In most cases, you won't lose money in your workers' comp case just because your lawyer didn't communicate with you about your case, so you wouldn't get anywhere with a malpractice lawsuit. You can, however, always file a complaint with the state bar, which is the state agency responsible for disciplining attorneys.
Nov 28, 2018 ¡ Workers' comp cases can also be slow, and you may not always understand why. Most of the time, your lawyer has no control over the time that various stages in the process take. For example, it may take several months to get a hearing on schedule because of a backlog at the state workersâ compensation agency.
Make certain you save a copy of every form. Start a journal. Make notes of your discussions with supervisors, coworkers, and human resources personnel. Write down (or use a voice-recorder app on your smart phone to capture) your recollection of what led up to the accident, how it happened, and the aftermath.
If that doesn't work, you may substitute a new attorney. But don't fire don't fire the current lawyer until you've found a new replacement and taken the steps for switching workers' comp lawyers.
It's common for injured workers to complain that their workersâ comp lawyers don't communicate with them often enough. If your lawyer isnât responding to your emails and phone calls, you're probably frustrated and wondering what you can do.
Your lawyer has an ethical duty to keep you reasonably informed about important matters in your case. If multiple phone calls and emails have gone unreturned, it may be time to start thinking about hiring a new lawyer.
Most of the time, your lawyer has no control over the time that various stages in the process take. For example, it may take several months to get a hearing on schedule because of a backlog at the state workersâ compensation agency. Or it may take several weeks ...
If youâre getting radio silence from your lawyer, call the assistant or paralegal and try to set up a meeting. Offer a few dates and times that youâre available to meet with your lawyer, in person or over the phone, and call back to follow up. If this is unsuccessful, you might try asking when your lawyer is usually in the office and then show up in person.
If your case is in a holding pattern, your lawyer should let you know and explain why. If youâve made multiple efforts to contact your lawyer and have received no response, you may have a real problem on your hands. Your lawyer has an ethical duty to keep you reasonably informed about important matters in your case.
If youâre getting radio silence from your lawyer, call the assistant or paralegal and try to set up a meeting.
Do your research. Avvo.com, the attorney-rating website, is a good place to start. Pay attention to both peersâ and clientsâ reviews. Gather a handful of names and begin making calls. Set up interviews. If at all possible, meet face-to-face. Learn about their communications styles and preferences â Are they compatible with your own? â and how accessible they are. What if something happens on the weekend? Will you have to wait until Monday to talk it over?
Ideally under workers comp, the injured employee receives the care (s)he needs to become healthy and productive once more, as well as tax-free wages to pay the bills; the employer gets a healthy worker and avoids costly litigation.
By contrast, because there routinely are ongoing disputes over evolving issues â your claim is denied; youâre having trouble getting medical care; youâre unable to return to your previous job; your disabilities are disputed â workers comp cases can last for years, even decades.
A 2015 survey of workers compensation clients by the law firm Martindale-Nolo indicated the average case took more than 15 months to resolve. Cases involving permanent disabilities, or negotiated settlements, or clients represented by lawyers â boat-rockers all, it would seem â stretched out an additional two to three months.
Your work-related medical issues prevent you from returning to your prior job, or limit what you can do at work.
Know this going in, however: The fee you negotiate must be approved by a workers comp judge before a settlement is reached. No other area of law has that safeguard, Pitts notes.
You are permanently disabled, either totally or in part, and the insurer resists your rating. Your employer and insurer fail to pay workers compensation benefits promptly, counting on you not to file an appeal.
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 workersâ comp hearing. You shouldnât have to go into these events blind.
Most workersâ comp cases are resolved through settlements. It usually makes sense for you and the insurance company to meet in the middle and avoid the time and expense of a hearing with a workersâ comp judge. Thereâs usually no reason to begin settlement discussions before youâve reached MMI. At some point after that, however, your lawyer should begin working on your behalf to negotiate a settlement. Even if the insurance company is only willing to make lowball settlement offers, your lawyer should inform you about those offers before rejecting them.
Your Lawyer Doesnât Return Your Calls. One of the biggest complaints about workersâ comp lawyers is that they donât 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 workersâ comp lawyers). Other times, however, a lawyer may not be giving your case ...
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).
However, if your lawyer canât answer simple questions about the status of your case, or repeatedly asks you the same questions, it may be a sign of neglect.
If youâre receiving weekly benefit checks while youâre off work , theyâll probably stop once your doctor has decided that youâve reached whatâs known as maximum medical improvement (MMI) âmeaning that youâve recovered as much as can be expected.
But an attorney who rushes you into a bad deal may not be looking out for your best interests.
One of the first things you should discuss with your attorney is their fee structure. Most workersâ compensation attorneys work on a contingency fee basis, which means that you wonât have to pay them until you are compensated.
Have you found yourself calling your attorney incessantly to get updates on your case, and they are not responding? If you have, then you know how frustrating and infuriating it can be.
The vast majority of workersâ compensation cases are resolved through a settlement. Negotiating a settlement is usually the best decision for both you and the insurance company. That way, both of you will be saved from dealing with the hassle and expense of going to court to resolve the case.
Reliable attorneys will explain your situation carefully, and if an excellent offer comes along, you will know precisely why you should accept it. However, certain attorneys may try to pressure you into accepting a settlement, even if it appears to be a lowball offer from the insurance company.
Has your attorney asked you to change certain things about your claim to help you secure a âbetter settlementâ? If that is the case, you should be extremely careful about what you agree to do next, as you could be on the verge of committing workersâ compensation fraud.
Workersâ compensation is not an easy or straightforward process. Many times attorneys may have to break the bad news to their clients. Some may think that hiding this information is the best course to keep their clients happy, but that is not the case.
