who get the answer first in a workers comp court hearing attorney or insurance company

by Leilani Sporer 5 min read

Your attorney will ask questions first. I have an organized manner to ask questions to meet the elements of the claim petition, Once your lawyer is finished asking questions, the insurance company’s attorney will have an opportunity to cross-examine you. Their job is to attempt to undermine your credibility.

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What happens at the first hearing in a workers’ compensation case?

Before your case goes to a hearing with a workers' comp judge, there typically will be other proceedings and court dates. At a minimum, this usually includes mediation and a pretrial conference. During mediation, you and the insurance company (and your lawyer, if you have one) will try to negotiate a settlement with the help of a neutral third party. At a pretrial conference, …

Where can I go for a workers comp hearing?

Dec 23, 2019 · In most cases, there are five persons at your hearing. You, your attorney, the insurance carrier’s attorney, the Judge, and a court reporter. However, often times, there may be someone that attends from your employer or the insurance carrier, or both. It could be your boss. It could be someone from Human Resources.

Will my medical provider testify at my workers’ compensation hearing?

A workers compensation hearing is necessary when your employer and its insurance company or third party administrator (Sedgwick, ESIS, Gallagher Bassett, Coventry, etc.) refuse to pay the benefits you are owed, and you are unable to agree on an amount that satisfies all the parties.

Should I hire a lawyer for my workers'compensation hearing?

Apr 21, 2015 · Workers Comp Attorney Settlement negotiations can occur at a settlement conference at the court, at mediation with both parties involved, or occasionally just directly with the insurance company. Because each settlement case is unique, it’s difficult to predict the workers compensation settlement time frame.

How long does it take to get a proposed decision in a workers comp case in NY State?

Typically, the process from hearing to approved payment takes approximately 3 weeks. The employer's insurance company or third party administrator must then make Section 32 settlement payments within 10 days of the Workers' Compensation Board's decision.

Why is my workers comp case going to trial?

Your case will go to court if either a legal or factual issues cannot be resolved. We recommend the facilitation process to help narrow legal issues and test facts before going to court.Sep 16, 2021

What is a lump sum compensation payment?

• A lump sum is a one-off non-taxable payment for permanent impairment resulting from an injury. If the client deteriorates, the amount of lump sum compensation may be reassessed leading to an additional payment.

What is the highest workers comp settlement?

To date, the largest settlement payment in a workers' comp case came in March of 2017, with a $10 million settlement agreement.Feb 11, 2021

What to expect at a Pennsylvania workers comp hearing

Many of my clients want to initially know what to expect at a Workers Comp hearing. I will provide a brief synopsis of what you should expect.

So, what type of information should you know for a Pennsylvania Workers Comp hearing?

You will likely be called upon to testify before the Workers Comp Judge (which I will refer to from here on as WCJ). What should you expect to be asked during your testimony? You should be prepared to discuss:

How should I act at a Pennsylvania Workers Comp hearing?

It is critical to be friendly, answer the questions, and be completely truthful. Being hostile, evasive, dramatic, or angry will not be helpful to you case. Part of a WCJ’s decision is to determine whether you are credible or not. The WCJ is watching your demeanor. Don’t exaggerate details and your pain symptoms.

Who will be at my Pennsylvania Workers Comp hearing?

In most cases, there are five persons at your hearing. You, your attorney, the insurance carrier’s attorney, the Judge, and a court reporter. However, often times, there may be someone that attends from your employer or the insurance carrier, or both. It could be your boss. It could be someone from Human Resources.

What is the process of a Pennsylvania Workers Comp hearing?

Your attorney will ask questions first. I have an organized manner to ask questions to meet the elements of the claim petition, Once your lawyer is finished asking questions, the insurance company’s attorney will have an opportunity to cross-examine you. Their job is to attempt to undermine your credibility.

What happens after my Pennsylvania Workers Comp hearing?

After the testimony hearing, the parties will move forward in litigation. There could be another hearing scheduled for the testimony of employer witnesses. Most cases move to the medical portion of the case, which usually involves scheduling doctor depositions.

When is a workers comp hearing necessary?

A workers comp hearing is necessary when the parties are unable to reach an agreement on a pending workers comp claim or an application to suspend or terminate benefits. If you are seeking benefits, your workers comp trial may address one, or all, of the following: Temporary Total Disability (TTD) Benefits.

What are the two types of workers comp hearings?

There are two types of workers comp hearings: on-the-record hearings and evidentiary hearings. An on-the-record hearing is one where no live testimony is given and the Commission decides the case based on written briefs and documentation. An evidentiary hearing is one where live testimony is given.

