why you need a work comp attorney

Pros of Hiring a Workers Comp Attorney

• Experienced help with navigating workers comp paperwork can prevent errors that might otherwise invalidate your claim.
• You don’t have to deal with insurance companies or issues that might arise with your employer in a contested claim.
• Meeting workers comp deadlines can be challenging depending on your home state.

Full Answer

What can a worker's compensation attorney tell you?

How to make sure your insurance doesn't terminate?

Do you get benefits if you file a worker's compensation claim?

Does Workers Comp follow you around?

When Do Workers' Comp Investigators Follow You? Any time after you file a claim, an investigator may follow you or investigate you. You're more likely to be placed under investigation if you have a large claim, have filed claims before or if the insurance company has any reason to be concerned about fraud.

How much does workers compensation pay in California?

In California, if you are injured on the job, you are entitled to receive two-thirds of your pretax gross wage. This is set by state law and also has a maximum allowable amount. In 2018, for example, the maximum allowable amount was $1,215.27 per week for a total disability. This amount is adjusted annually.

Can you work while on workers comp in California?

Does working hurt your Workers' Compensation case? As long as you're honoring the work restrictions provided by your doctor, working can't do anything to hurt your claim.

How long can you stay on workers comp in California?

104 weeksIn the typical workers' compensation claim filed in California, benefits can be provided for 104 weeks or 2 years' worth. The 104 weeks of benefits can be parceled out across 5 years, though, if you do not need to use all 104 weeks consecutively.

How long does a workers comp case take to settle in California?

around 12-18 monthsHow Long Does It Take to Reach a Settlement for Workers' Comp? The entire settlement process—from filing your claim to having the money in your hands—can take around 12-18 months depending on the details of your case and whether or not you have legal representation.

What if my doctor sends me back to work full duty but I am still hurting?

If your doctor has sent you back to work with some restrictions, has not yet placed you at “maximum medical improvement” (MMI), and has approved your job description, then failing to return to work as instructed might lead to the termination of your wage replacement benefits.

Can I lose my health insurance while on workers comp in California?

Unless your employer has a written policy or a written employee agreement that states that benefits will be continued when an employee is out on workers comp, they have the right to terminate or suspend them.

What is the maximum workers compensation in California 2022?

$1,570.00Permanent total disability benefits (based on permanent disability of 100%) are paid for life, at the temporary disability rate....Statewide average weekly wage (SAWW)YearSAWWSAWW increase2022$1,570.0013.5213%2021$1,383.004.377%2020$1,325.003.84013%2019$1,242.782.971%9 more rows

What is the maximum workers compensation in California 2022?

$1,570.00Permanent total disability benefits (based on permanent disability of 100%) are paid for life, at the temporary disability rate....Statewide average weekly wage (SAWW)YearSAWWSAWW increase2022$1,570.0013.5213%2021$1,383.004.377%2020$1,325.003.84013%2019$1,242.782.971%9 more rows

How long does it take to get workers comp pay in California?

Payments. Payments of temporary disability are made every two weeks. The first payment should be made by the insurance company within 14 days of receipt of the medical report stating the injured worker cannot work at all or cannot work the number of hours he or she previously did.

How is workers comp calculated?

Most often, benefits are calculated and paid based on the average weekly wage. This is calculated by multiplying the employee's daily wage by the number of days worked in a full year. That number is then divided by 52 weeks to get the average weekly wage.

How is workers comp premium calculated in California?

Premium Modification The rate itself is expressed in dollars and cents and is multiplied by each $100 of payroll per classification. The payroll for each classification is estimated and then multiplied (per each $100 of payroll) by the applicable rate. The sum of the equation is referred to as the "base" premium.

Why Legal Representation Makes A Difference

When you have an attorney managing your workers’ comp claim, you will have the ability to focus on your recovery instead of trying to deal with the insurance company.

File Your Claim And Call An Attorney

When you have been injured at work, make sure to report the accident immediately and seek immediate medical care. Once your health has been stabilized, contact an attorney before giving a complete statement to the insurance company.

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.

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 to do if your insurance doesn't agree with your rating?

If the insurance company doesn’t 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.

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.

Is it bad to handle workers compensation?

Unless you’re 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 who’s probably handled hundreds of cases.

Can you file a workers comp lawsuit if you are a third party?

If you have a third-party claim – 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.

Can a worker's compensation settlement be rejected?

They can reject the settlement if they feel it’s not reasonable and the employee is getting a raw deal.

Why do you need an attorney for workers comp?

With that in mind, these are the top reasons for hiring an attorney. 1. Hire a Workers’ Comp Attorney to Evaluate the Claim .

What does a workers compensation attorney do?

An experienced workers’ compensation attorney will work to protect your rights. They are on your side, which means they are focused on what course of action is in your best interest. Employers want to protect themselves, and the insurance company wants to spend as little money as possible.

Why is my workers comp claim denied?

One reason for denial is if you have a pre-existing condition in the area of the injury. A workers’ comp doctor may say all your pain is from the other condition and not from the injury , so the claim is denied. 6. An Attorney Can Negotiate a Settlement Offer.

What happens if a subcontractor is responsible for another subcontractor's injury?

If one subcontractor was responsible for another’s an injury, they might be liable instead of the owner of the job site. 5. A Worker’s Comp Attorney Can Appeal a Denial.

What can an attorney do for you?

An attorney can determine the cost of your injury with current and future medical expenses and help you decide what is a fair and adequate amount for a settlement.

What can a lawyer do for you?

They can offer legal advice to warn you of possible complications that would require their services. At the very least, it will help you feel more informed and better prepared for dealing with the insurance and employer.

Can a worker's comp attorney appeal a denial?

A Worker’s Comp Attorney Can Appeal a Denial. Many times, a workers’ compensation claim will be denied. The person may have waited too late to file a claim or filed it incorrectly. They may have left out important information, or some other reason caused the denial.

What can a worker's compensation attorney tell you?

Your worker’s compensation attorney can tell you which benefits you are eligible to collect, and your attorney can make sure you don’t unknowingly leave benefits on the table. 4. Seeking Enough Benefits. In addition to knowing which benefits you can collect, you also need to know how much you are entitled to recover.

How to make sure your insurance doesn't terminate?

One way to make sure the insurance company doesn’t terminate your benefits too soon is to negotiate a lump-sum settlement. But, in order to get the insurance company to take your settlement demand seriously, you are going to need an experienced, effective, and trial-ready attorney on your side.

Do you get benefits if you file a worker's compensation claim?

Dealing with the Insurance Company. Just because you file a claim, this does not mean that you will receive benefits. Most companies have worker’s compensation insurance, and this means that seeking benefits usually means dealing with your employer’s insurance company. While this can go smoothly, it often doesn’t.