why a worker's compensation lawyer doesn't want you to file for disability

by Therese Rempel 6 min read

Because disability lawyers get paid only if they win, they sometimes decline to represent a person if they believe there is little chance of success of winning or if they determine that if the disability applicant is approved, there will be very little backpay or retroactive benefits from which to be paid.

Full Answer

Do I need a lawyer for a workers'compensation claim?

People hestiate to hire a workers' compensation lawyer after a work injury. But an attorney can explain what your employers' insurance company won't. People hestiate to hire a workers' compensation lawyer after a work injury. But an attorney can explain what your employers' insurance company won't.

Can I file a lawsuit if I'm not covered by workers comp?

If you aren't covered by workers' comp, and the negligence of the person or company you were working for contributed to your injury, you may file a regular personal injury claim lawsuit, since you cannot file a workers' compensation claim. When You Can File a Lawsuit

Do disability lawyers get paid for winning cases?

Disability lawyers and law firms only get paid if they win your case, so they may reject cases that are unlikely to end in an award for benefits. Get help with your claim now. Our experts have helped thousands like you get cash benefits.

Can my employer dispute my workers compensation claim?

The bottom line is if your employer has a problem with your claim, he has the right to contest it. The system is set up to resolve such disputes. What employers don’t have the right to do is not report a claim in the first place. If they do, act on the simple rule that’s the foundation of the workers compensation.

What is considered to be a permanent disability?

A permanent disability is a mental or physical illness or a condition that affects a major life function over the long term. It is a term used in the workers' compensation field to describe any lasting impairment that remains after a worker has treated and allowed time to recover (reached maximum medical improvement).

Is SDI the same as workers comp?

California state Disability Insurance (DI) pays a weekly benefit when an injury or illness is not caused by or related to work. The DI benefits are paid only for a temporary period of time. Workers' compensation (WC) provides benefits to employees when their injury or illness arises out of or is caused by their work.

Does Permanent disability mean forever?

You generally won't be considered for permanent disability benefits until your treating doctor says you've reached a plateau in your recovery—meaning that your condition isn't expected to improve further with more treatment, at least in the near future.

What is the monthly amount for Social Security disability?

SSDI payments range on average between $800 and $1,800 per month. The maximum benefit you could receive in 2020 is $3,011 per month. The SSA has an online benefits calculator that you can use to obtain an estimate of your monthly benefits.

What is the longest you can be on workers comp?

If an employee asks, “How long can you stay on workers comp?” or “How long is workers comp?” the answer is three to seven years as a rule of thumb. However, there is typically no time limit for permanent disability.

Can I collect SDI and workers comp?

Yes. You can apply for Disability Insurance (DI). However, usually you cannot be paid both workers' compensation and DI benefits for the same period of time except in limited situations.

What are the cons of being on disability?

The Disadvantages of Social Security DisabilityProof of Disability. Unlike other government programs SSDI does not give benefits for partial disability. ... Past Work History Required. ... Delay in Benefits and Case Reviews. ... Benefits Can Be Taxed.

How do you get declared disabled?

'A person has a disability if:They have a physical or mental impairment, and.the impairment has a substantial and long-term adverse effect on the person's ability to carry out normal day-to-day activities. '

What is fully favorable disability?

A “fully favorable” decision is rendered by an administrative law judge (ALJ) after evaluating a second appeal filed by a SSDI claimant. This means the ALJ has essentially overturned the denial handed down during the first appeal (reconsideration) and the claimant will now begin receiving monthly disability benefits.

Is Social Security getting a $200 raise?

A benefits boost: $200, plus COLA changes Anyone who is a current Social Security recipient or who will turn 62 in 2023 — the earliest age at which an individual can claim Social Security — would receive an extra $200 per monthly check.

What is the max Social Security benefit for 2021?

$3,895The $3,895 maximum Social Security benefit in 2021 is more than double the average benefit and provides a generous $46,740 in annual income. While this may sound like a nice amount of money as a senior, very few people end up maxing out their Social Security checks.

What is the highest paying state for disability?

