how having a lawyer in a workmans comp case is helpfull

by Dan Ankunding 8 min read

  • Guidance. Perhaps the biggest benefit of a workers comp lawyer is the advice and guidance they can give you. ...
  • Communication. Another thing you might have noticed about your workers compensation case is that the phone calls and paperwork seem to never end!
  • Research. ...
  • Negotiation. ...
  • Representation. ...
  • Protect Your Rights. ...

A workers' comp lawyer can help develop medical evidence to prove your claim, negotiate a settlement, and represent you at your workers' comp hearing. If you're an employee who has suffered a work-related injury or illness, you may be entitled to workers' compensation benefits.

Full Answer

What can a lawyer do for a Workers Comp case?

What an Attorney Will Do for You There will be court proceedings before your case is heard by a workers comp judge. A lawyer will file the paperwork on time, build your case, negotiate with the insurance company and draft a settlement, if one is agreed on. If it’s not, you’re headed for a hearing.

Why do lawyers add time to a Workers’ Comp case?

Because lawyers have more knowledge about the workers’ comp system and more tools at their disposal, it makes sense that they would add time to a workers’ comp case. When faced with an insurance company that refuses to budge on its position, the lawyer may take several actions, including:

Do I need a workers'compensation lawyer?

Even in these relatively uncomplicated situations, it's often a good idea to contact a workers' compensation attorney for a free consultation about your case. The lawyer can walk you through the process, alert you to potential pitfalls, and give you an honest appraisal of whether you can handle the case on your own.

What does an attorney do for you?

A lawyer will file the paperwork on time, build your case, negotiate with the insurance company and draft a settlement, if one is agreed on. If it’s not, you’re headed for a hearing.

How long does it take to file a workers comp claim?

Reporting regulations and deadlines vary from state to state, but it should typically take no longer than 30 days to complete this process.

What to do if your insurance doesn't agree with your rating?

If the insurance company doesn’t agree with the rating, it can require you to get an independent medical exam (IME) by a doctor of its choosing. Chances are that doctor will give you a lower rating than what you (and your sore neck) feel you deserve. A lawyer can help convince a judge you are entitled to a higher rating.

What happens if an injury is unreported?

That injury is aggravated further at work, suddenly becomes serious and the employer/carrier says the original injury didn’t occur at work.

Do attorneys cross-examine witnesses?

An attorney not only will prepare your argument, he or she will prepare you to say the right things in testimony. They also will cross-examine the insurance company’s witnesses. That job should not be left up to amateurs. Unlike civil cases, workers compensation law has a safety net of sort.

Is it bad to handle workers compensation?

Unless you’re an attorney or enjoy reading workers compensation manuals in your spare time, probably not. Handling a case on your own is usually a bad idea, especially since the insurance company will be represented by someone who’s probably handled hundreds of cases.

Can a twisted back turn into a knee surgery?

However, if your work injury is serious and things get contentious between you and your employer or the insurance carrier handling the case, there is no question that it’s in your best interests to at least talk to a workers comp lawyer. A twisted knee or strained back can turn into knee or back surgery and things get serious very quickly.

Some employers are very good at taking care of their employees, even when workplace accidents happen that result in injuries to a worker. However, some employers try to dodge responsibility by refusing to offer a settlement

If you get injured at work, it’s a good idea to contact a lawyer right away to help you with your injury claim. A workers comp lawyer has the training and experience to assist you and ensure a smooth and stress-free process.

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How long does a workers comp claim last?

By contrast, because there routinely are ongoing disputes over evolving issues — your claim is denied; you’re having trouble getting medical care; you’re unable to return to your previous job; your disabilities are disputed — workers comp cases can last for years, even decades.

Is timeliness important in workers compensation?

In workers compensation law, then, timeliness is pivotal. As every investigator knows, an inverse relationship exists between the value of evidence and the time it is collected. That is, the longer you wait, the less it is worth.

Can employers dissuade workers from filing workers comp?

Employers, who despise the knock-on effects of higher premiums associated with claims, will attempt to dissuade workers from filing a workers comp claim “even when they’ve had a legitimate on-the-job accident, ” she says.

Can you appeal workers compensation if you are permanently disabled?

You are permanently disabled, either totally or in part, and the insurer resists your rating. Your employer and insurer fail to pay workers compensation benefits promptly, counting on you not to file an appeal.

2. Your Employer is Refusing to Pay

When you are injured while performing any activity on behalf of your employer, you are entitled to workers’ compensation benefits. This includes medical care, temporary disability, permanent disability, job retraining as required, and mileage reimbursement for medical treatment. It doesn’t matter who is at fault or the reason for the accident.

3. Your Employer Denies Your Claim

Employers and their insurers often reject workers’ comp claims, believing workers won’t appeal the decision. If your claim has been denied, a workers’ compensation lawyer can help you appeal and gain a fair settlement.

5. You Did Not Receive Disability Benefits

Similar to the reason above, there are times when your employer agrees to provide compensation for your medical care but refuses your disability benefits which cover your lost wages. If you are unable to work because of your injury, you are entitled to lost wages during your time out of work.

