when will my lawyer settle my work comp case

by Emily Trantow 8 min read

On average, cases resolved in 17.9 months for workers with lawyers, compared to 12.2 months for workers without lawyers. It makes sense that a lawyer would add time to a workers’ compensation case. Lawyers have more tools at their disposal to challenge the insurance company and get you more in benefits.

Workers 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.

Full Answer

How long does a Workers Comp case take to settle?

Dec 06, 2018 · When Should I Consider Settling my Workers' Comp Case? In most cases, you shouldn’t agree to a settlement until your doctor says that you've reached what's usually called “maximum medical improvement” (MMI). This is the stage in your recovery when your condition has plateaued, and you’re not likely to improve with further treatment.

Do I need a lawyer for a workers'comp settlement?

They would like to wrap things up as quickly as possible. In fact, as soon as an employee hires a lawyer, negotiations on a settlement can begin. That can be a day after the injury, a week, a month … it’s up to you and your lawyer when you want to start negotiating a settlement.

What happens at the end of a Workers Comp case?

After you settle a workers’ compensation case, the most pressing question is how long until you receive your payment? Under the law, they have 30 days after the judge issues the order approving the settlement to pay that without being subject to fees or interest, and quite frankly, that payment usually shows up within a couple of weeks.

Should I sign a workers’ comp settlement agreement?

Dec 01, 2020 · You can settle your workers’ compensation case at any time in California. However, as a practical matter, you should wait to settle until you can accurately estimate the value of your claim. This means waiting until you have reached maximum medical improvement (MMI)—the point at which your condition has stabilized and is not expected to improve …

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How long do most workers comp cases last?

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.

What is the largest workers comp settlement?

a $10 millionTo date, the largest settlement payment in a workers' comp case came in March of 2017, with a $10 million settlement agreement.Feb 11, 2021

What is a compromise and release settlement?

A Compromise and Release Agreement is a settlement which usually permanently closes all aspects of a workers' compensation claim except for vocational rehabilitation benefits, including any provision for future medical care. The Compromise and Release is paid in one lump sum to you.

How long does OWCP have to process a CA 7?

In case you're receiving continuation of pay, you must ask that form CA-7 be availed to you within 30 days of the COP period, and then sent over to OWCP by the 40th day of COP. Your employer will then have 5 days to submit the form to OWCP after checking it for accuracy and completion.

Why does workers comp take longer to appeal?

The longer time frame makes sense because a workers’ compensation appeal takes additional time and effort. Once the worker files the appeal, the case is assigned to a workers’ compensation judge and set for a hearing.

How long does it take to get workers compensation?

For 50% of workers, it took between 13 and 24 months for their cases to conclude. Given that the workers’ compensation system is known for having a slow process, these time frames are not too surprising. The good news, though, is that you might still receive some benefits before your case is officially resolved.

Why is there a delay in workers compensation?

According to 34% of our readers, the number one cause of delay was due to the employer or its insurance company not moving fast enough.

How many people believe there is a delay in workers compensation?

The overwhelming majority of readers, 90% , believed that there was a delay in their workers’ compensation cases. We asked our readers to report what they believed to be a source of delay in their cases.

How long does it take to resolve a PD claim?

When the insurance company did not dispute the worker’s PD rating, the case was resolved in 14.4 months. However, when the insurance company did dispute the worker’s PD rating, the case took 18.7 months. The increased time frame makes sense given the extra effort that goes into a disability rating dispute.

What percentage of workers report that it took a long time to reach a fair settlement agreement?

As to other causes of delay, 12% of workers reported that it took a long time to reach a fair settlement agreement, 7% reported that it took a long time to find a lawyer, and 19% reported that the delay was due to a variety of other factors.

Can you get temporary disability if you miss work?

For example, if you have to miss work because of your injuries, you can receive temporary disability payments to replace part of your lost wages. These payments are typically made while the claim is ongoing, rather than in a settlement or award at the end of a workers’ comp case.

What does settlement mean in medical terms?

A settlement removes the uncertainty that comes with a hearing— especially if there's a legitimate dispute about the extent of your injuries. For example, suppose your treating doctor gave you a 50% permanent disability rating (a measurement of the extent of your limitations resulting from the injury).

Is it risky to go to a hearing with insurance?

Assuming both doctors are reputable and have all of the relevant information, going to a hearing could be risky for both you and the insurance company.

Can you agree to a lump sum payment for disability?

You can agree to a lump-sum settlement rather than weekly payments as part of a permanent disability award. This can be helpful if you have a lot of bills to pay and need the money now—though it may be tempting to spend the money before you need it later.

Do you get more compensation for workers comp if you hire a lawyer?