The highest paying states for SSI benefits as of 2022 are New Jersey, Connecticut, Delaware, New Hampshire and Maryland....The breakout for those states are as followed:New Jersey: $1,689 per month.Connecticut: $1,685 per month.Delaware: $1,659 per month.New Hampshire: $1,644 per month.Maryland: $1,624 per month.

Why don't insurance companies want you to hire an attorney?

Of course, the insurance company doesn’t want you to hire a lawyer because you are ignorant of the benefits without one. For example, you have the right ...

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

Before you file your claim, there are some important things to make note of. Here are 5 things the workers’ compensation insurance company doesn’t want you to know. Once you notify the workers’ compensation insurance company in writing of your accident by filing your Notice of Accident (Form 18), the insurance company has 30 days to accept ...

Can an insurance company force an I.M.E.?

In that case, the Court may force the insurance company to provide the I.M.E. with the doctor of your choosing, or the Court may choose a different doctor for you to see. The insurance company and your employer must provide you with your wage information to verify you are receiving the correct disability pay.

Can you see a doctor if you agree with the adjuster?

If you and the adjuster agree, you will be allowed to see the doctor you choose. If the insurance company does not agree with your choice, then the adjuster may suggest other doctors. Suppose you and the insurance company cannot agree about a particular doctor.

Can you return to work after a permanent injury?

Knowing the laws that protect you is crucial, especially if your injury is permanent and you cannot return to work. An experienced attorney can help you get the help you and your family deserve and make sure you don’t miss any benefits that will provide for you during your disability and beyond.

Why is my workers comp claim rejected?

These are some of the most common reasons your workers’ comp claim can be rejected: 1. You Aren’t a Qualified Employee. Some workers may not be eligible for workers’ compensation.

What happens if you go back on workers comp?

If you’ve been out on workers’ comp and the doctor has cleared you to return to work, you have to go back or risk losing your job and your workers’ comp benefits. You’ll need another doctor’s opinion to prove you are not yet ready to return to work.

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

While each state has different time limitations, it’s usually about 30 days.

How long does it take to reopen a claim?

Each state sets time limitations for filing a request to reopen a claim. They can range from three to seven years from the date of your original claim denial – not the date of your original injury. Some cases are considered closed when full and final payment is made to you, and a release is signed.

Do employers have to provide workers comp insurance?

Employers in the United States are legally required to provide workers’ compensation insurance for their employees who are hurt at work, with a few exceptions. Most employers purchase workers’ comp from private insurance companies.

Can you get workers comp if you work on an assignment?

To qualify for workers’ comp, your injury must happen while performing your work duties on your employer’s job site, or off-site while working on an assignment from your employer or supervisor. If your injury occurs before or after normal work hours, or during a lunch break, your injury may not be covered.

Does workers compensation cover back strain?

Some states don’t require workers’ compensation to cover soft-tissue injuries like a simple back strain or repetitive motion injuries, even if the sprain or strain makes you miss several days of work.

What are the benefits of workers compensation?

Workers' compensation benefits include lost wages, medical bill reimbursement, and disability benefits. Workers' compensation injury benefits can also include death benefits if a worker is killed on the job.

Do you have to give consent to a lawyer to text you?

You are not required to provide consent as a condition of service. Attorneys have the option, but are not required, to send text messages to you. You will receive up to 2 messages per week from Martindale-Nolo. Frequency from attorney may vary.

Can you file a workers comp claim if you are not covered by workers comp?

If you aren't covered by workers' comp, and the negligence of the person or company you were working for contributed to your injury, you may file a regular personal injury claim lawsuit, since you cannot file a workers' compensation claim.

Can you file a lawsuit against your employer?

When You Can File a Lawsuit. If you are a covered employee, then in most states you can only file a lawsuit against your employer in very specific circumstances. One of these circumstances is if your employer intentionally acted to harm you, specifically.

Can you sue a third party for a defective product?

In some cases, you may also be able to sue a third party other than your employer who is partially responsible for your injury. For example, if a defective product you used at work injured you, you might be able to sue the manufacturer of that product, in addition to filing a workers' compensation claim.