6. Your Medical Issues Prevent You from Working

If your disability is permanent – total or partial – you are probably entitled to a lump sum payment or weekly payments to cover your lost wages. Because these settlements are costly, many companies seek to avoid paying them.

8. You Want to Apply for Social Security Disability Benefits at some Point in the Future

If your workers’ compensation settlement isn’t handled properly it could limit or lower potential Social Security disability payments in the future. Your workers’ compensation attorney can structure your settlement to help you avoid this scenario.

9. Your Employer Retaliates

If your employer retaliated – fired you, cut your hours, demoted you, decreased your salary or rate, or discriminated against you – as a result of your workers’ compensation claim, you need an experienced workers’ compensation attorney to protect your rights.

10. Your Injury is a Result of Serious Misconduct on the Part of a Third Party or Your Employer

The workers’ compensation system was created to eliminate civil lawsuits related to workplace injuries. Even so, there are circumstances which will allow you to sue, such as when a third party contributed to your injuries, your employer’s negligence causes your injury, or your employer does not carry workers’ comp insurance.

What is a workers comp attorney?

A knowledgeable workers' comp attorney is essential in cases involving permanent injuries or illness. You receive or plan to apply for Social Security disability benefits.

What are some examples of situations that call for a lawyer's intervention?

Here are some examples of situations that call for a lawyer's intervention: Your employer denies your claim or doesn't pay your benefits promptly. Employer s and workers' comp insurers routinely reject bona fide workers' comp claims, confident that many workers will fail to appeal. Unfortunately, they're usually correct.

What to do if your employer has fired you?

If your employer has fired you, demoted you, slashed your hours, reduced your pay, or engaged in any other form of discrimination because you filed a workers' comp claim, contact a workers' comp attorney immediately to protect your legal rights. You were injured because of a third party's actions or your employer's serious misconduct conduct.

What to do if you can't agree on a settlement?

If you can't agree on a good settlement, an attorney can prepare for and represent you at the hearing or trial. Learn more about what a good workers' comp lawyer should do and what to look for in a workers' comp attorney.

Do you have to have judicial approval for workers comp?

Although workers' comp settlements must have judicial approval, judges will usually sign off on any agreement as long as it's not grossly unfair. If you really want someone to get you the best settlement possible, call an attorney.

Does a workers comp attorney cover lost wages?

Hiring a workers' comp attorney costs nothing up front (more on that later), and it gives you the best chance to receive a fair settlement or award for your injuries. Your employer's settlement offer doesn't cover all your lost wages or medical bills.

Can you represent yourself without an attorney?

When You Can Probably Represent Yourself. As a general rule, you may be able to get by without an attorney if all of the following statements are true: You suffered a minor workplace injury, such as a twisted ankle or a cut requiring a few stitches. Your employer admits that the injury happened at work.

Can You Afford a Workers' Comp Lawyer?

Before discussing the merits of hiring a workers' comp attorney, it makes sense to ask whether you can afford to hire one. Fortunately, workers’ comp attorneys almost always work on a contingency fee basis (by taking a percentage of the settlement or award they're able to win for you).

When Your Workers' Comp Claim Has Been Denied

You should consult with a workers' comp lawyer if the insurance company denied your claim or disputes any part of it, such as your need for certain medical treatment or time away from work. Insurance companies often routinely deny workers' comp claims, assuming that injured employees won’t appeal or challenge the decision.

When You Have a Serious Work-Related Injury or Illness

You'll probably need an attorney to handle your claim if you suffered a serious injury—especially one that requires surgery—or your work caused a chronic condition like a repetitive stress injury (RSI) or an occupational illness. A moderate to severe injury means higher medical bills, more in lost wages, and a higher permanent disability award.

If You Have Preexisting Conditions

If you had a previous injury to the part of your body affected by your recent workplace injury, the insurance company may argue that your current medical condition is due to the preexisting condition.

When You're Not Able to Return to Work After an Injury

If your work-related injury or illness affects your long-term ability to work, a lawyer can be essential to getting a settlement or award that's large enough to cover a fair portion of your future wage loss. This is especially true if you'll never be able to work in the same capacity as you did before your injury.

Contact an Attorney

If you have questions about your workers' comp application or need help filing an appeal, contact an experienced workers' comp lawyer right away. Most attorneys offer a free consultation and charge no fee unless you win your case.

Why do lawyers add time to workers comp cases?

Because lawyers have more knowledge about the workers’ comp system and more tools at their disposal, it makes sense that they would add time to a workers’ comp case. When faced with an insurance company that refuses to budge on its position, the lawyer may take several actions, including:

How long does it take to get a workers comp case resolved?

According to our survey, workers’ comp cases took nearly six months longer to conclude when a lawyer was involved. On average, cases resolved in 17.9 months with a lawyer and 12.2 months without a lawyer.

