Being injured at work can be a traumatic experience, and trying to recover whilst dealing with insurance companies and worker’s compensation doctors can make the process even more distressing. When you’re injured at work, you are likely to be eligible for worker’s compensation through your employer’s insurance company. You may worry about how this injury will impact your immediate life as well as in the future. It’s normal to worry about a loss of earnings, medical bills, and even losing your employment. This is why it’s important to claim the maximum amount of compensation you can receive.
Insurance companies are a business, and profit is important to them, so they will try to offer you the lowest compensation settlement. This is why it’s vital you have an experienced lawyer on your side. Our lawyers at The Law Place have over 75 years of combined experience in work-related injury claims and can assist you in your case. Call (941) 444-4444 to book a free consultation with one of our experienced lawyers. Our phone lines are open 24 hours a day, 7 days a week, so you can contact us as soon as you need us.
Worker’s Compensation Settlement, Step by Step
Maximizing your workers comp settlement involves several key steps and considerations. If you are an injured worker involved in a workers compensation claim, understanding these steps is crucial to ensuring you receive the fair workers compensation benefits you deserve.
- Report Your Injury Immediately – As soon as you are injured, seek medical attention. This not only prioritizes your health but also provides a medical record that serves as evidence for your workers compensation case. Timely reporting is crucial in the workers compensation system, as delays can affect the legitimacy of your claim.
- Document Everything – Keep detailed records of your medical care, including visits, treatments, and any out-of-pocket medical expenses. Documenting everything related to your injury and recovery process can strengthen your workers compensation claims.
- Understand Your Benefits – Educate yourself about the workers comp benefits available under the workers compensation system. This includes compensation for medical care, lost wages, and rehabilitation services. Knowing what benefits are available can help you ensure that nothing is left out of your claim.
- Don’t Settle Too Quickly – The workers comp insurance company may offer a settlement quickly to minimize payout. However, accepting an initial offer without understanding the full extent of your injuries and future medical needs can result in a settlement that doesn’t fully cover your costs. Be patient and allow time to fully assess your injuries.
- Hire an Experienced Workers Compensation Lawyer – Navigating the workers compensation system can be complex and challenging. An experienced workers compensation lawyer can provide invaluable assistance. A workers comp lawyer understands the intricacies of dealing with workers comp insurance companies and can help maximize your workers comp settlement. They can negotiate with the workers compensation insurance company on your behalf and ensure that your rights are protected throughout the process.
- Follow Your Doctor’s Orders – Adhering to the recommended medical treatment and following up with all medical appointments is crucial. The workers compensation insurance company will consider the consistency and seriousness of your medical care when evaluating your claim.
- Consider Future Medical Expenses and Impairments – If your injury results in long-term effects, these should be taken into account in your workers comp settlement. An experienced workers compensation lawyer can help estimate future costs and negotiate a settlement that considers long-term care and any potential disability.
- Communicate Effectively and Persistently – Keep open lines of communication with your workers comp lawyer, medical providers, and the workers comp insurance company. Being proactive and engaged with your case helps keep things moving forward and ensures your voice is heard.
- Avoid Social Media – Be cautious about what you post on social media, as insurance companies may monitor your online activity. Posts that contradict the severity of your injury or your recovery process can negatively impact your claim.
By taking these steps, you can position yourself to maximize your workers comp settlement effectively. Remember, each workers compensation case is unique, so it’s important to seek personalized advice and representation from an experienced workers compensation lawyer.
What Can I Claim With Worker’s Compensation Benefits?
Your worker’s compensation benefits will be eligible from when you are injured at work. These benefits are paid for by your employer’s insurance company to meet the financial needs you may need as a result of the injury. When you are injured, you may be concerned about how you will financially afford medical bills or pay your bills if your injury stops you from working. This is why worker’s compensation benefits cover a range of financial needs. These include:
- Medical Costs – This includes the immediate medical bills such as the cost of the ambulance or immediate medical attention, but it can also cover physiotherapy, medication, and surgery you may have further down the line.
- Loss of Earnings – This will cover the earnings you have lost as a direct result of your injury, as well as the future earnings you would have received should you have to change your workload to accommodate your injury.
