when you need a lawyer instead of a workmens compensation advocate

by Lamar Johnston 9 min read

Do I need a lawyer for a workers’ compensation case?

Jan 04, 2021 · 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 …

When to hire a workers'compensation lawyer?

Whether youneed an attorney to represent you after you are injured and have a yourworkers' compensation claim depends on a number of factors. When You Need an Attorney. If any of the following are true, you should retain an attorney as soon as possible: Your workplace injuries are severe enough to require surgery.

When should I contact a workers’ compensation attorney?

May 18, 2019 · You will need to convince the Department that you qualify for benefits by submitting medical and other evidence. You sustained serious injuries: If you have sustained very serious injuries that will require you to miss a significant amount of time to work, you want to involve a lawyer early in the process. We can help you recover the full value of your claim …

When to hire a workers comp attorney for an Ime evaluation?

7031 Koll Center Pkwy, Pleasanton, CA 94566. master:2022-03-21_13-03-58. If you've suffered a work-related injury or illness, you may be wondering whether to hire a workers' compensation attorney. The answer depends on the severity of your injury, the overall complexity of your case, and the actions of your employer (or its insurance company).

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: 1. You suffered a minor workplace inj...

What Your Attorney Will Do For You

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...

Tilting The Scales in Your Favor

The workers' compensation system may have been intended to provide prompt and fair compensation to injured workers. But now, it seems to work mostl...

How long does it take to get a free workers compensation consultation?

Most attorneys specializing in workers' compensation will give you a free consultation, usually thirty to forty minutes, to review your claim and assess whether you need an attorney. The attorney should be candid regarding your need for legal representation and your chances of success if you are considering appealing an adverse decision. The attorney can help you decide if you need representation. And in fact, if your case is fairly minor, the attorney may tell you that he or she isn't interested in taking your case.

Is the dispute process legal?

In many states, the dispute process is highly legal, involving complex legal rules and procedures. You will likely be at a disadvantage if you do not retain an attorney to represent your interests in these proceedings. Request a Free Consultation.

Can you get an attorney for workers comp?

Regardless of the circumstances of your workers' compensation claim, you are entitled to obtain an attorney.

Why do you need a lawyer for a claim?

The evidence you need to build your case depends on the reasons the insurance carrier rejected your claim. One big advantage of using a lawyer is that they know what the Department of Labor is looking for when reviewing your claim.

What happens if you get injured in a workplace accident?

If you or your loved one suffered a serious injury in a workplace accident, it can put a considerable economic strain on your family. Medical bills can start piling up quickly. At the same time, those missed paychecks will add even more financial pressure. It is normal for injured workers to be worried about the cost of skilled legal representation. After all, aren’t lawyers expensive? This is a common misconception. Regardless of your current financial situation, you can afford to hire a top-rated workers’ compensation lawyer.

What to do if your employer denies your claim?

If you have submitted what you consider to be a valid claim to your employer and their insurance company has denied the claim, then you should consider hiring an attorney immediately. First of all, the insurance company only evaluates fault to the extent that you were or were not drunk or high during the accident.

What to do if you have a serious injury?

You sustained serious injuries: If you have sustained very serious injuries that will require you to miss a significant amount of time to work, you want to involve a lawyer early in the process. We can help you recover the full value of your claim and ensure that the insurance company doesn’t shortchange you.

What is the number to file a Form 5?

If they do not, you should call 802-828-2286 to file the report using Form 5 yourself. Your employer’s insurance carrier has 21 days to investigate and make a decision about whether your injury is covered. If you do not hear from the insurance carrier, call the number provided in this paragraph. As an example, if you suffered a moderate back injury ...

Can you sue your employer for your injuries?

Your employer can be 100% responsible for your injuries and the insurance company will claim they are not liable. The system covers your employer, so you can’t directly sue them. You must battle the insurance company to get your owed compensation under the law. If you are denied benefits, read your denial letter.

Who is Mike from Upper Valley?