How long is a workers comp hearing in Virginia?

Most workers comp hearings are scheduled for 30 minutes in Virginia. If you think the hearing will take longer than 45 minutes, then notify the deputy commissioner assigned to your case and ask for at least 1 hour.

What happens if you lose your workers comp case?

A loss at your workers comp trial, however, will cause even more physical, emotional, and financial hardship for you and your family. The purpose of this article is to discuss what to expect at your workers compensation hearing. And what you can do before and during the workers comp hearing to increase the likelihood that you win your case.

How to contact a Virginia workers comp lawyer?

If you have any questions about Virginia workers compensation after reading this article, or are looking for a top-rated workers comp lawyer, call me for a free consultation: 804-251-1620 or 757-810-5614. I’ve helped hundreds of injured employees win their cases at hearing and negotiate good settlements in Virginia.

Why is a workers comp trial important?

And that a trial is necessary because you and the employer disagree on something. A workers compensation trial is called a hearing. And your hearing is one of the most important parts of the workers comp claims process. A win at hearing may be worth tens of thousands of dollars in workers compensation benefits, or more.

What to do if you disagree with a workers comp decision?

You have three options if you disagree with the deputy commissioner’s decision after your workers comp hearing: Do nothing and accept the decision, even if it closes your workers comp claim . File a request for reconsideration, asking the judge to reconsider the unfavorable opinion and issue a new one.

What does a workers compensation attorney do?

Your workers compensation attorney will typically attempt to negotiate a settlement for you that’s in your best interest. Your attorney will draft a Settlement Demand to the insurance company that outlines all of the different components of exposure for the insurance company.

When is a workers comp settlement appropriate?

These types of settlements are appropriate when you have a claim that was picked up by the worker’s compensation insurer, but they perhaps didn’t pay for a few bills or you only have a limited claim. A workers comp full, final and complete settlement, on the other hand, is appropriate when you have a denied claim, ...

What is a work comp to date settlement?

A work comp to-date settlement means you are only settling “to the date of” the award on the settlement.

What does "medical closed" mean in work comp?

Medical closed means that part of the money you receive in settlement is payment for potential future medical treatment.

How long does it take for a judge to issue a check?

Once the judge issues the award, the Employer/Insurer only has 14 days to issue your check.

Can you be fired after a workers compensation settlement?

Another common question is whether the injured worker can be fired after a workers compensation settlement. The bottom line is, it is against the law for employers to retaliate against an injured worker who has filed a work comp claim or is seeking work comp benefits. Once you and your lawyer have discussed your case and weighed your arguments ...

What does settlement mean in medical terms?

A settlement removes the uncertainty that comes with a hearing— especially if there's a legitimate dispute about the extent of your injuries. For example, suppose your treating doctor gave you a 50% permanent disability rating (a measurement of the extent of your limitations resulting from the injury).

Is it risky to go to a hearing with insurance?

Assuming both doctors are reputable and have all of the relevant information, going to a hearing could be risky for both you and the insurance company.

Can you agree to a lump sum payment for disability?

You can agree to a lump-sum settlement rather than weekly payments as part of a permanent disability award. This can be helpful if you have a lot of bills to pay and need the money now—though it may be tempting to spend the money before you need it later.

Do you get more compensation for workers comp if you hire a lawyer?

A survey of people who went through the workers' comp process showed that they receive more compensation, on average, when they hired a lawyer than when they went through the process on their own—even after the attorneys' fees were taken out of their settlement.

Is a settlement offer good for you?

Whether a particular settlement offer is good for you depends on several factors unique to your circumstances, including how much is being offered, whether there's a dispute about the extent of your permanent disability, and whether you're likely to need future medical care related to your injuries.

Can insurance pay for surgery?

For example, say your doctor finds there's a 25% chance that you'll need surgery on your back , and insurance company agrees to pay for a portion of the surgery as part of the settlement.

Can you change your mind about medical insurance?

This means that you can’t change your mind a few weeks or months down the road and go back to the insurance company for more money. In some cases, the insurance company will agree to pay for any future medical expenses that come up after you settle.

How long does it take to get a workers comp hearing?

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 workers’ compensation agency. Or it may take several weeks ...

What happens if your workers comp lawyer doesn't respond to your emails?

It's common for injured workers to complain that their workers’ comp lawyers don't communicate with them often enough. If your lawyer isn’t responding to your emails and phone calls, you're probably frustrated and wondering what you can do.

