worker comp stopped my checks when i hired a lawyer, they denied two of my injuries

by Nora Gleichner 3 min read

What should I do if my workers’ compensation claim is denied?

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What happens if my work comp check is late?

You should know that workers compensation benefits cannot be stopped if you hire a lawyer. Take a look at the advice below to help you better understand your rights to workers compensation benefits. To speak with a workers comp attorney now, call us at (844) 337-5167 or fill out our free contact form. There’s no fee or obligation.

Is your lawyer dropping the ball on your Workers’ Comp case?

Why Workers’ Comp Payments Stop. If they want to stop benefits, they must send the injured worker a “Notice of Suspension.” This notice is used if you return to work after recovering from your work-related injury or they have filed a petition to …

Should I talk to a lawyer before accepting a workers comp settlement?

Dec 10, 2014 · Contact a Workers’ Compensation Lawyer for Help If your Checks Stop. The best thing you can do, if your workers’ compensation checks stop, is to contact Jim Mogul. He is an expert* in Pennsylvania workers’ compensation law. You can reach him by using our contact form, or at 888-566-5267.

What is a notice of suspension?

This notice is used if you return to work after recovering from your work-related injury or they have filed a petition to modify, suspend, or terminate your benefits.

Can you stop receiving workers compensation in Pennsylvania?

If you give the insurance company permission to stop payments through a settlement, then payments will stop.

What Should You Do?

If you already have a workers’ compensation attorney, you should pick up the phone and call him right away. Your attorney will call the adjuster and inform him that your checks have stopped and need to be restored right away. If you do not have an attorney, this would be the time to get one.

What is a Penalty Petition?

In Pennsylvania, a penalty petition is a request that your lawyer files with the workers’ compensation judge to force certain actions on the part of the insurance company for your employer. If the insurance company stops your workers’ compensation checks improperly, the judge should rule in your favor.

What happens if you hire a lawyer?

Once you get a settlement or a verdict, the lawyer will take a percentage of the amount of money you collect. If the insurance company has denied your claim or stopped paying your benefits, you have absolutely nothing to lose if you hire a lawyer.

What does a doctor say about you?

A doctor says you are able to return to work. Your employer offers you suitable light duty work. A doctor says you have reached maximum medical improvement. The insurance company determines you were injured somewhere other than work, and. The insurance company's doctor says you had a pre-existing condition.

What is temporary disability in Georgia?

This temporary total disability check replaces the wages that you lose when you are unable to work. But, Georgia law does have limits on how long the insurance company has to pay these weekly checks. Knowing about and understanding these limits can help you make good decisions about your workers compensation case.

Who is Jason Perkins?

Jason Perkins is an attorney who specializes in representing injured workers. He regularly blogs about Georgia’s workers’ compensation system and issues that are important to injured workers and their families. You can subscribe to his Georgia Workers Compensation channel on YouTube.

How long does a workers compensation hearing last?

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.

What is the purpose of workers compensation 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.

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 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.

When to use IME?

IME’s also are used when an employee is denied workers comp benefits and no medical care benefits are given. The insurer would need evidence from IME physicians to support their case.

Why do we need a whole person impairment rating?

If the injury the worker suffered affected numerous parts of his body, then a whole person impairment rating is needed to help determine the level of disability and its effect on future earning capabilities. Each injured part of the body is given a separate rating based on the how severe the injury is.

What is impairment rating?

An impairment rating is given to an injury that is permanent, but may not affect your ability to do a job. For example, a construction worker may lose a thumb in a work-related accident. He has received treatment, but the loss of a thumb is permanent and he is seeking compensation.

Your Workers' Comp Benefits Stop Without Explanation

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.

Your Lawyer is Pressuring You to Settle

There’s a big difference between explaining your realistic options and pressuring you to accept a lowball settlement offer. It may be time to adjust your expectations if your lawyer has given you clear reasons as to why the offer is the best you’re going to get, or why your chances of winning at a hearing are low.

What is the best way to win a workers compensation case?

For the best possible outcome in your workers’ compensation case, you should hire an experienced attorney that has a proven record of success in various types of workplace injury claims.

What does it mean when a worker is embarrassed?

At the time of an accident or injury a worker may be embarrassed, dazed or disoriented. They may not be thinking as clearly as they normally would, even if they have no outward appearance of injuries.

How to keep track of doctor visits?

A good method to accomplish this is to purchase a separate calendar to keep track of your doctor’s visits and symptoms. It can be a wall or pocket calendar, or something as simple as a printout from your computer. Finally, make sure to keep copies of everything, including all costs associated with the injury.

Can an injured worker make a mistake?

This is the greatest mistake an injured worker can make. As stated above, it is extremely tempting to do things for one’s self, especially when living alone. However, it is the one time when you do venture down the driveway to get that heavy package out of the mailbox or carry in that bag of groceries when you are caught in the act by a zealous insurance adjuster who has sent out a private investigator for the sole purpose of discrediting the inju red worker.

What is an adjuster's job?

They work for the employer’s insurance company. The adjuster’s job is to pay you the least amount of benefits and that is in the best interest of his or her employer. This is not to say that all employers or their insurance companies, are out to intentionally deceive people.

How can a claim be diminished?

Another way your claim can be diminished or denied is by not following your doctor’s treatment plan or advice. If your doctor orders follow-up tests or physical therapy, it is extremely important that you follow up on everything, even if you are feeling better.

Do you have to give a recorded statement?

You do not have to give a recorded statement or sign a medical authorization. Much like a criminal case, anything you say can and will be used against you. My clients are often shocked when they find out they were never required to give a recorded statement. The adjuster may tell you they can’t proceed with your claim until you sign certain paperwork.

What happens when an injured employee hires an attorney?

Claims adjusters know that when an injured employee hires an attorney there is a good chance that: 1) the insurance company will have to pay more money in benefits or a settlement and 2) the claim will take more effort to close.

What do workers comp adjusters do?

Like any other profession, workers comp claim adjusters have certain techniques they use to help them investigate, defend, negotiate, and settle claims. Most of these techniques are allowed, but can still hurt your case if you don’t know what to watch out for.

What is a claims adjuster?

Claims adjusters have a role in almost every type of personal injury claim, from car accident claims involving negligence and tort law, to workers comp. They even have a role in long term disability claims.

How long does it take for an insurance adjuster to call you?

This adjuster will send you a letter or call you within 48 hours of your work injury and ask for more information about your work accident or occupational disease.

How many adjusters are there in a case?

It is common to have two or more adjusters assigned to your case at different times. No matter their official job title, remember one thing: This person’s job is to save the employer and insurance company money by finding ways to limit the amount of cash and medical benefits you receive.

What is the goal of talking to a claims adjuster?

One of your goals when talking with the claims adjuster is to find out what the adjuster considers important when deciding whether to accept a claim and offer an Award Agreement Form or to make a settlement offer.

Can you settle workers comp claims?

Taking an extreme initial settlement position may prevent you from resolving your workers comp claim . That is because many claims adjusters refuse to negotiate with an injured employee if they think the employee is being unrealistic.