There are TWO possible reasons why you are not receiving WC benefits; namely medical and indemnity benefits. https://www.kphippslaw.com/medical-treatment-in-a-wc-claim-in-sc/
First, the carrier’s insurance adjuster may not have reviewed your claim yet. Unfortunately, this situation happens far too often to injured workers in South Carolina. WC insurance adjusters handle hundreds of files every year, so claims slip through the cracks. It is important to stay in contact with your employer and continue to let them know you need treatment. https://www.kphippslaw.com/steps-to-take-post-accident/ If the carrier is not responding to you, they may respond after a call from your employer’s HR representative.
Second, your claim may have been denied. If you claim is denied, it is the carrier’s position the claim is NOT compensable and thus no benefits are owed. You should receive a letter from the carrier stating that your claim is denied, but that does not always happen. They may even file a Form 19 closing your claim at the Commission. https://wcc.sc.gov/forms
There are many reasons in South Carolina WC benefits could be denied. The carrier could have an affirmative defense like notice or intoxication. Alternatively, they could question the validity of your accident. Finally, they could admit you have an accident, but allege you have a preexisting condition and therefore lack the requisite medical causation. Some denials have merit; others simply do not, once fully investigated. It is critically important to consult an attorney, if you claim is denied or any time you are not getting the treatment or weekly payments you need so that you can know your rights!