What is the ethical duty of a lawyer?

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.

What to do if your workers comp lawyer doesn't work?

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.

What to do if your case is in a holding pattern?

If your case is in a holding pattern, your lawyer should let you know and explain why. If you’ve 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.

What to do if you get radio silence from your lawyer?

If you’re getting radio silence from your lawyer, call the assistant or paralegal and try to set up a meeting.

How long does it take for an insurance company to schedule a deposition?

Or it may take several weeks for the insurance company to schedule your deposition or independent medical examination. If you haven’t heard from your lawyer in a few weeks, it’s possible that there's simply no news to report. That being said, you shouldn’t be left in the dark about what's going on with your claim.

The Best Way to Prepare

Many of us have had a version of these dreams before: You show up to an exam but forgot to study. Or you stand up in a meeting only to realize you don't have your presentation ready.

What to Expect at Workers' Compensation Hearings

If you or your employer files a workers' compensation claim in Pennsylvania, typically a judge in the county where you live will be assigned to your case. You should be informed of the date, time, and place of the first hearing.

How Our Workers' Compensation Attorneys Can Help

Pennsylvania's workers' compensation law is complex and can be very confusing for someone who is unfamiliar with the law. There are many technicalities you probably aren't aware of, and it's possible to harm your case without realizing it. We know the law inside and out.

What happens if you don't attend a court hearing?

If you do not attend, the judge will grant the petition. The judge will continue the case one time to give you another opportunity to appeal but after that grant the petition. You can send a letter to the judge saying you do not oppose the petition and that way only one hearing will take place...

Can I show up for workers comp hearing?

If, as you mentioned, you do not want workers’ comp benefits for this injury, then not showing up for the hearing...

Can you get a hearing without seeing paperwork?

Without seeing the paperwork (petition or hearing notice) no one can be certain what relief your upcoming hearing is about. It could range from a petition to compel you to attend a medical examination to a petition to suspend or terminate your workers compensation. Benefits among other things...

Glenn Neiman

I agree with Mr. Huber. The insurance carrier is entitled to have you examined by a physician of their choosing (amusingly called an "Independent Medical Examination," or IME, when it is not very "independent"). This Petition to Compel an IME is likely to be granted. If you do not attend the hearing, as Mr.

Robert Alan Huber

The petition will most likely be granted. That is, an order for you to attend an IME will probably be entered by the court.#N#In the end, if you do not go, it could result in you being unable to make a claim for workers compensation wage loss benefits against your former employer unless and until you attend an IME.

What to do if your employer disputes your workers comp claim?

If your employer's insurance company is disputing anything about your workers' comp claim—including whether the injury is work-related, whether you should have treatment that your doctor has recommended, or whether you have a disability—you should strongly consider hiring an attorney to represent you. If you're called to a deposition, your lawyer will help you prepare for it. At the deposition itself, your lawyer will be there with you to make sure nothing improper goes on—to object to illegal questions, make sure things stay civil, ask questions to clear up anything confusing or misleading from the other attorney's questions, and otherwise protect your interests. (Learn more about what a good workers' comp lawyer should do for you .)

What is a deposition in workers comp?

If you're seeking workers' comp benefits after suffering a work-related injury or illness, you may have your deposition taken at some point in the process. A deposition is a recorded session during which witnesses answer various questions under oath. Because insurance carriers often depose injured employees as a matter of routine ...

What happens if you lie on purpose?

If you lie on purpose, you could be found guilty of perjury. (More likely, it will hurt your workers' comp case if the lie is discovered.) Before the deposition begins, the court reporter will "swear" you in and have you verify that you understand your obligation to be truthful.

What is the rule of a deposition?

But one of the most important rules of a deposition is to answer only the question you've been asked. If you can answer a question with a "yes" or "no," you should do so. If there is something that needs clearing up, your lawyer will have an opportunity at the end of the deposition to ask you questions. Avoid guessing.

What is the role of a court reporter?

The court reporter's role is to make a written transcript of the deposition, so that it can be used as evidence in the case. Even though the deposition takes place in an informal setting, you will be testifying under oath, just as if you were in a courtroom.

What is the treatment for work related injuries?

This includes physical therapy, chiropractic care, medications, surgery, and other procedures. Current limitations.

Why is it important to be polite?

It's important to be polite, calm, and clear when answering questions. The lawyer will be sizing you up, in part, to see what kind of witness you would make. If you come off as a reasonable and credible person, you will fare much better in your case.