Hello There, Guest! Login Register
Index    |     Search    |     Members    |     Help

Thread Rating:
  • 0 Vote(s) - 0 Average
  • 1
  • 2
  • 3
  • 4
  • 5
claim denied - appeal or lawyer up?
#1
just got my claim denied. Fortunately I have health and disability insurance so my injury can be cared for. Is the appeal process worth the effort, or should I seek legal counsel? Has anyone had a successful appeal?
 
Reply
#2
You need to give more information before your question can be answered.

What is your state, work comp is state specific?

What is your injury and when were you injured?
 
Reply
#3
(03-12-2011, 10:36 AM)Bummer Knees Wrote: You need to give more information before your question can be answered.

What is your state, work comp is state specific?

What is your injury and when were you injured?

 
Reply
#4
considering the severity of your injuries, the extent of the benefits available, your financial situation and your underlying medical and emotional condition, I'd say the choice is a slam dunk and obvious.

anything else we can help you with?
Reminder :
........Each state has their own comp system; POST YOUR STATE to get accurate information. Use the search feature to find information from similar questions.
THANKS FOR POSTING.
 
Reply
#5
California. Left shoulder probs. started day of flu vaccine (given at employee health), then clearing out office (lots of books, boxes) same day, now months later after conservative treatment it is now at tear. I work for a big hospital district. when I went back to employee health ( 2 times in 1 week ) to report the shoulder pain (and show them the very high injection site) they dismissed it as "not due to the vaccine". I have researched this - the dept of health has papers on this kinda injury. I also reported to the WC carrier that I did a lot of upper body slogging that day - but have never had a problem before. The hosp. appointed MD has recommended claim denied , kinda odd that he had not read the med records before he examined me and started moving my shoulder around (, then comments"oh, you have a tear!" after looking at the papers....Anyway, I was gonna be a good sport and trust the process, but now I think I need help. I love my job, my boss is one in a million and assures me that my job is secure if I have to be off more than the 12 week usual Family leave allows ( this surgery is at least 3 months rehab, and employee health likes us back 100%). Any ideas?
(03-12-2011, 11:48 AM)1171 Wrote: considering the severity of your injuries, the extent of the benefits available, your financial situation and your underlying medical and emotional condition, I'd say the choice is a slam dunk and obvious.

anything else we can help you with?

yes, I am anxious about the ramifications of sueing my employer's workcomp carrier. I love my job and plan to retire from this company. I had a wc claim before (elsewhere), and "signed off" on future medical coverage for that injury in order to get a small settlement ( this was probly not a good idea, but I was naive and that's the past). Future medical coverage for this injury is a concern. I am not interested in gaining financially from a law-suit, but job protection (in the case that I can't get back to work in a timely fashion) and medical coverage are concerns. Considering my last experience - I am questioning whether good outcomes (medical coverage and loss of income) are out there.
 
Reply
  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Appeal redsoxfan 4 736 12-02-2018, 02:59 PM
Last Post: tinainky
  Visiting a lawyer about my workers comp claim 241050 10 4,237 10-26-2017, 10:18 PM
Last Post: 1171
  wclj denied inital claim reversed by board jerseylock 14 10,186 02-14-2017, 06:22 PM
Last Post: 1171
  claim accepted surgery denied what happens once i get mmi queenlee 4 3,769 01-20-2017, 09:29 PM
Last Post: queenlee
  In California 10% of denied treatment is overturned on appeal 1171 1 1,283 11-16-2016, 02:06 PM
Last Post: California_Help
  Disability rating and appeal Torn 27 15,768 10-15-2015, 11:18 AM
Last Post: California_Help
  Frivolously denied claim Tarbender04 2 2,719 01-19-2015, 08:27 PM
Last Post: Tarbender04
  Workers Comp Claim was denied Virginia Alberto 4 7,352 01-07-2014, 10:06 PM
Last Post: 1171
  Backpay after Full Commission Appeal VA Bussy 2 4,023 11-10-2013, 02:31 AM
Last Post: Bussy
  will i still be on light duty while waiting on my appeal cbcalles 1 3,912 08-28-2013, 08:27 PM
Last Post: 1171

Forum Jump:


Browsing: 1 Guest(s)