Integrity. Quality. Experience.

Help And Hope After An Injury On The Job

 You may have heard that a workplace injury should trigger a workers’ compensation case — and you may assume your expenses will be covered after you were hurt at work. What you likely have not realized is how difficult it can be to get all compensation you are eligible for through workers’ compensation benefits. Do not expect your employer or your employer’s workers’ compensation insurer to go out of their way to make sure you know what you are eligible for. Be prepared to go after it.

What is workers’ compensation?

In Indiana, the Workers’ Compensation Board has exclusive jurisdiction to hear claims for personal injury or death by accident arising out of and in the course of employment. Therefore, you cannot sue your employer for any injury you received on the job and recovery will be at the control of the Workers’ Compensation Board, unless a person or corporation outside of your employment is responsible for your injury. That is considered a third-party claim, which will be discussed later.

What do I do if I get injured on the job?

One of the first and most important things that should be done is to make sure that your employer, preferably a supervisor or manager, is aware of your injury and how the injury occurred immediately after you were injured. The next step would be to discuss with your employer where you should go for your medical treatment.

What is considered an injury or death arising out of and in the course of employment?

This question is usually easy to answer if you are on the premises of your employer when you are injured. However, the question becomes a little bit more difficult when you are outside of the premises. If you are “on the job” and off the premises, you may still receive workers’ compensation benefits. It is even possible to receive workers’ compensation benefits if you are going to or coming from your job.

What do I receive as my workers’ compensation benefits?

If you miss seven or more working days due to your injury, you will receive Temporary Total Disability (TTD) benefits which are your wages. You will receive 2/3 of your average wage over the last 52 weeks. Your employer will also be responsible for paying your medical bills for any treatment you receive. However, due to the fact that the employer is paying your medical bills, they will likely control the doctor or medical provider that you see for your injuries. If a doctor feels you have received any type of serious impairment due to your injury on the job, you may also receive a lump sum settlement after the doctor releases you from his/her care.

Can I receive pain and suffering compensation for my injuries?

No. If you are injured on the job, not by a third-party, you are eligible only for a portion of your lost wages, your medical treatment and settlement for any serious impairment.

What is a third-party claim?

If someone is injured or killed by an accident which arose out of and was in the course of your employment, and the injury or death was caused by a party that is not a co-employee or your employer, you may be able to sue the party under a third-party claim. This claim would not be under the jurisdiction of the Workers’ Compensation Board and you may receive additional damages from that third party.

What if I am totally and permanently disabled as a result of the injury?

If you are permanently and totally disabled as a result of your injury arising out of and in the course of your employment, you may be able to receive higher damages to compensate you for the seriousness of your injury.

Do I have to see the doctor or medical facility that my employer is demanding that I see?

Due to the fact that your employer is paying for your medical treatment, they can somewhat control with which provider, doctor, or medical facility you treat. However, you may be able to get an independent medical examination through the Workers’ Compensation Board or a second opinion from a doctor of your choosing; however, this requires approval by the Workers’ Compensation Board.

What if my company or the insurance company is not paying my medical bills and I get a bill from the health care provider?

You should notify your attorney immediately. There is a statute in the state of Indiana that if the medical expenses were incurred as a result of a work injury, then the medical facility cannot proceed to collect against the individual. They must file what is called a provider’s claim with the Workers’ Compensation Board or submit their claim to the workers’ compensation insurance company. In other words, there is some protection in terms of the potential damage to your credit if there is some dispute on your workers’ compensation case or some delay in paying the medical bills on the part of the insurance company. This statute protects you in these circumstances.

Do I need an attorney?

Initially, if your employer is paying your wages as described above, and is paying for your medical treatment, it is probably not necessary that you employ an attorney to help you in the matter. However if at any time you disagree with any treatment you are receiving, any evaluation given to you by the doctor, if your employer is not paying the medical bills appropriately or if you feel that you are being taken advantage of, it is probably necessary that you retain an attorney to help you.

Why You Need A Workers’ Compensation Lawyer

Your workers’ compensation claim may be denied from the start. This does not mean you cannot receive benefits. You may need an attorney on your side to get any benefits paid out at all. Or you may receive some benefits only to have them abruptly stop before you are back on your feet again. Working with a workers’ compensation law firm can help you overcome denials, unexplained reduction of benefits and other difficulties.

Another powerful reason to work with a lawyer is that you may also have a third-party liability claim to file. If someone besides your employer caused or contributed to the accident that injured you, you may be able to sue that individual or organization (such as a company) for damages, including compensation for pain and suffering. Your third-party liability claim award of damages will be in addition to any workers’ compensation benefits you receive.

An experienced personal injury lawyer will be able to determine whether you have a viable third-party liability claim, as well as advocate for you as you seek workers’ compensation benefits. Our lawyers are ready and willing to begin an investigation to determine how you were hurt, and who is liable to reimburse you for your expenses and losses.

A Lawyer On Your Side Can Help You Through Claims And Appeals Processes

Sachs & Hess P.C. helps injured workers fulfill requirements for receiving maximum benefits, including:

  • Reporting your workplace injury to your employer in a timely manner
  • Discussing details with your attorney, who will help you maximize benefits
  • Seeing a doctor, getting appropriate treatment and follow-up care, and if necessary, invoking your right to a second opinion
  • Preserving all records of doctors’ visits, medications, therapy appointments and medical equipment needed
  • Consulting with doctors about when you are ready to go back to work part time or full time

Remember, workers’ compensation-eligible accidents may include accidents away from your employer’s site if you were performing job-related duties. If you have questions about whether your circumstances mean you do or do not qualify for workers’ compensation, contact us.

Initial Consultations Are Free

Get answers to your questions about workers’ compensation and help filing your claim or appeal. We hope to hear from you after a workplace accident. To schedule your first conversation with one of our lawyers, call 219-227-4259 or complete our online intake form.