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Carpal Tunnel Claim
#1
Hello everyone. I was experiencing severe pain in elbow, wrist, and hand for about a week when I decided to see my doctor. He said it was carpal tunnel caused at work. I told my supervisor and my company sent me to their doctor. He confirmed the carpal tunnel diagnosis, but said it was not work related. I spoke with an investigator from the workers comp office because I disagreed with the company doctor. The investigator sent a letter denying my claim after I described my job duties. I want to appeal and I have contacted a lawyer, spoke to him about my case, but I have not heard back from him yet. I cannot understand why my claim was denied because another employee got carpal tunnel two years before doing the same job I am doing was approved. In fact, I have been doing the same job longer than that person. The company doctor is a different one now than two years ago however. I have never filed a claim before now so I have trouble understanding this.
 
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#2
One thing you have to remember is they don't want to pay for anything. They know from paying for the last claim how much it will cost and are hoping if they deny you then you will drop it and keep on working or have it fix under your insurance. If you didn't hire that lawyer you could call a few others and talk with them. One thing you will need is medical proof that this was caused by work so you are going to need another doctor or maybe they will changed their mind once they figure out your not going away
 
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#3
I know my attorney will answer most of my questions when, and if, he decides to represent me but I would think if an employee got carpal tunnel doing a certain task and him/her was approved for a workers comp without any hassles, any other employee doing the same task would also be treated the same on his/her similar claim, too. I will have to fight to get my claim approved and pay a contingent fee to a lawyer. I don't think it is right. Are carpal tunnel cases hard to prove in most cases? Anyone out there had a rough time with theirs?
 
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#4
the carrier/claims administrator is not going to get a second opinion that contradicts your treating doctor and then throw it away and roll over.
how would they defend such a course of action when the employer wants an explanation as to why their comp costs are escalating?
a carrier that ignores their own medical reports and starts paying disputed claims will have a difficult time retaining their accounts and getting new ones.
comp insurance is a business that competes hard for employer premiums.
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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#5
That's so sad because my employer puts such a high emphasis on safety. You would think they would support their employees or at least have a company doctor diagnose an ergonomic injury with an unbiased judgment. My doctor looked at my job description and determined that it was undoubtedly caused on the job. Oh well, looks like a battle ahead.
 
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#6
I'm not sure I see the connection between safety and accepting a medical condition as industrial.
talk to your employer.
if they are a large account they might intervene with the carrier and be able to make a difference.

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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#7
I have asked the Safety Leader and HR Manager to help me , but they act like there isn't much they can do. I see a lot of smiles, concern, and sweet talk but no action. I feel like the company or the insurance carrier has a doctor now that will lean their way and any employee who gets a repetitive stress injury will be in for an uphill battle.
 
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#8
yes they may want the comp court to make those decisions.
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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#9
You should talk to more than one attorney. Find a certified workers comp attorney who specializes in denied claims. Check your state's bar association.
Let Go, and Let God......
 
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#10
I have consulted with an attorney and he looked at my medical records, job description, and the company doctor's evaluation. He said my only hope was getting the treating specialist hand surgeon to say my carpal tunnel injury is work related. He said that may be difficult due to my attorney's experience dealing with the surgeon in the past. So I am going to see if the surgeon will give his opinion in my favor. Any suggestions if the doctor doesn't help me?
 
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