A survey of people who went through the workers' comp process showed that they receive more compensation, on average, when they hired a lawyer than when they went through the process on their own—even after the attorneys' fees were taken out of their settlement.

Is a settlement offer good for you?

Whether a particular settlement offer is good for you depends on several factors unique to your circumstances, including how much is being offered, whether there's a dispute about the extent of your permanent disability, and whether you're likely to need future medical care related to your injuries.

Can insurance pay for surgery?

For example, say your doctor finds there's a 25% chance that you'll need surgery on your back , and insurance company agrees to pay for a portion of the surgery as part of the settlement.

Can you change your mind about medical insurance?

This means that you can’t change your mind a few weeks or months down the road and go back to the insurance company for more money. In some cases, the insurance company will agree to pay for any future medical expenses that come up after you settle.

Why do workers comp cases end up in court?

The 1% of cases that end up in front of a workers compensation judge get there for one of two reasons: The insurance company has denied the worker’s claim for benefits. There are difficult legal issues involved that fall into gray area’s of the law and the two sides want a judge to decide.

How long does it take for a workers comp hearing to end?

It can end in a matter of days (unusual) or a matter of months (usual). The timing difference in the two is usually the presence of a lawyer. People on all sides of workers compensation hearings agree that having a lawyer involved is a good thing.

Why do we need a workers compensation mediator?

The reason for workers compensation mediation is the two sides can’t agree on a settlement, so they bring another adult in the room and hope everybody is ready to get this matter resolved. The mediator’s job is to act on behalf of both sides and push the process toward a settlement.

What does MMI mean in a work injury?

MMI does not necessarily mean the employee is 100% healthy or even back to where he was before the injury. If you severely injured a shoulder in a work-related accident or suffer with a chronic illness because of your work environment, obviously you won’t be back to 100%.

What is the purpose of hearing questions in a workers compensation trial?

Hearing Questions. The questions in a workers compensation trial usually are meant to challenge the authority of expert witnesses provided by one side or the other. If a worker is called upon, it usually is to substantiate his claims or challenge them, depending on which side is asking the question.

What is the first step in the settlement process with an injured worker?

The first step in the settlement process with an injured worker begins after the doctor treating the case declares the patient to be “as healthy as he is going to get.” That is referred to as Maximum Medical Improvement – designated as MMI – and understanding it is vital to everyone involved in workers compensation.

How soon after an injury can you start negotiating?

In fact, as soon as an employee hires a lawyer, negotiations on a settlement can begin. That can be a day after the injury, a week, a month … it’s up to you and your lawyer when you want to start negotiating a settlement.

What happens when you reach an agreement with a workers compensation judge?

When you’ve reached that agreement, that agreement is put into a written stipulation and given to a workers’ compensation judge that issues an award based on that stipulation. When you have a stipulation and award, you still have future rights. You have not settled those future rights.

How long does it take for a settlement to show up?

Under the law, they have 30 days after the judge issues the order approving the settlement to pay that without being subject to fees or interest, and quite frankly, that payment usually shows up within a couple of weeks. Once you’ve gotten past the issue of when does the check arrives, really the bigger question is, ...

What is a workers compensation agreement?

It’s really an agreement reached between you or your attorney and your employer or workers’ compensation carrier over the amount of benefits that you’re entitled to by virtue of your workers’ compensation case. When you’ve reached that agreement, that agreement is put into a written stipulation and given to a workers’ compensation judge ...

What is a compromise release?

A compromise and release are just that. It’s a compromise with your claim and a complete release of your claim in most situations. Therefore, to ask what rights you have after a compromise and release, the answer is virtually none in most cases.

Is a settlement a stipulation or an award?

Some people interpret it to mean only a compromise. A stipulation and award really isn’t a settlement of your case. It’s really an agreement reached between you or your attorney and your employer or workers’ compensation carrier over the amount ...

When can I settle my workers compensation claim?

When Can I Settle My Workers’ Compensation Case? You can settle your workers’ compensation case at any time in California. However, as a practical matter, you should wait to settle until you can accurately estimate the value of your claim.

Who approves workers comp settlements in California?

All workers’ compensation settlements must be approved by a California workers’ comp judge. To start the approval process, either a Compromise and Release or a Stipulations With Request for Award will need to be filed with the California Workers’ Compensation Appeals Board (WCAB).

What to consider when evaluating a settlement offer from insurance company?

Among other things, you should consider: the cost of any outstanding medical bills or mileage reimbursements for travel to doctors’ appointments.

What does a worker comp judge do?

A workers’ comp judge will review the settlement documents and make sure that you understand what rights you are giving up. If you have a lawyer, the judge will likely approve the settlement without too much scrutiny. If you do not have a lawyer, the judge will take a closer look to make sure that the terms are fair.

