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Need Advice
#1
Hey, there everyone. I was injured on June 4th and have filed a claim on June 8th. I was a driver for FedEx and hurt my back lifting heavy boxes. I Have a ruptured disk, that is pressing on my sciatic nerve. I have had an MRI done to verify this. I have been jerked around by the insurance company for a month and a half now, and they just told me a week ago that they denied my claim, but they wouldn't give me an explination as to why, or how I could appeal this. They just told me that it was determined that it wasn't work related, and I asked the guy how they figured that, and all he would say was that he couldn't counsel me on that. So I have went to my local office, and have talked to them, and I told them the day it was denied everything that was said to me by the insurance company. They said they would call me back. I waited a week and have never heard anything. i went down there yesterday, and all they did was try to call the guy, and siad they couldn't do anything till they heard from him. Do I need to go ahead and talk to a lawyer? Also they sent a piece of mail saying that my employer and/or insurance had to send a panel of doctor's for me to see, and was required by law. I have never recieved anything from either one. Could that be a violation of my workers rights? Any headway would help Thanks. Sorry so long. Dbusic77-Tennessee
 
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#2
sounds like you need a benefit review conference.
http://www.tn.gov/labor-wfd/wcfaq.html#WCbenrev
they are required to file a C-23 (denial notice)

you may also need to litigate the case. to find an atty try here
https://www.wilg.org/index.cfm?pg=publicdirectory
or here
http://www.tba.org/LawBytes/findalawyer.html

with a work comp denial you can get treatment from your health insurance and they will file for reimbursement from comp carrier once case is decided.

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.
 
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#3
(08-19-2011, 12:39 PM)1171 Wrote: sounds like you need a benefit review conference.
http://www.tn.gov/labor-wfd/wcfaq.html#WCbenrev
they are required to file a C-23 (denial notice)

you may also need to litigate the case. to find an atty try here
https://www.wilg.org/index.cfm?pg=publicdirectory
or here
http://www.tba.org/LawBytes/findalawyer.html

with a work comp denial you can get treatment from your health insurance and they will file for reimbursement from comp carrier once case is decided.

Hey, thanks a lot.
 
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#4
You are better off going ahead and getting an attorney based on my experience. I didn't want my case to get that involved I just wanted to get better and go back to work, but after 4 months of not working, no payment from comp, and doctors refusing to see me because my insurance would deny the appointment based on it being work related I had to. Did some research to find that best attorney I could, met with and hired him and he called me the next day with a doctors appointment and a check for 4 months of backpay.
 
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#5
Good advice, Stormy !! From the sounds of it, this poster needs to get a hired gun right away.
DISCLAIMER: I am not an attorney. While drawing from my professional training and experience in law enforcement and as a former Paralegal, no comments offered should be considered as legal advice.
 
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