- Home Adjustments – In extreme cases, you may need some adjustments made to your home to make it more accessible, and worker’s compensation benefits can financially cover this. This is usually in the case of total disability.
In the rare case that the injury results in death, the employee’s family can pursue a wrongful death case and receive compensation as a result.
Ensure Your Injury Is Eligible
There are three types of injuries that are eligible for worker’s compensation settlements, whereby employers can be held liable. For any injuries outside of these criteria, it can be difficult to prove that they were caused at your place of work.
These types of injuries include:
- Occupational Illnesses – This criteria protects those that work in places where exposure to toxins is a regular occurrence. This exposure can lead to cancers. Even though these illnesses occur further down the line after the initial exposure, an employee can still claim worker’s compensation benefits once they are diagnosed, and evidence can prove the illness was caused as a result of the employment. In this event, you will be able to claim compensation to cover your financial needs as well as protecting future employees in similar workplaces.
- At Work Injuries – These are the most common types of injuries that take place at work. This includes trips, cuts, and even loss of limbs. If the injury was caused at work or whilst performing a work-related task, then it is likely to be covered by workers comp settlements.
- Repetitive Strain Injuries – RSI are common pains caused by repetitive work. This can be as simple as typing at a computer in an unsupportive chair. However, the pain can impact your day-to-day tasks and leave you in significant pain. If the pain can be linked to your work environment and repetitive work tasks, then it can be claimed under workers comp settlements.
Worker’s Compensation Disability Ratings and What They Mean
In some cases, the injury caused can be long-lasting and leave you in a state of disability that means you cannot work for some time.
- Total Disability – This can be either temporary (whereby the injury stops you from working for some time) or permanent (meaning you have to stop work completely). These types of injuries are complex and traumatizing for an employee to recover from, but the correct worker’s compensation settlement can cover any medical costs or loss of earnings as a result of injury.
- Partial Disability – Again, this type of injury can be either temporary or permanent. A partial disability relates to an injury that means you cannot perform all the work-related tasks you could previously. If this results in you changing employment and taking a lower yearly wage as a result of the injury, a workers compensation settlement could compensate you for the earnings you should have received.
Can I Increase the Insurance Company’s First Offer?
If your injury was minor and your recovery time was quick, then the worker’s compensation settlement will likely be quick and correct too. However, if your injury is more severe with a longer recovery time, it may be the case that the insurance company will offer you a lower compensation settlement than you deserve. In this situation, it’s important to keep all documentation regarding your medical intervention and your wage slips so your lawyer can use this as evidence for the insurance company.
Be Careful Speaking Directly to the Insurance Company
You may be contacted by your employer’s insurance company for a recorded discussion in regards to your injury and the case. You are not legally required to have this discussion, and in many cases, it could be used against you to find inconsistencies in your case to reduce your claim.
Inform the insurance company that you will consult your worker’s comp lawyer and let them formally communicate with the insurance company. An experienced workers comp attorney will be able to communicate with the insurance company on your behalf and lessen the stress on yourself whilst you recover.
Be Aware You May Be Watched
It may sound scary, but in many workers comp claim cases, the insurance company will ‘watch’ you. This could be to collect evidence that your injury is not as severe as you are claiming. This is why it is important to be both honest and consistent in your case and any discussions you have with physicians.
The insurance company may check your social media to see if there are any videos or photos of you that show you’re in fitter health than you’re claiming. This can also include any comments you make in relation to time off work, how you are spending this time, and any mention of your injury. If you’re involved in a workers comp claim, then you should privatize your social media as much as possible to prevent this from happening.
Your medical records will also be analyzed by the insurance company. If there is any mention of you missing appointments, not taking medication, or inconsistencies in your injury, it could be used against your case by the insurance company. It is vital to follow your physician’s orders if you wish to claim the maximum compensation you deserve.
If you remain consistent and keep your work-related injury off social media, then you shouldn’t have anything to worry about. If communicating with the insurance company makes you wary, inform them that your worker’s comp attorney will communicate for you. It is important in worker’s compensation settlement cases that you focus on your recovery. Any additional stress could worsen your injury and quality of life.
