why would a lawyer be necessary to get workmans comp?trackid=sp-006

by Alexis Cassin 5 min read

The ultimate goal of a workers' compensation attorney representing the claimant—the injured worker—is to help that individual obtain benefits. The goal of the workers' comp lawyer representing the defendant, which would be the employer or the employer's insurance company, is to mitigate the defendant's liability.

Full Answer

Why do I need a workers’ compensation attorney?

May 08, 2015 · Without a lawyer checking up on the workers’ compensation carrier, you may receive less that the 70% you are entitled to under the law. This is because your lawyer can make sure that the carrier...

When to hire a workers'compensation lawyer?

May 18, 2019 · A workers’ compensation lawyer is not necessary in every legal case. There are situations in which injured workers will be able to handle their entire claim on their own. Specifically, you may not need to get help from a workers’ compensation lawyer if the following five things all apply to your case: Your injury is clearly related to your job;

When should I contact a workers’ compensation attorney?

Jan 09, 2018 · So why should you seek legal counsel for a workplace accident or a work-related injury? From the perspective of the employer, an injured worker cuts into productivity and profits. Companies and their workers’ comp insurance carriers will use every tactic to deny or minimize your claim and get you back to work as soon as possible.

Should small businesses hire a workers’ comp lawyer?

Oct 30, 2012 · The goal of the workers' comp lawyer representing the defendant, which would be the employer or the employer's insurance company, is to mitigate the defendant's liability. Typical job functions of a workers' compensation lawyer include: Gathering medical evidence and …

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

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.

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 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.

How long does it take to file a claim with the Department of Labor?

Your employer should file the report with the Department of Labor within 3 days. 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.

Can an insurance company deny a workers compensation claim?

The insurance company, as a third party that pays out the claim, can deny a workers’ compensation claim. All they need to do is establish legal grounds. Now, this puts you as the worker in an awkward position. You can either accept their denial or you can appeal the decision and fight it.

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 can a worker's compensation attorney do?

A workers' compensation attorney can help workers who are injured on the job recover compensation for these injuries, including medical bills and lost wages.

What is the job of a workers comp lawyer?

The goal of the workers' comp lawyer representing the defendant, which would be the employer or the employer's insurance company, is to mitigate the defendant's liability. Typical job functions of a workers' compensation lawyer include: Gathering medical evidence and medical records.

What are some examples of accidents at work?

Accidents can be pretty common at work—a broken arm from a fall off a ladder, a back injury from lifting heavy boxes, or carpal tunnel syndrome as a result of years of typing are all common examples. A workers' compensation attorney can help workers who are injured on the job recover compensation for these injuries, ...

How much do claimants attorneys charge?

It's more customary that they work on a contingency basis, collecting a percentage of any award received for a claimant, anywhere from 10% to 33%. Some state laws cap the percentage.

Where do workers comp attorneys work?

Workers' comp attorneys work in an office environment, often employed in a law firm or in a corporate legal department. Frequent travel to hearings, arbitrations, depositions, and job sites can be required.

What are the laws that cover federal employees?

Federal employees are covered by a number of laws, including the Federal Employees Compensation Act, the Jones Act for seamen, and the Longshore and Harbor Workers' Compensation Act for longshore and harbor workers. The effect of most workers' comp laws is to make the employer strictly liable for injuries sustained in the course of employment, ...

What does an attorney do for a company?

On the defense side, attorneys help insurance companies or self-insured employers mitigate their exposure and defend against workers' comp claims. They must understand the claims-handling guidelines for each business unit they work with and be able to budget costs and calculate exposure.

What happens if a company doesn't have workers comp?

If an employee is injured and your business lacks proper insurance, you can be held liable for medical costs, and you could face state penalties and lawsuits.

What do lawyers do for employees?

Lawyers help employees assess the cost of their injury or illness to determine how much money they should receive. To do so, attorneys consider medical bills, rehabilitation costs, time away from work, and the type of disability that the employee has incurred.

Can a lawyer help with workers comp?

They feel a lawyer can help them prepare their case better than they could alone. Speaking openly to employees about their workers’ comp benefits and providing official digital or printed information may reduce the likelihood that they will involve lawyers in a claim. But when they do, it is usually to:

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 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.

Can you sue someone for work related injuries?

You were injured because of a third party's actions or your employer's serious misconduct conduct. The workers' comp system was designed to prevent civil lawsuits for work-related injuries. However, you are permitted to sue outside workers' comp in certain situations, including when someone other than your employer contributed to your injury ...

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.

Can an employer deny workers comp?

Your employer denies your claim or doesn't pay your benefits promptly. Employers and workers' comp insurers routinely reject bona fide workers' comp claims, confident that many workers will fail to appeal. Unfortunately, they're usually correct.

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 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.

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.

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.

Can you file a claim against a third party?

You May Have a Claim Against a Third Party. Part of the workers’ compensation program is designed to shield employers from civil claims. However, some cases may still warrant civil claims. If a defective piece of machinery caused your injuries, you may have a claim against the manufacturer of that machinery.

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.

Do you have to pay workers compensation in Pennsylvania?

By law, Pennsylvania employers are required to pay for workers’ compensation coverage for all qualified workers. This is the case even in small and non-profit organizations. Employers may fulfill this insurance requirement through self-insurance or by going through an insurance company.

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.

Can you be denied workers compensation if you are injured?

While workers’ compensation fraud is a real concern, you shouldn’t be denied benefits if you are legitimately injured. If your employer or their insurance company alleges you aren’t really injured or you are trying to defraud the system, it’s important to consult with an attorney.

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 is workers compensation?

Workers' compensation is designed to provide benefits and care for workers injured on the job. Since its inception in the early 20 th century, workers' compensation laws have expanded to not only cover workplace injuries, but also illnesses caused by workplace conditions, usually known as occupational diseases.

Can you sue an employer for negligence?

In exchange for the guarantee of insurance coverage and benefits for workers who have a valid workers' compensation claim, workers cannot sue the employer in court for negligence. An injured worker can file a lawsuit against the employer only if the employer intentionally caused the worker's injuries. As a result, punitive damages, pain and ...

What happens if you can't work for a long time?

If you cannot work for a period of time due to your injury or illness, you likely will be eligible to receive compensation for your lost wages. These temporary disability benefits, or lost wage benefits, are usually a percentage of your wages at the time of injury, typically around two-thirds of your weekly wages, depending on your state's laws.

Can an employer opt out of workers comp in Texas?

In Texas, employers that opt out of the workers' comp system can remain uninsured, but they can be sued by injured workers in court. How your employer is insured does not change your eligibility for workers' compensation benefits.

What happens if you are injured on the job?

If you are injured on the job or believe you have an occupational disease, report this to your employer immediately. You could lose your right to file a workers' compensation claim, and thus forgo your workers' compensation benefits, if you do not meet the requirements in your state for timely reporting an injury or illness.

Can you get vocational retraining if you are injured?

Once you have obtained all available curative medical treatment, if you cannot return to your prior job due to permanent physical restrictions, you may be eligible for vocational retraining or services. Many states will pay for injured workers to receive vocational retraining necessary for them to return to the workforce.