Avoid Common Mistakes When Filing a Workers’ Compensation Claim

June 20, 2017

When employees get injured on the job in Philadelphia, they may be eligible to receive compensation for their injuries. To do so, one must report the injury to their employer and file a workers’ compensation claim. Eligibility for workers’ compensation is contingent on whether the employee’s injuries were sustained as a result of their work duties. The amount of compensation will depend on the workers’ wages prior to their injury or illness. Typically, workers’ compensation will provide two-thirds of their weekly wage while an employee is out for a work-related incident.

Most common filing mistakes

  • Failure to report, or properly report, the incident. Most employers have accident policies and guidelines to follow. It is important to immediately report the injury in writing to your supervisor, the company’s human resources department, other employees, and the healthcare provider.
  • Not adequately describing your injury to your healthcare provider. The insurance company’s doctor must know every detail of the incident, including the fact that it occurred at work, and how the injury impacts your life. All symptoms must be stated to the medical provider(s). Failure to give a full, clear, and accurate description can be detrimental when seeking benefits.
  • Seeking treatment by an unapproved doctor. You are required to seek care from a doctor that is approved by your employer. Your employer should give you a list of the approved workers’ compensation treating physicians. Receiving treatment from an unapproved physician can lead to a denial of benefits.
  • Not following doctor’s orders. It is important to attend all doctor appointments and follow the recommended treatment plan. Benefits may be denied if you are seen as disobeying doctor’s orders. If the company’s doctor says to return to work before you feel you are ready, you should seek a second opinion in cases where a continuation of benefits is needed. You must comply with any medical treatment that is recommended.
  • Failure to submit an accurate and timely claim. The form must be completed correctly and in a timely manner. Inaccurate and late claims can cause a denial or delay of compensation benefits.
  • Not hiring an experienced Philadelphia workers’ compensation lawyer. Lawyers often deal with workers’ compensation claims, so they have a better understanding of how the process works. They also have knowledge on the shortcuts that employers and insurance companies may try to take. Having an experienced lawyer increases the probability of receiving all the benefits that you deserve.

Any of these mistakes can cause a denial of benefits or a lower amount of compensation. A Philadelphia workers’ compensation lawyer can assist you so that you do not make these common mistakes. Please contact Larry Pitt & Associates at 888.PITT.LAW. We serve clients throughout Berks, Bucks, Chester, Delaware, Montgomery, and Philadelphia Counties.