Mike has many years of experience as a partner at one of the Upper Valley’s personal injury law firms and is passionate about helping injured persons get the compensation they deserve. Mike is uniquely caring and personally supportive of his clients while at the same time diligent, aggressive and knowledgeable in fighting the insurance companies in personal injury and workers’ compensation cases throughout New Hampshire and Vermont. Read More

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.

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.

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.

What happens if a subcontractor is responsible for another subcontractor's injury?

If one subcontractor was responsible for another’s an injury, they might be liable instead of the owner of the job site. 5. A Worker’s Comp Attorney Can Appeal a Denial.

Can you get a lump sum settlement in Pennsylvania?

In Pennsylvania, you can be offered a lump sum settlement for your injury. Before you accept this payment, you want to know if it’s fair. An attorney can determine the cost of your injury with current and future medical expenses and help you decide what is a fair and adequate amount for a settlement. 2.

Is an attorney necessary for a minor cut?

Here are some scenarios where an attorney is usually not necessary: The workplace injury was minor with no complications, such as a minor cut. You missed no work or were only off a few hours or a day at the most. Your employer acknowledges the incident that happened at work.

Can an attorney determine third party liability?

An Attorney Can Determine Third Party Liability. In most cases, an injured worker has only one option: they can file a workers’ compensation claim against the employer. However, there is one situation where they may be able to file a claim against a third party.

What happens if you get injured at work?

If an accident at work caused an injury to a previously injured part of your body, the insurance company could write it off as the previous injury causing issues. Doctors might not be on your side either. They will often side with the insurance company and say the injury was due to the previous injury.

Do companies like it when you don't work?

Companies don’t like it when you don’t come to work, and they especially hate paying you when you’re not there. However, if an injury at work keeps you from working for a long time, that’s their fault, and they need to compensate you.

What can a workers compensation attorney do?

If you experience any of the situations described above, a workers’ compensation attorney can: Secure evidence that your injury or condition is caused by your work. Secure medical documentation to prove your injury. Help you understand what you need to do to file a claim.

What happens if you don't meet the requirements for workers compensation?

On the other hand, if your employer does not meet the requirements, you may have the option of seeing your own medical provider, which may be more beneficial. A workers’ compensation attorney can ensure you understand which doctor you need to see and when. 18. You Develop Symptoms Gradually Over Time.

What happens if your employer denies your injury?

Issues may arise if your employer refuses to acknowledge your injury occurred in the workplace or is due to your work duties. A worker’s compensation attorney can clearly establish the link between your injury and your work.

What to do if you have already filed a workers compensation claim?

If you have already filed a workers’ compensation claim and something goes wrong or you have concerns, contact a workers’ compensation attorney immediately. If possible, it is best to consult with a workers’ compensation attorney immediately after you have been injured.

What to do if your employer is retaliating against you?

If you file a workers’ compensation claim and your employer seems to be retaliating against you, you should speak to a workers’ compensation attorney immediately. This retaliation could take many forms, including reducing your hours, demoting you, harassing you, terminating your employment or engaging in other retaliatory behavior.

What is a WCMSA?

A WCMSA designates part of a workers’ compensation settlement to cover future medical expenses for your workplace injury. Under a WCMSA, the allocated portion has to be used up before Medicare pays for your workplace injury treatments. Medicare may deny some of your medical costs unless you proceed carefully.

What happens if you are denied workers compensation?

Even if you have been denied or you find your benefits are delayed, you can appeal or turn to other legal remedies. A workers’ compensation attorney can guide you through the process and can secure the medical documents that may be needed to prove your case.

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 .)

How much is a workers comp contingency fee?

Additionally, many states place caps on contingency fees in workers' comp cases. The percentage varies from state to state, but is generally between 15% and 25%. However, the fee can be as low as 10% and as high as 33% in some states.

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.

How long does it take for an ankle to heal after a desk job?

However, because you work a desk job, you were able to return to work fairly quickly and your ankle healed within a few weeks. In this case, your trip to the doctor would be covered.

Do I need to set aside a portion of my workers comp?

If you are eligible for Medicare, you may also need to set aside a portion of your workers' comp benefits to pay for future medical treatment. A lawyer can help you do this in the most advantageous way. You are having a workers' comp hearing.

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.