Can you file a lawsuit for workers compensation?

Since you cannot file a lawsuit, you cannot get punitive damages (money awarded to punish your employer). However, workers' compensation benefits can be substantial, depending on the state you live in. Washington, for example, is very generous to injured workers. Texas and California, on the other hand, are not as generous with workers' ...

Can you file a workers comp claim if your employer is negligent?

But usually you must file a workers' comp claim. Even if your employer was grossly negligent, for example, if they did not repair a broken ladder or if they left a dangerous piece of machinery where you could fall onto it, this is not enough to entitle you to file a private lawsuit.

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 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.

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.

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.

What is the difference between short term disability and workers compensation?

The big difference is that workers’ compensation is for people who get hurt at work and short-term disability (STD) is for injuries or illness that are deemed non-work related ( car accidents, sickness, or diseases). Likewise, short-term disability policies typically do not cover ...

What is injured workers law?

The Injured Workers Law Firm is a Richmond, Virginia based firm solely focused on serving clients with workers' compensation claims in Virginia. If you have questions about your benefits or if you would like more information on the Virginia workers’ compensation system, order our book, “The Ultimate Guide to Workers’ Compensation in Virginia” , or call our office today (804) 755-7755.

Do you have to pay back your short term disability?

If your employer tells you to file for short-term disability instead of workers’ compensation after you’re hurt on the job, your employer either may not know the difference or save the company money. If you get on short-term disability and you should have been receiving workers’ compensation benefits, you will have to pay back ...

Can you file for short term disability if you are denied?

If you file for workers’ compensation and get denied, you can then file for short-term disability. If your employer tells you to file for short-term disability ...

Does short term disability cover work related injuries?

Likewise, short-term disability policies typically do not cover work-related injuries . If you have a STD policy, you are usually paying for this. This is money taken out of your check, just in case something unforeseen should happen to you.

Can you double dip for STD?

No double-dipping! Also, in most cases to get on STD, you have to say that the injury that is preventing you from working is not work-related. If you are still seeking workers’ compensation benefits, any statements of this nature could be VERY HARMFUL to your case!

Can you sue your employer for work injury in Virginia?

In Virginia, you are entitled to workers compensation benefits for a work accident injury but you cannot sue your employer because you get injured at work. Myth. The insurance company is paying my medical bills, so I’m covered. Fact.

Why do disability attorneys decline to take cases?

Concerns about disability applicant. An attorney or law firm may decline to take a case if they feel the client may be troublesome or is not trustworthy, which may be evident if any of the following factors are present: inconsistent statements from the claimant, or dishonesty.

Why do people who have been represented in the past have difficulty finding a new attorney?

It is also because clients who have had issues with a previous firm or advocate are more likely to have the same issues even with a new attorney.

What happens if a claimant has not had medical treatment?

This usually happens when a claimant has not had access to health insurance or is ineligible for medical assistance. If the claimant has older supportive medical records that indicate a disability, an attorney or firm may decide to take the case and help the claimant get further testing either by requesting a consultative examination by the SSA or by helping the claimant find affordable community healthcare.

What is disrespectful behavior in disability?

Disrespectful Behavior. The disability process is stressful and attorneys and their staff members well understand this. However, attorneys will not tolerate abusive or disrespectful language directed at themselves or their staff no matter how good the case.

What happens if you don't have medical evidence?

Lack of Medical Evidence. If there are legitimate reasons that a claimant has not had consistent medical treatment, an attorney or law firm could still decide to take the case. This usually happens when a claimant has not had access to health insurance or is ineligible for medical assistance. If the claimant has older supportive medical records ...

What to do if you have behaved inappropriately towards an attorney?

Therefore, if you have behaved inappropriately towards an attorney or firm staff member, you should apologize directly to the attorney or staff member and provide a written letter of apology. Remember, though, that an attorney can cease to represent you if there is a relapse in your behavior.

Can the SSA reschedule a hearing?

Also, the SSA is generally unwilling to reschedule hearings unless the claimant can demonstrate a good reason to do so (such as illness).