You Are Unsure If You Are Getting All of the Benefits You Are Entitled to Receive
The workers’ compensation system is complex and can be hard to navigate. That means you might not know how much money you are supposed to get after a work injury. Some people may not realize that they are supposed to get benefits at all.
You can trust that you are in capable hands when you work with us because we prioritize your well-being. We take this job seriously and will never ask you to settle for less than you deserve just to get the case resolved. As your workers’ compensation attorney, we see our role as a constant source of information throughout your case, so we will always answer any questions or concerns honestly.
Use the following general outline to measure your benefits:
All of your medical treatment related to your injury should be paid for, including doctor’s appointments, physical therapy, surgery, and any other follow-up procedures. You should also be paid two-thirds of your average weekly pay while you are recovering.
Your permanent disability benefits are based on the severity of your injury—the more severe and limiting the damage, the more benefits you are entitled to receive.
Many workers trust their employer or its insurance company and count on them to tell the worker what they should and should not do and how much money they should get. However, sometimes this trust is misplaced. Oftentimes, your employer and its insurance company want to pay you as little as possible—even though you may be entitled to more benefits. That also means they might give you inaccurate information about your rights after a work injury.
In some situations, your employer may pay you some money or cover some of your medical costs, but not everything. If you think you are supposed to be getting more or if something about what your employer is telling you seems strange or inaccurate, then you need to talk to a workers’ compensation lawyer.
Your Employer Will Not Report the Injury
Although workers’ compensation benefits are provided by your employer, they are usually paid by their insurance company. California’s worker’s compensation system has specific requirements that California employers and insurance companies must comply with when providing benefits to injured workers.
Your employer is required to report your injury to its workers’ compensation insurance company.
Your employer can often report the injury to their insurance carrier via phone call or email. They may need to fill out some additional paperwork for their insurance company as well.
The employer also must give you a Workers’ Compensation Claim Form (DWC 1) to complete. There is a section for the employer to complete as well. This form is used to initiate the claim. If your employer refuses to report your injury, that is a huge red flag. They may be worried about safety violations, not having the right insurance, or a variety of other potential issues.
Has your employer failed to report your injury? Contact us now to discuss at (805) 243-2179.
Your Employer is Dragging Its Feet on Paying Benefits
If your employer keeps telling you that benefits are coming, but you have not seen any progress on your claim, then you need to talk to an attorney to get things moving. Your workers’ compensation lawyer will be able to push things along on your behalf. You can only survive so long being unable to work without your benefits, and you should not have to wait longer than necessary.
Thankfully, California workers’ compensation law has a mechanism to penalize employers and insurance companies who do not take quick action to get you the benefits you need. You can get penalties if your employer refuses to pay your benefits promptly. This benefit amount can be up to 25% of the total amount of benefits that are due to you that you have not received.
You Have Not Received Disability Benefits
In some situations, an employer or its insurance company will provide you with medical care as required but refuse to pay you disability benefits to cover your lost wages. You are entitled to a portion of your wages if you cannot work due to the injury. If your injury makes you unable to work as many hours as you previously worked while you recover (sometimes referred to as limited or light duty work), you should also get benefits for those lost wages as well.
You are entitled to both of these types of disability benefits if you cannot work after a work injury or illness—it is not one or the other. If your employer or insurance company tells you that you are not entitled to these benefits, you have a problem. Connect with us right now to discuss at (805) 243-2179.
You Have Been Offered a Lump Sum Settlement for Your Workers’ Comp Claim
If you have permanent disability because of your work injury, your employer or their insurance company may offer to settle your claim. There is a good chance that if you are being offered a workers’ compensation settlement, it is not for the total value of your disability. You need to review the settlement offer with an experienced workers’ compensation lawyer who knows what you are entitled to receive based on California law. They will be able to tell you about what the appropriate workers’ compensation settlement might be for a case like yours.
Insurance companies are notorious for short-changing injured workers when they offer settlements. You often cut off your rights to medical care and additional benefits when you agree to a settlement. Not having those medical benefits or wage loss benefits can not only be a massive hit to your budget, but it can also hurt your ability to recover properly after a work injury.
Difficulties with Physicians and Doctors
Those who suffer work-related injuries have to see a doctor provided by their employer’s insurer. If you are unable to receive adequate service from your medical provider network doctor and want to make a change, then you may have options to change your doctor.
If you want to change your medical care, a Fresno workers’ compensation lawyer could assist you. A workers’ comp law firm can provide helpful information about which physicians to see for your type of work-related injury.
Prematurely Returning To Work
Fresno workers’ compensation lawyers often prevent unethical doctors and insurance claim adjusters from taking advantage of their clients. These unhealthy relationships could lead to doctors forcing patients back into work more quickly to help insurance companies reduce what they payout.
Typically, if your treating doctor says that you can return to work, you may be obliged to do so. However, if you feel that you are not ready to go back because of the trauma of your work-related injuries, you could get a second opinion from another doctor.
If you aggravate your injuries, you’ll be out of work much longer, and it may exacerbate your problems. Have a free consultation with experienced Fresno workers’ compensation attorneys in California before returning to work prematurely. Getting a second opinion may seem tedious, so let an adept Fresno workers’ compensation attorney offer assistance.
Let Ghitterman, Ghitterman & Feld Maximize Your Workers’ Comp Benefits
Ghitterman, Ghitterman & Feld can provide the skillful representation you need to protect your California workers’ compensation claim. With us by your side during this time, you can rest easy knowing we will relentlessly advocate on your behalf through every step of the claims process, which means that even if an insurer denies your claim or offer of benefits, there’s no need for concern because once they see our passionate dedication to our client’s well-being, they’ll usually reconsider their decision.
We work diligently to ensure your case’s success and provide the best chance for this outcome by doing everything we can. Our goal is to win so you may receive financial relief, medical care, and other necessities required because of your injury. When you need help, contact us online or call us at (805) 243-2179 to schedule a free consultation. Contact our Fresno workers’ comp lawyers for legal help.
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