How to prove you can no longer hold gainful employment?

hiring a vocational expert to prove that you can no longer hold any gainful employment due to your injury, or. filing an appeal or request a hearing in front of a workers’ comp judge. While these extra steps take more time, they can also lead to more compensation. Satisfaction With Outcome & Lawyer.

How much is the cap on injured workers?

To protect injured workers, most states place a cap on the percentage (usually 10% to 20%) or total amount of fees. Also, fees generally can't be taken out of routine benefits that the insurance company hasn't disputed (like medical benefits or temporary disability).

Is it worth hiring a lawyer for workers comp?

Many injured employees wonder whether it’s worth it to hire a lawyer for their workers’ compensation cases. On the one hand, it can be difficult and time-consuming to fight an insurance company—and its lawyer—on your own. On the other hand, hiring a lawyer means giving up a portion of your workers' comp benefits.

Can workers comp be denied?

Denied Workers' Comp Claims. Injured employees face an uphill battle when their employers' insurance companies deny their workers' comp claims. They first have to show that they're eligible for benefits, and then they have to argue for the proper amount of benefits. Denied claims are unfortunately very common.

Can an attorney collect if you don't win a settlement?

But your attorney can't collect if you don't win a settlement or award, and the fee will come out of your workers' comp benefits. In almost all states, workers' comp lawyers charge what's known as a "contingency fee," which means the attorney receives a certain percentage of your overall settlement or award.

What is the ultimate goal of a workers comp lawyer?

The goal of the workers' comp lawyer representing the defendant, which would be the employer or the employer's insurance company, is to mitigate the defendant's liability.

What can a worker's compensation attorney do?

A workers' compensation attorney can help workers who are injured on the job recover compensation for these injuries, including medical bills and lost wages.

What are the laws that cover federal employees?

Federal employees are covered by a number of laws, including the Federal Employees Compensation Act, the Jones Act for seamen, and the Longshore and Harbor Workers' Compensation Act for longshore and harbor workers. The effect of most workers' comp laws is to make the employer strictly liable for injuries sustained in the course of employment, ...

What does an attorney do for a company?

On the defense side, attorneys help insurance companies or self-insured employers mitigate their exposure and defend against workers' comp claims. They must understand the claims-handling guidelines for each business unit they work with and be able to budget costs and calculate exposure.

Why do workers comp claims fail?

Litigating cases before a judge or referee. A lack of concrete and comprehensive medical evidence is one of the primary reasons workers' comp claims fail, and it's a critical responsibility of an attorney to prevent this.

What are some examples of workers compensation?

Updated October 07, 2019. Accidents can be pretty common at work—a broken arm from a fall off a ladder, a back injury from lifting heavy boxes, or carpal tunnel syndrome as a result of years of typing are all common examples. A workers' compensation attorney can help workers who are injured on the job recover compensation for these injuries, ...

Where do workers comp attorneys work?

Workers' comp attorneys work in an office environment, often employed in a law firm or in a corporate legal department. Frequent travel to hearings, arbitrations, depositions, and job sites can be required.

Has Your Workers Comp Claim Left You Without A Leg to Stand on?

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Lawyers for workers comp do a lot more than just show up in a courtroom. If you experienced a workplace injury, you’re probably a little confused about which steps you should take. You’ve already filed a claim and started seeing your doctor and it’s likely that your employer has told you there’s nothing else you should do. Neverth…
See more on bdtlawfirm.com

Guidance

  • Perhaps the biggest benefit of a workers comp lawyer is the advice and guidance they can give you. Not only do lawyers for workers comp have a wealth of legal expertise, they can also advise you on your particular workers compensation case, such as what obstacles to expect and which outcomes are reasonable. If this is your first workplace injury, you probably have a lot of questio…
See more on bdtlawfirm.com

Communication

  • Another thing you might have noticed about your workers compensation case is that the phone calls and paperwork seem to never end! Between your work duties and your doctor’s appointments, it can be difficult to carve out time to do all of the administrative work on your case. But that’s where an attorney can be a lifesaver. Let your workers comp lawyer take over co…
See more on bdtlawfirm.com

Research

  • When issues and discrepancies derail your workers comp claim, they need to be cleared up before the case can move forward. But the insurance company isn’t going to do all that legwork for you. If your claim is denied or undervalued, it is up to youto collect evidence to support your claim. But if you hire a lawyer for your workers comp case, you won’t have to do all of that heavy lifting on y…
See more on bdtlawfirm.com

Negotiation

  • Mediationis an important step in many workers comp cases, as it gives both parties the chance to resolve their dispute without having to step inside a courtroom. But many times, mediation can be fraught with just as much tension and hostility as a trial. Each party has an expectation of what a reasonable settlement looks like, but those two ideas rarely align. In addition, the injured employ…
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Representation

  • Mediation doesn’t always resolve the issue, however, and the case proceeds to a hearing before a Judge of Compensation Claims. If you have little to no experience inside the courtroom, this step can be nerve-wracking. After all, your entire case hinges on this one hearing! Having your evidence and arguments organized and coherent can give you a huge advantage, but few injured employe…
See more on bdtlawfirm.com