Signs You Should Get a Workers Comp Lawyer How your company, or more importantly, its insurance carrier, handles your case will determine whether it’s in your best interest to get a lawyer. Here are 10 signs you need a workers comp attorney on your case.
When you're selecting a new lawyer, consider that a good workers' comp attorney should: take the time to understand your case and give you a realistic evaluation of the possible outcomes, the benefits you're entitled to receive, and how long it might take to reach a settlement or hearing
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.
If you’re not satisfied with the performance of your workers’ compensation attorney, you can always switch lawyers, even in the middle of your case. But before you terminate the attorney-client relationship, you should consider the consequences of taking that step, how it might affect your case, and when it may or may not be a good idea.
In California, you may ask to reopen your case within five years after your injury if you have a "new and further disability." Generally, that means that you need new medical treatment, you have to go back on temporary total disability, or the severity of your permanent disability has increased (Cal.
within 30 daysIf the judge approves the settlement, you will receive your lump-sum payment within 30 days.
If you have a currently closed workers compensation claim and your injury has worsened, then you may qualify to be reimbursed for any medical treatments for your injury. However, reopening a workers compensation claim can be complicated and will require you to consult an attorney.
Two yearsSpecifically the rules offered by the New York State Workers' Compensation Board state: Two years from the date of the disabled worker's disability; or. Two years from the time the disabled worker knew or should have known that the disease was due to the nature of employment.
about 16 monthsWorkers Compensation cases can sometimes settle shortly after an injury (within a few weeks or a couple of months), or they can take years. The average workers' compensation case will be resolved within about 16 months. A resolution may result in a settlement agreement or a hearing with a judge.
This range can be three to seven years. That said, there is not usually a limit on permanent disability benefits. However, some states do stop weekly benefits when employees reach the age of 65.
the State of TexasWorkers' compensation is an insurance program managed by the State of Texas. It provides pay and medical benefits to employees who have a work-related injury or illness. Not all Texas employers provide workers' compensation insurance, but most do.
Employers cannot fire you for making a workers' compensation claim, nor can they fire you because your disability has affected your ability to do your prior job and you are put on restricted duty in Texas.
The law states that an employer who has workers' compensation insurance is protected from being sued for regular negligence. But, they CAN be sued for gross negligence in Texas.
Can I Be Forced Back to Work After Injury? No. After you have received a Notice of Ability to Return to Work you cannot be forced to return to your job while you are still injured. For instance, you and your physician can protest the medical information that's been cited in the notice.
As a very rough guide, a claim may take 6 to 12 months if liability is accepted by the treatment or care provider immediately. If liability is disputed, it could take 12 to 18 months for more complicated claims. Very complex cases can take significantly longer.
Typically, the process from hearing to approved payment takes approximately 3 weeks. The employer's insurance company or third party administrator must then make Section 32 settlement payments within 10 days of the Workers' Compensation Board's decision.
As a general rule, you may be able to get by without an attorney if all of the following statements are true: 1. You suffered a minor workplace inj...
In addition to making sure you file all the necessary forms and meet the deadlines, an experienced attorney will know how to gather the evidence ne...
The workers' compensation system may have been intended to provide prompt and fair compensation to injured workers. But now, it seems to work mostl...
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).
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.
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 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.
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.
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.
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.
Reporting regulations and deadlines vary from state to state, but it should typically take no longer than 30 days to complete this process.
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.
That injury is aggravated further at work, suddenly becomes serious and the employer/carrier says the original injury didn’t occur at work.
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.
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.
If you have a third-party claim – You can go outside the workers comp system and file a workers comp lawsuit if someone other than your employer contributed to your injury. For instance, if a negligent driver hits you while you are driving for work, you can sue that person for damages.
Reason #1: Your Boss Retaliates & You Need a Workers Comp Attorney to Help You Sue for Wrongful Termination. It is illegal to fire you or demote you in the wake of a workers comp claim. Likewise, if your boss reduces your hours or pay, or discriminates against you, it is time to get an attorney.
Two examples of this injury type are an amputated limb or widespread paralysis.
The important thing to do now is rest and recover without additional stress.
Do the math on your expenses. If your settlement won’t cover all lost wages or medical bills, you need a workers’ comp attorney. Workers’ comp settlements must be approved by a judge, but most don’t look closely at settlement amounts.
Workers’ comp insurers — or the employers themselves — often reject legitimate workers’ comp claims because they don’t think people will appeal. When you bring on an attorney, your appeal has a much greater chance of succeeding.
If one doctor believes your injury or illness is more severe than the other, your treatment plan may be disrupted. Worse yet, you have to go back to work before you’re ready. A workers’ comp attorney can intervene and ensure you get the time you need to properly recover from your workplace injury.
If a third party had something to do with your illness or injury on the job, you can sue. However, you’ll need an attorney to do so, because this makes the workers’ comp claim much more complicated.
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.
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.
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.
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.
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.
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.
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.
