico's Insurance Company After you have submitted a claim for workers’ compensation you should get a decision from Pepsico’s insurer. The decision may just be a Yes / No notification or a reason may be given for a denial. You will need some details from the insurer if the decision is not in your favor. You may find that the insurer has made the decision because of incorrect information that has been given to them. If this is the case, then you may be able to have the decision reassessed. There are other reasons why a claim is denied, for example: you failed to submit enough information to convince the insurance adjuster that your injury was due to a genuine workplace accident; you did not let your employer know about the injury before the deadline expired; your claim was submitted too late; you did not supply enough information about your injury and what it has cost you financially; someone at work provided wrong dates or other information in error. File Your Pepsico Workers’ Comp. Appeal If you cannot convince Pepsico’s insurer that they should allow your claim easily, you may need to file an appeal. You are advised to talk to an attorney before you do this. The state you work in is the authority when it comes to dealing with a workers’ compensation claim appeal. The process is well defined and goes through a series of stages. At any one stage, you may find that your decision to fight a denied claim is vindicated. Alternatively, you may find that the insurer’s decision is upheld. Generally, the first step will involve mediation. A mediator will be appointed to see if you can sort out the differences between you and the insurer before taking the appeal further. The mediation meeting is neutral, allowing evidence from both sides to be represented in a non threatening environment. If the mediation session fails, an administrative hearing will be schedule. At the hearing, which is more formal than mediation, a judge will examine the evidence from both sides and make a decision whether the claim should be honored or the insurer’s rejection is upheld. Further steps in the appeal process are available past this point. A Workers’ Compensation Attorney Can Help File an Appeal It is not wise trying to go through the appeal procedure on your own. You will need good legal advice and help throughout the process. Contact a workers’ comp. attorney before filing your appeal. Additional Resources Hurt on the Job at PepsiCo?* Denied Workers’ Comp. at Pepsico* Disclaimer: The content of this article serves only to provide information and should not be construed as legal advice. If you file a claim against Pepsico, or any other party, you may not be entitled to any compensation.
