Workers Compensation Claim Analysis

Decent Essays
If you are looking to make a workers compensation claim, you need to know how to file it. There is a lot that goes into filing a claim and you want to make sure that you do it right so that your claim doesn't get denied or so that your claim doesn't drag out forever. It is really crucial to make sure that you are doing this correctly so that everything works well for you and so that it happens when you need it to instead of dragging out.

Get Medical Treatment

The first thing that you need to do when you are hurt on the job is that you need to get medical treatment so that you are able to make your workers compensation claim. If you don't get medical treatment you aren't going to have the ability to make a claim because in the eyes of the employer, who is
…show more content…
It is a great idea to sit down and do these all at once, get help filling it out if you need to. Make sure that you are taking the time to fill everything out properly and get it done so that it is right and you don't have to redo your workers compensation claim.

Prepare for Interviews and Investigations

There are many workers compensation claims that you have to prepare to do investigations and interviews. They generally don't just hand out workers compensation claims without doing a pretty hefty investigation because generally it means that they are handing out some cash. You want to make sure that you are on top of the process. Getting the best information and being prepared is really important so that you get workers compensation claim processed sooner.

If you are making a claim, there are many steps to getting it done. You want to make sure that you are on top of the claims process and what you have to do to take a look at the options for your compensation claim. Make sure that you looking to see what you can do to get your claim filed and

Related Documents

  • Great Essays

    Aetna Case

    • 691 Words
    • 3 Pages

    As you know, this law firm represents Gulf Coast Division, Inc. and its constituent hospitals (collectively, the “Hospitals”). Reference is made to the Hospital Services Agreement (effective February 1, 2004 and all amendments thereto (collectively, the “HSA”). On June 2, 2005, we sent a demand letter to Aetna Health, Inc. in regard to its failure to have reimbursed the Hospitals in accordance with the HSA for items billed by the Hospitals as “Other Implants,” as defined by Revenue Code 0278. On January 15, 2016, we provided you with a copy of the Hospital’s Arbitration Demand that would be filed if no pre-arbitration resolution could be reached (see attached copy). The facts of this matter and the claim being asserted by the Hospitals…

    • 691 Words
    • 3 Pages
    Great Essays
  • Improved Essays

    Whiplash Research Paper

    • 506 Words
    • 3 Pages

    If the injury has caused an individual to lose wages, it is also important that they are prepared with proof of these lost wages. With proper medical records and documentation of expenses, whiplash claims are likely to be successful through insurance companies. Although in some instances it may be difficult to secure compensation from an insurance…

    • 506 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    What Should I Do If The Insurance Adjuster Asks For My Medical Records? Have you been injured in an accident? Is the insurance adjuster asking you to sign a medical release so he can obtain copies of your medical records? If so, you need to contact our office before signing any releases or providing any further information to the insurance adjuster. Regardless of how nice the insurance adjuster may be or how many times the insurance adjuster tells you he is looking out for you, the adjuster is NOT working for you.…

    • 593 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Claimant Armando Santiago started his employment with ABM in 1990 when he was hired as a Valet Parker at The Millennium Biltmore Hotel in Los Angeles, CA. The Claimant’s Supervisor, Mr. Ray Nacpil alleged that the claimant’s last day of work was on 4-9-15 when he came into work and told him that he was unable to work. He states that the claimant did not provide him with a reason why he was not able to work. On 4-14-15, he received his first facsimile from the Industrial Healthcare Physicians Medical Group, Inc., that excused the claimant off from work with three consecutive doctor slips placing the claimant off from work.…

    • 447 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    I appeared under the supervision of the handling attorney, Mr. Joseph C. Yrulegui, at the Mandatory Settlement Conference on April 27, 2017. Mr. Yrulegui and I were in constant communication. I arrived at the Board at approximately 1:30 p.m. and left at approximately 5:00 p.m. The applicant was present and represented by Mr. David Ibarra. Ms. Dora Canales provided the interpreting services.…

    • 1229 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Step 9. The provider signs the claim form, if the claim is manually completed, or if special arrangements have been made with the insurance carrier the provider's name is typed or stamped. Step 10. File a copy of the claim form and copies of the attachments in the practice's insurance…