What are the two types of settlements in California?

What Types of Settlements Are There? In California, there are two types of settlements. The first type of settlement is called a “Compromise and Release.”. With this type of settlement, you agree to give up all rights to collect further benefits on your workers’ comp claim, in exchange for a lump sum payment from the insurance company.

What to do if your condition is caused by a non work related incident?

For example, if there’s strong evidence that your condition may have been caused by a non-work related incident, you may want to meet the insurance company in the middle. A lawyer can help you determine your odds of success at a hearing and how much your claim is worth.

What is Medicare set aside?

a Medicare set-aside (if you are receiving Medicare, or will in the near future, you may need to reserve a portion of the settlement funds to cover the cost of future medical care related to your injury).

What is the job of a workers comp lawyer?

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.

Why doesn't my lawyer return my calls?

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 ...

What to do if your health insurance benefits stop?

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).

What does it mean when a lawyer can't answer questions?

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.

When will my weekly benefits stop?

If you’re receiving weekly benefit checks while you’re off work , they’ll probably stop once your doctor has decided that you’ve reached what’s known as maximum medical improvement (MMI) —meaning that you’ve recovered as much as can be expected.

Can an attorney rush you into a bad deal?

But an attorney who rushes you into a bad deal may not be looking out for your best interests.

Can a lawyer give you attention?

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.

What to do if you are unhappy with your attorney?

If you are unhappy, the only thing you can do, besides speak with your attorney to try to resolve your concerns, is to find a new one.

Can an attorney refuse to accept a settlement offer?

Whether to make or accept a settlement offer is always a client's decision. The attorney can advice, but the final choice is always the client's. If your attorney has refused to make or accept an offer at your instruction, after having informed you of all the implications, then they've behaved unethically. In this case, it's not clear to me whether your attorney has refused to accept an offer that you want to accept -...

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Times to Settle A Workers’ Compensation Case

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Your employer and the workers’ compensation provider will provide you with a settlement if your injuries are proven to be work-related. Some situations make more sense to accept the initial settlement offer sooner rather than later. These include: 1. Prognosis: If your prognosis is poor and you do not have many years le…
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Understanding Settlement Details

  • Before accepting a workers’ compensation settlement offer, it is important to carefully read and understand the settlement details that you will agree to by signing it. Look to see if the settlement will provide enough money to cover future medical expenses and lost wages. Check to see if there are any stipulations to ensure that you are comfortable with the terms of the agreement.
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Types of Workers’ Compensation Settlements

  • There are four types of workers’ compensation settlements: agreement settlement, compromise settlement, contingent settlement, and combination settlement. An agreement settlement is when both parties agree to the terms and you keep your future rights. A compromise settlement is settled by a third party when the parties cannot agree and then it ends future rights. A contingen…
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Settlement vs. Trial

  • Accepting a settlement ends the process, even in a workers’ compensation case involving a third party that is liable. Unless you receive a fair offer that covers your past, current, and future expenses or have other compelling reasons to settle, your lawyer may recommend that you continue through the process before accepting a settlement. Ultimately, it is your decision on wh…
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Contact Us Today

  • If you are not sure whether it is time to settle your workers’ compensation case, contact Ben Crump Law, PLLC at (800) 603-4224to schedule a free consultation with a member of our team. We can answer any questions that you may have about the legal process. There is no cost for the initial consultation or any risk.
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Average Duration of A Workers’ Compensation Case

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According to the results of our survey, it took an average of 15.7 months for our readers to resolve their workers’ compensation cases—either through a voluntary settlement with the workers' comp insurance company or after a workers’ compensation hearing with a judge. That’s almost a year and a half. So if you wer…
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Factors That Affect The Length of A Workers’ Comp Case

  • Many factors influence how long or short a workers’ compensation case will be, including: 1. whether the worker hires a lawyer 2. whether the worker tries to negotiate a better settlement, and 3. whether the worker requests a workers’ compensation hearing or files an appeal. A longer workers’ compensation case was not always a bad thing, though. Factors that tended to lengthe…
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Common Reasons For Workers' Comp Delays

  • The overwhelming majority of readers, 90%, believed that there was a delay in their workers’ compensation cases. We asked our readers to report what they believed to be a source of delay in their cases. According to 34% of our readers, the number one cause of delay was due to the employer or its insurance company not moving fast enough. This isn’t too surprising, given insur…
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Consult with A Workers' Comp Lawyer

  • While surveys are helpful in determining current trends and practices, they can’t predict how long your workers’ compensation case will take. The duration of your case will depend on a number of factors particular to your situation, including how long you receive treatment for your injuries, the degree of any permanent impairment you’ve suffered, and what state you were working in at the …
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