when do i need a lawyer for workmans comp ?

by Orpha Reichel MD 3 min read

There are multiple situations that require a workers comp lawyer. Here are just a few: You have pre-existing conditions. Pre-existing conditions make it difficult to tell what part of your injury/illness is work-related. If the injury/illness has to do with your pre-existing condition, you need a lawyer.

Full Answer

When should I hire workers comp attorney?

Jan 04, 2021 · 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. Unfortunately, some workers take …

When do you really need workers compensation attorney?

An attorney is vital whenever you appeal a claim denial. Your employer’s settlement isn’t enough. If your settlement won’t cover all lost wages or medical bills, you need a workers comp lawyer. All workers’ comp settlements n eed judicial approval. But most judges will agree to nearly anything t hat’s not extremely unfair.

When should I contact a workers' compensation attorney?

Injured workers often ask whether they need to retain a lawyer to handle their workers’ comp claim. Although an attorney is not required, it is highly recommended that an injured worker retain counsel. A workers’ comp claim lawyer can assist with the claims process and represent the worker at all proceedings before the Board.

When an employee should contact an employment lawyer?

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Why do insurance companies deny workers compensation claims?

For example, the insurance company might claim that your injury wasn't work-related or that you filed your claim too late. (To learn more, see our article on common reasons workers' comp claims are denied .)

What happens if you don't work again?

If you can never work again, you'll need to maximize your workers' comp benefits and structure them in a way to last well into the future.

How to appeal a disability denial?

You can appeal the denial through the workers' compensation system. While the appeals process varies from state to state, it generally requires you to file formal paperwork, use legal tools to gather evidence, and present your case at a hearing. Your permanent disability rating is disputed.

Do I need a workers compensation lawyer?

Many workers will need to—or can benefit greatly from—hiring a workers' compensation lawyer. In very few cases, an employee who suffers an injury at work can make a claim outside of workers' compensation, and a personal injury lawyer would be appropriate.

Can a sprained ankle be permanent?

don't result in permanent injuries. For example, suppose you sprained your ankle after you slipped on some water in the break room. Your doctor ordered you to ice your ankle, take pain relievers, and stay on bed rest for a few days.

Can you reduce your Social Security benefits?

You're receiving other government benefits. If you're receiving Social Security Disability Insurance (SSDI) benefits, these benefits may be reduced if you receive workers' compensation benefits. A lawyer can help you minimize how much your SSDI benefits will be reduced.

Do I need an attorney for an injured worker?

Not every injured worker will need to hire an attorney. After all, the workers' compensation system is an administrative process designed to be relatively easy for workers to navigate. If you have a straightforward claim that is not being disputed by your employer or its insurance company, you can probably handle your own claim.

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 you need an attorney for workers comp?

With that in mind, these are the top reasons for hiring an attorney. 1. Hire a Workers’ Comp Attorney to Evaluate the Claim .

What does a workers compensation attorney do?

An experienced workers’ compensation attorney will work to protect your rights. They are on your side, which means they are focused on what course of action is in your best interest. Employers want to protect themselves, and the insurance company wants to spend as little money as possible.

How to file a workers compensation claim?

A lawyer will do the following to help you get started with your claim: 1 Collect details of the incident and document everything 2 Ensure you see a medical care provider 3 Notify the employer 4 Help you navigate the required Independent Medical Examination (IME) to eliminate the possibility of your employer disputing your claim. 5 Respond to the employer or workers’ compensation insurance adjuster with requests for more information 6 Ensure all actions take place in a timely manner

Why is my workers comp claim denied?

One reason for denial is if you have a pre-existing condition in the area of the injury. A workers’ comp doctor may say all your pain is from the other condition and not from the injury , so the claim is denied. 6. An Attorney Can Negotiate a Settlement Offer.

Can you file a claim against a third party?

However, there is one situation where they may be able to file a claim against a third party . This situation occurs when someone other than the employer is at fault for the injury which occurred at work. You will most often see this situation when multiple vendors or contractors are working on the same job site.

Can you have a pre-existing condition?

You don’t have a pre-existing condition which can complicate matters. Although one or more of these scenarios might describe your situation, you may want to contact an attorney for a free evaluation. They can offer legal advice to warn you of possible complications that would require their services.

When Would I Need a Workers Comp Lawyer?

There are multiple situations that require a workers comp lawyer. Here are just a few:

In Some Cases, You May Not Need a Workers Comp Lawyer

Not all claims require an attorney. However, any added level of complexity makes consulting one a smart move. They’ll help you recover the compensation you deserve and structure an ideal benefit plan. Doing so will allow you to rest and recover, so you can return to work as soon as possible.

You May Qualify for Free Legal Assistance With Your Claim

We can match you with an experienced workers’ compensation attorney for free, confidential advice. Maybe you want a second, unbiased opinion about your case. Or perhaps you need someone to help you during the appeals process. Either way, an experienced workers comp lawyer is always your best option.

Do I Need a Lawyer for a Workers Comp Deposition

The Board may direct depositions on an issue if a workers’ comp insurance carrier’s doctor disagrees with a treating physician. This often arises when a treating doctor recommends surgery. The insurance carrier’s doctor will often say that the surgery is not necessary.

Other Ways a Workers Comp Lawyer Can Assist

A workers’ comp lawyer can also assist on a claim by providing guidance throughout the process. The lawyer may assist with obtaining medical records, getting approval of medical procedures, and ensuring that weekly pay is set at the highest possible rate.

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