A good lawyer will guide you through your workersâ compensation claim by explaining each step of the process in a clear manner. If youâre confused or caught off guard by events, it might be a sign your lawyer lacks the ability (or desire) to effectively communicate.
Itâs not always easy to tell whether you hired the wrong workersâ compensation attorney. Here are 10 telltale signs you should seek new counsel. Pursuing a workersâ compensation claim is stressful. Your medical bills are likely mounting and you may be wondering whether youâll ever be able to return to work.
If your lawyer is continually sending you bills that include vague narrative descriptions or billing you for tasks that werenât actually performed, it may be a sign you hired the wrong workersâ compensation attorney. Similarly, if your attorney is unable or unwilling to explain their billing practices, itâs probably time to look for a new attorney.
Third-party claims are important because workersâ compensation benefits are limited and therefore you can sue the third party for the damages youâre not able to recover through your workersâ compensation claim (such as pain and suffering ).
If your lawyer is unwilling to file other claims or to explain why other claims canât be filed, consider seeking legal counsel from another firm.
Most workersâ compensation claims are settled out of court by negotiating with the insurance company. Settling your claim saves you the time and expenses associated with a trial.
This usually means that your lawyer missed an important deadline, failed to submit requested documents or failed to communicate with you on what to expect. If this happens to you and your attorney doesnât have a good explanation, itâs time to look for an attorney who can stay on top of things. 7.
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 itâs not, youâre headed for a hearing.
If the insurance company doesnât 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.
That injury is aggravated further at work, suddenly becomes serious and the employer/carrier says the original injury didnât occur at work.
Reporting regulations and deadlines vary from state to state, but it should typically take no longer than 30 days to complete this process.
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 companyâs witnesses. That job should not be left up to amateurs. Unlike civil cases, workers compensation law has a safety net of sort.
Unless youâre 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 whoâs probably handled hundreds of cases.
If you have a third-party claim â You can go outside the workers comp system and file a workers comp lawsuit if someone other than your employer contributed to your injury. For instance, if a negligent driver hits you while you are driving for work, you can sue that person for damages.
When the adjuster does not contact the injured employee timely, or does not respond to a settlement demand from the employee's attorney, it is normally because the adjuster has more to do than is possible to get done.
Advising the employee not to hire an attorney. Threatening to reduce the settlement of the claim if the employee hires an attorney. Discussing any aspect of the claim with an employee known to be represented by an attorney. Settling the claim before the extent of disability is known.
The workers compensation adjuster, who is often dealing with attorneys out to maximize the cost of the workers comp claim, or with employee claimants who are attempting to commit fraud, maybe tempted to fight fire with fire. The adjuster should always handle the claim in a totally ethical manner. If an adjuster is doing any of the following, stop everything and discuss the adjuster's actions with the adjuster. [WCx]
Paying less than the workers comp statute calls for when settling a permanent partial disability. Offering to settle and close out future benefits for an amount significantly less than what the adjuster knows to be fair. Advising the employee not to hire an attorney.
Self-insured employers often get into trouble for not being knowledgeable of the requirements of the Unfair Claims Practice Act in the state (s) where it is being self-administered for workers compensation claims. The failure to act in a totally ethical manner can lead to litigation by the party wronged and to fines and/or the suspension ...
Often there is an ethical and valid reason for the adjuster's action which will become apparent when you learn more about the reason for the adjusterâs actions. Only when the adjuster sets out to act dishonestly should you be greatly concerned.
Almost all adjusters are honest and have the best interest of both the employee and the employer at heart. If you do notice any of the above 22 issues occurring, stop and discuss the issue with the adjuster.
A good workers' comp attorney is a zealous advocate, not a passive observer. You are well within your rights to inquire (in a non-confrontational manner) precisely what steps your lawyer has taken to advocate on your behalf. Has she written a letter to your employer or the workers' comp insurer?
If your lawyer is unavailable when you call, request that a phone conference or in-office meeting be scheduled. Make it clear at your next meeting that you expect better communication. Your attorney should listen to your concerns and take steps to improve communication in the future.
If your attorney isn't keeping you updated on the status of your case, you may have cause for concern. Keep in mind, however, that legal assistants and paralegals can be valuable sources of information about the workers' comp process in general and your case in particular.
Nothing happens quickly in a workers' compensation case. A simple request for medical records can easily take four to six weeks, and it could take many more months for you to be scheduled for an independent medical examination. The huge backlog of cases in most workers' comp courts can lead to further delays. In the vast majority of cases, blaming your attorney for these delays is like blaming the waiter because your steak isn't cooked properly. The fault usually lies with the chef, not the server. In most circumstances, hiring a new attorney won't speed up your case. In fact, there's a better chance that switching lawyers will postpone matters even further, especially if your workers' comp hearing is approaching.
If you're not confident that your lawyer has a solid grasp of the legal issues in your case, you'd be well-advised to look for a new one. Before you hire a replacement, make sure that attorney regularly handles workers' comp cases and can explain the relevant issues to you.
State law governs attorneys' fees in workers' compensation cases, and many states set a cap on the percentage and/or total amount they can chargeâusually from 10% to 20% of the benefits. When more than one attorney has worked on your case, the lawyers split that fee according to how much work each has performed.
Attorneys who don't specialize in workers' comp tend not to understand the nuances of this complex field of law. If you're not confident that your lawyer has a solid grasp of the legal issues in your case, you'd be well-advised to look for a new one. Before you hire a replacement, make sure that attorney regularly handles workers' comp cases and can explain the relevant issues to you. Ask for references from former clients or other attorneys if you have any doubt.