How to Ensure You’re Receiving the Correct Settlement Benefits
In the beginning, make sure you inform your employer of every injury sustained at work or as a result of work. It is not enough to simply inform them. You must ensure they formally document the time, date, and injury you have discussed with them. When you begin receiving medical treatment, it is important to inform them that this injury was sustained at work. This will ensure that the bill is sent to the employer’s insurance company and not yourself, as it can be difficult to claim a reimbursement in the instance that you paid for medical bills as a result of a work-related injury.
When you begin receiving your weekly compensation payments after the adjudication, these will be a calculated fraction of your average earnings. Make sure that the insurance company includes any average overtime or additional jobs that you are unable to do as a result of your injury. This will ensure that you receive the payment you deserve. Your law firm will be able to assist you in calculating the amount you should be receiving.
What to Do if Your Case Is Denied
In many cases, the first compensation claim can be denied. This is usually down to two reasons – one is the failure to report the injury within a reasonable time, and the second is the insurance company thinking the claim is fraudulent. This can feel disheartening and like you won’t receive the compensation you deserve. In this case, it is important to involve your lawyers in order to file an official appeal. Usually, the case will be reviewed and accepted after an appeal. With an experienced lawyer on board, they will be able to review the case and why it was denied before submitting further evidence to prove your case.
How do I Maximize My Worker’s Compensation Settlement? FAQ
What initial steps should an injured worker take to ensure they maximize their workers comp benefits?
An injured worker should seek medical attention immediately to ensure their injuries are properly documented and treated. This initial step is crucial for validating the workers compensation claim within the workers compensation system.
Why is it important to report my injury to my employer?
Reporting your injury promptly is vital for initiating your workers compensation case. Timely notification is a requirement for most workers comp insurance companies and helps to ensure that your workers compensation claims process starts correctly.
How can I make sure all my medical expenses are covered?
Keep meticulous records of all medical care received, including dates, treatments, and associated costs. This documentation is essential for proving medical expenses to the workers comp insurance company.
What should I consider when offered a workers comp settlement?
Before accepting a workers comp settlement, assess whether it covers all future medical care and compensates for any lasting disabilities. Consult with a workers compensation lawyer to ensure the settlement is fair and comprehensive.
How can a workers compensation lawyer help me with my case?
An experienced workers compensation lawyer can guide you through the complexities of the workers compensation system, negotiate with the workers comp insurance company, and help maximize your workers comp benefits. They can provide invaluable advice on securing a fair settlement.
What is the role of the workers comp insurance company in my case?
The workers comp insurance company evaluates your claim to determine the extent of workers compensation benefits you should receive. However, their goal is often to minimize payouts, so having a workers comp lawyer on your side can help balance the scales.
How can I ensure that my workers comp benefits are maximized?
To maximize your workers comp, follow all recommended medical treatments, document every aspect of your injury and recovery, and stay informed about your rights under the workers compensation system. Engaging an experienced workers compensation lawyer can significantly increase your chances of receiving full benefits.
Are there common mistakes injured workers make that could affect their compensation?
Yes, common mistakes include failing to report the injury immediately, not seeking proper medical care, and accepting the first settlement offer without consulting a workers compensation lawyer. Avoiding these mistakes can help maximize your workers comp settlement.
How long do I have to seek medical attention to be eligible for workers comp benefits?
While time limits can vary, it’s recommended to seek medical attention as soon as possible after an injury. Prompt medical care is not only important for your health but also critical for substantiating your workers compensation claims.
What should I do if I feel overwhelmed by the workers compensation process?
If you find the process overwhelming, consider hiring an experienced workers compensation lawyer. They can handle the legal aspects, allowing you to focus on recovery while ensuring that you are positioned to receive the maximum compensation possible.
Contact an Experienced Lawyer From The Law Place
Contact one of our experienced lawyers at The Law Place to assist in your worker’s compensation legal case and advise on how to maximize this settlement. Whether your case has been denied or you’re worried it could be, contact one of our lawyers for legal advice specific to your case.
Our lawyers have over 75 years of combined experience in personal injury and worker’s compensation claims for employees across the State of Florida. Contact us on (941) 444-4444 to book a free consultation and discuss your case today.