    • 1057 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    The Workplace Safety and Insurance Appeals Tribunal came into existence as an entity previously known as the Workers Compensation Appeals Tribunal on October 1, 1985. Matters concerning workers were dealt with in a different manner prior to it’s existence. The Workers Compensation Board was responsible for these matter and operated under a structure or model that comprised of two levels of internal appeal; which gave rise to the creation of the Tribunal (which replaced the internal appeal board). This was because there was a need for a separate entity with a higher level of expertise as it relates to decision making, as workers often found the decisions made by the board to be unsatisfactory or unfair. Professor Paul C. Weiler played a major…

    • 175 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Policy The health of our employees is a high priority of the AKW Electrical Contractors. When an employee experiences a work-related injury and/or illness, we are endowed to assist employees to return to work as safe and as soon as possible. We have enacted a Return-to-Work program that is designed to assist injured or sick employees return to work promptly, and aid in the healing process. This program depends on the effort of the employee, our insurance company, the treating healthcare provider, and supervisors, and management.…

    • 1615 Words
    • 7 Pages
    Improved Essays
  • Improved Essays

    If the company had not offered insurance cover, this becomes a bigger case and have the responsibility of providing medical cover, provision of medicine and hospitals since the victim was on duty when the accident happened. Many employers blind victims by offering less money when the accident happens, but this is not enough to cater for medical expense and daily needs of the victim. The personal injury attorney makes the list of demands and presents to the company and insurance firm to start processing. When they do not get the reply, they have the right to file for a court case. Some companies choose to deal with out of court settlement since these cases usually attract large publicity and it says the name of the parties involved.…

    • 806 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    How workers compensation attorneys handle workers compensation cases will depend on the case. Generally, the process begins when an employee is injured while in the course of performing his job. The reason could be physical or stress. If the employer or the insurance pay you appropriate compensation then there is no need for an attorney. If worker receives no payment or the proper compensation then the lawyer attempts to persuade the employer or insurance firm to give you the right payment.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Personal Injury Claims

    • 456 Words
    • 2 Pages

    Payment Options in Personal Injury Claims If you want to claim compensation for a personal injury or an illness that you believe was caused by negligence, you should speak with Solicitors for impartial, sympathetic and honest advice. We will not charge you a penny for your initial consultation with our personal injury solicitors. We will take this opportunity to find out about your case and if you have a claim. We will also discuss our payment options.…

    • 456 Words
    • 2 Pages
    Improved Essays
  • Improved Essays

    Medical Insurance Changes

    • 772 Words
    • 4 Pages

    The sum can also include lost wages and money for pain and suffering. This is a complex process and you will have the best chance at getting the most compensation possible with a personal injury attorney. You may have to file a lawsuit against the person who was at fault to get their insurance to pay. You have two years from the date of the accident to file a…

    • 772 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    As mentioned before, each individual state has their own takes on the Worker’s Compensation base on the Federal Acts. Some states are becoming more and more stricter on how an employee can file a claim for the injuries. For example, at least 11 states, including Pennsylvania, Alabama, and Virginia, require most or all sick workers to file claims within several years of their last hazardous exposure. However, many of the symptoms can take much longer to appear. So when the employees actually need the medical care and compensate for lost wages, they do not get it because it is outside of the filing window.…

    • 671 Words
    • 3 Pages
    Improved Essays
  • Decent Essays

    While frauds committed by employees and employers have some reasoning behind them though they do not justify the crimes, such as decrease coverage or high premium, provider frauds are committed purely for the enrichment of themselves. As mentioned before, it is easier for the insurance companies to pay out claims that seen to be incorrect and usually are false than to fight them in courts. This is the biggest reason why there should be a more uniformed and standardized rules and regulations for the Worker’s Compensation systems. In order to achieve uniformity, it needs to be done on the Federal level. If the states remain in control when it comes to Worker’s Compensation systems, it won’t be long before the whole system breaks down and left with multiple issues that the taxpayers have to deal with.…

    • 358 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    The best contacts and resources to help you get it done Workers compensation insurance. For an overview of workers compensation laws in your specific state, you should seek advice from an attorney specializing in this area. To protect employers from lawsuits resulting from workplace accidents and to provide medical care and compensation for lost income to employees hurt in workplace accidents, in almost every state, businesses are required to buy this insurance.…

    • 407 Words
    • 2 Pages
    Improved Essays