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What You Need to Know about Filing a Compensation Claim

What You Need to Know about Filing a Compensation Claim

The aftermath of suffering a serious injury in the workplace can be an extremely stressful experience, particularly when considering the financial hardship that may result from medical bills and lost wages. Workmans comp covers the benefits that employees who are injured during the course of their employment are entitled to. However, dealing with a compensation claim is often simply one more source of stress.

In the United States, the associated laws are individual to states, but they are generally very similar. Injured employees here typically have the absolute right to medical care and usually for monetary payment for any resulting disability. This type of system does not exist in every country, though it does in many; in highly industrialized locations, efforts of trade unions were likely the impetus. The first such laws in the United States were passed in Georgia and Alabama in 1855. Now, administration is handled by separate agencies as opposed to the general court system, including disputes. State courts still often hear appeals for a denied compensation claim, however.

Considered a type of "bargain," workers' comp requires employees to relinquish their rights to sue for negligence. What they receive in return is the security of knowing what insurance benefits they will receive in the case of an accident at work. Though the details differ from jurisdiction to jurisdiction, the typical ways to pay recompense for the employee include:

  • Weekly payments in the place of salary or wages

  • Reimbursement for past and future economic losses

  • Payment for medical expenses

  • Payments to dependents

The filing of a compensation claim may seem a daunting process, but there are lawyers who are trained for just these situations. An experienced compensation attorney will be able to assist you in obtaining and filling out all of the appropriate documentation. However, here are some things to be aware of:

  • The compensation claim form must be filed as soon as possible after the injury; in some states, there is a time limit for claims

  • All relevant medical records must be released to the employer

  • During recovery, if an employee cannot work, they may be eligible to receive temporary disability payments (typically amounting to 2/3 of weekly pay)

  • In most states it is illegal for an employer to fire or refuse to hire a worker for reporting an on-the-job injury or filing a claim

Perhaps the most important thing to remember is that you always have the right to consult with an attorney concerning a work-related accident, and in fact, the fee can sometimes be taken out of any benefits that are eventually dispensed. Though seeking professional legal assistance is the best recourse for those who find themselves in this difficult position, there are also some steps that they can take to help ensure a successful claim:

  • Be sure to get a copy of the report from the employer

  • Make copies of medical records, including the physician's narrative and any medical forms

  • Ensure that medical reports include information about how the injury is related to the employment

  • Keep copies of decision letters from judges that may contain information about how late an appeal may be filed

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