how to proceed with a workers comp claim without an attorney

by Karley Leannon 4 min read

Yes. Most times, even when a lawyer is involved, an agreement is made without taking the matter to court. If you have a strong understanding of the legal system, your state’s laws, and workers’ compensation insurance, you may be able to dispute your case directly with your employer’s workers’ comp insurance provider.

Full Answer

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

Feb 19, 2021 · Factors to Consider Before Negotiating a Workers' Comp Settlement Without an Attorney. You may choose to negotiate a workers' compensation settlement without a lawyer; however, you must understand the law and several other factors in accepting a settlement. Your future medical needs and cost. The amount of the impairment — permanent partial ...

What happens if my employer denies my workers'comp claim?

Aug 11, 2020 · Put simply, you are able to file a workers’ comp claim without an attorney, however, you may miss out on the compensation you deserve without a legal expert to review your case. In other words, we strongly advise anyone who questions their workers’ compensation claim to speak with an attorney.

Should I hire a workers'compensation attorney after an injury?

A ten percent (10%) impairment rating equates to thirty (30) weeks of compensation (300 weeks x 10% = 30 weeks) In more serious cases, a Functional Capacities Evaluation (FCE) is used to determine permanent work restrictions and limitations. What You Can’t Get. In both SC and NC, you cannot recover anything for “pain and suffering."

Can't You Win Your workers'compensation case?

It’s a back-and-forth, step-by-step process that starts the day an employee files a workers comp claim. 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 ...

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.

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.

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 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.

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.

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.

When is a settlement final?

When an employee represents himself or herself, the settlement is not final until the judge approves it. They can reject the settlement if they feel it’s not reasonable and the employee is getting a raw deal. But the settlement usually has to be grossly unfair for a judge to reject it.

Can SSDI be reduced?

You plan file for Social Security disability benefits – Those benefits, known as SSDI , may be reduced by workers comp benefits. A lawyer can structure your settlement to minimize or eliminate the offset. Your employer retaliates against you – If you are fired, demoted, have your hours cut or are pressured to return to work too soon, ...

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.

What is the work comp system in California?

California’s Workers’ Compensation System. Workers’ compensation claims in California operate on a no-fault system. This means that you do not have to prove that your employer acted in negligence in order to receive compensation. All you need to prove is that you suffered an injury that was related to your work.

What can an attorney do for you?

Your attorney can discuss the facts of the case with you and help you determine if you could claim compensation based on available evidence, as well as find additional evidence. If the process is too overwhelming, your attorney can handle the litigation on your behalf.

How long does a temporary disability last?

Temporary disability payments, based on two-thirds of your average weekly wage for a maximum of two years after your injury. Permanent disability payments, which occur when your injury affects your ability to go back to your job, or to work at all. The state determines how much you receive based on your disability.

What is vocational retraining?

Vocational retraining costs if you can no longer work in your old job and you cannot receive modified employment. This coverage pays for your education at approved schools. Death benefits if you lost a spouse or parent due to a workplace accident.

What to do if you can't get workers compensation?

Hire an attorney. If you cannot reach an agreement on benefits with your employer and the workers' compensation insurance company, you may have to file a lawsuit. An experienced workers' compensation attorney knows all the ins and outs of your state's workers' compensation law, and will best be able to protect your rights.

What to do if your employer withholds your workers compensation?

Secure the necessary paperwork. Your employer will have the necessary forms and should give them to you without resistance. However, if for any reason your employer withholds the form, then contact your state workers compensation agency.

What is workers compensation insurance?

Workers' compensation insurance is provided through your employer, and covers your medical bills and living expenses if you are injured on the job. While the concept of workers’ compensation is straightforward, winning a workers' compensation case is not always so easy. Even with a case that has plenty of evidence in your favor, ...

How long do you have to notify your employer of an injury?

These limits vary by state, but it is best to notify your employer immediately after seeking medical assistance. Typically, you have between 30-45 days to notify your employer of an injury.

What happens if you don't follow your doctor's advice?

You are seeking compensation for the duration of your injury. If you do not follow a doctor’s advice, then you may be denied benefits. If you are told to stay in bed but decide to go to a baseball game, then you could forfeit benefits from the date you decided to ignore your doctor’s advice.

How long do you have to file a claim for a personal injury?

If you delay filing, then you are merely delaying the start of any compensation for your injury. Also, the law requires that you file a claim within a statutory period. If you are employed by the federal government, you have three years from the date of the injury to file.

Can you claim carpal tunnel syndrome?

Some injuries may not be included, however, depending on your state. For example, some states do not allow workers to claim workers' compensation for stress injuries such as carpal tunnel syndrome, even if they can prove those injuries are work-related.