You can get workers compensation and Social Security Disability Insurance (SSDI) benefits together. However, depending on their combined amount, either one could get reduced. This will apply if all your benefits exceed 80% of your average pre-disability income.
These acts can be subtle, such as always questioning your work or judgment. Your boss may also be harassing you by increasing your workload without extra pay.
Patience is important, because you do not want to settle a claim until you know all the facts that you will need to maximize your settlement. A workers’ compensation attorney in Santa Rosa can help you decide when the time is right to settle. 9.
You need to be careful that you do not say something to the claims administrator that might be misinterpreted in a way that would hurt your case. Getting legal advice before discussing your injury with the claims administrator can help you avoid problems when the time comes to settle your claim.
Unless you started a fight or engaged in other extreme behavior (such as being intoxicated at work), fault is generally not an issue in workers’ compensation claims. Whether your employer, you, or someone else was negligent and caused your work injury, you are still entitled to workers’ compensation benefits. 3.
For instance, if you were in a traffic accident while making a delivery for your employer and the accident was the other driver’s fault, you may be entitled to sue the other driver. Your Santa Rosa workers’ compensation attorney can help you decide whether you should pursue a personal injury lawsuit in addition to a workers’ compensation claim.
Workers’ compensation is usually the exclusive remedy for a work injury. That means generally, you cannot sue your employer in court, even if the injury was your employer’s fault. In some cases, however, you may be able to sue a third party in addition to pursuing a workers’ compensation claim.
Even in relatively simple cases, however, a claims administrator may deny that the injury was work-related or deny the claim for some other reason. Any time a claim is denied or the insurance company does not offer to pay medical expenses and temporary disability benefits for days of missed work, it is wise to seek advice from a Santa Rosa workers’ ...
After some time spent negotiating with the claims administrator, your workers’ comp lawyer will be in a better position to advise you whether or not your claim will proceed to a hearing. Most of the time, however, it is possible to work out a fair settlement that avoids the stress and expense of a contested hearing. 8.
This means spending at least some time to help you prepare for critical proceedings such as an independent medical examinatio n, your deposition, and the workers’ comp hearing. You shouldn’t have to go into these events blind.
Your Lawyer Doesn’t Return Your Calls. One of the biggest complaints about workers’ comp lawyers is that they don’t communicate enough with their clients. Sometimes, this is simply because attorneys are too busy and have a lot of cases (as is often the case with workers’ comp lawyers). Other times, however, a lawyer may not be giving your case ...
If your benefits stop before that happens and there's no explanation, you should contact your lawyer immediately. It could be a mistake, or the insurance company may have decided to end your benefits for some other reason (for example, because it disputes your treating doctor's assessment of your condition).
However, if your lawyer can’t answer simple questions about the status of your case, or repeatedly asks you the same questions, it may be a sign of neglect.
But an attorney who rushes you into a bad deal may not be looking out for your best interests.
Other times, however, a lawyer may not be giving your case the attention it needs. You could have a real problem if your lawyer is unreachable for weeks at a time or doesn’t respond to fair requests in a reasonable amount of time.
A good workers' comp attorney is a zealous advocate, not a passive observer. You are well within your rights to inquire (in a non-confrontational manner) precisely what steps your lawyer has taken to advocate on your behalf. Has she written a letter to your employer or the workers' comp insurer?
If your lawyer is unavailable when you call, request that a phone conference or in-office meeting be scheduled. Make it clear at your next meeting that you expect better communication. Your attorney should listen to your concerns and take steps to improve communication in the future.
If your attorney isn't keeping you updated on the status of your case, you may have cause for concern. Keep in mind, however, that legal assistants and paralegals can be valuable sources of information about the workers' comp process in general and your case in particular.
Nothing happens quickly in a workers' compensation case. A simple request for medical records can easily take four to six weeks, and it could take many more months for you to be scheduled for an independent medical examination. The huge backlog of cases in most workers' comp courts can lead to further delays. In the vast majority of cases, blaming your attorney for these delays is like blaming the waiter because your steak isn't cooked properly. The fault usually lies with the chef, not the server. In most circumstances, hiring a new attorney won't speed up your case. In fact, there's a better chance that switching lawyers will postpone matters even further, especially if your workers' comp hearing is approaching.
If you're not confident that your lawyer has a solid grasp of the legal issues in your case, you'd be well-advised to look for a new one. Before you hire a replacement, make sure that attorney regularly handles workers' comp cases and can explain the relevant issues to you.
State law governs attorneys' fees in workers' compensation cases, and many states set a cap on the percentage and/or total amount they can charge—usually from 10% to 20% of the benefits. When more than one attorney has worked on your case, the lawyers split that fee according to how much work each has performed.
Attorneys who don't specialize in workers' comp tend not to understand the nuances of this complex field of law. If you're not confident that your lawyer has a solid grasp of the legal issues in your case, you'd be well-advised to look for a new one. Before you hire a replacement, make sure that attorney regularly handles workers' comp cases and can explain the relevant issues to you. Ask for references from former clients or other attorneys if you have any doubt.