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Why You May Need a Workers Compensation Attorney

Why You May Need a Workers Compensation Attorney

An on-the-job accident can be a devastating experience, and for those who suffer injuries that may leave them unable to work or even permanently disabled, receiving recompense from their employer is absolutely essential. In these situations, a workers compensation attorney will be the best resource for determining exactly what rights one may have under law.

The exact system of legal benefits available differs from state to state, but generally, workers' comp involves medical care and monetary payments for any resulting disabilities. There is a tradeoff as well, between relinquishing the right to pursue other legal recourse such as suing, and the security of having a set benefits plan. Generally, these plans will include:

  • Weekly payments in the place of salary or wages

  • Reimbursement for past and future economic losses

  • Payment for medical expenses

  • Payments to dependents

These overlap with other sorts of insurance plans, such as disability, health, and life. Additionally, although workers' comp does share some features with personal injury disputes and Social Security Disability Insurance (SSDI), the "bargain" puts it largely outside of the general justice system. It is typically handled by separate administrative agencies, though appeals often appear in state courts.

Ideally, someone making this kind of claim with their employer would not need the services of a lawyer. However, it is not uncommon for such a claim to be denied, and particularly at that point, it is important to understand what legal issue may be at the root of the refusal. In these situations, the claimant should receive a letter stating the reason for denial; they then have the opportunity to reply, but the chance of changing the insurer's mind is much better with additional evidence or with the kind of insight that a lawyer can provide. Unfortunately, one of the reasons that many employees lose such claims is that they do not have a legal professional at hand to assist them in preparing a strong case.

There are a number of different reasons why a compensation claim  might be unsuccessful, but the following are some of the most common:

  • A pre-existing condition casts doubt on the injury in question being related to the workplace

  • No medical treatment was received, providing no evidence

  • Insufficient documentation of the injury

  • Claim not filed within the required time period

The last is particularly important, as the failure to file in a timely fashion is one of the most common reasons for missing out on the benefits to which someone is entitled. Though ideally you will never be in this unfortunate position, it is best to be proactive and understand the system in the event of a workplace accident. The first step is to be sure that you are aware of the appropriate laws in your state, and that you review the guidelines available from your employer. Particularly in cases where benefits may be in dispute, an experienced lawyer is indispensible to ensure the employees' rights are appropriately considered.

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