What is workers comp? It’s a form of insurance that provides employees a variety of benefits for job-related injuries and illnesses; medical expenses, lost wages, ongoing care, funeral costs, and death benefits.
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There are so many parties involved in a workers’ comp case and sometimes it’s hard to keep track of who does what. Bilal and Carmen dive deep into the role of a claims adjuster within a workers’ comp case. Learn what are some of the things that you should share and what you should not.
If you need help with your workers’ comp case in CA. Call for a free legal consultation 800-606-6999. We would be more than happy to review your case. Did you know, that on average, injured workers’ who hire a legal attorney receive up to 30% more benefits on a workers’ comp claim.
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“It’s like a lottery that rewards stupidity.”
—Lenny, The Simpsons
i like the bloopers, makes it easy to talk to the attorney and not get nervous
Good info, Jaybee!
this video includes bloopers. lol
Good Info Jay! Thanks.
My doctor and adjuster is pushing me to work light duty and I have only had 1 week of Physical Therapy and my doctor is also recommended surgery
So, my Workmans comp sent me for a second option I've been on workman's comp for 23 years She came back and said that I was unable to ever return to my Job she was a shrink and said going to training is a No too. What now I was not expecting that, and it was for my PTSD. not for the Physical injuries I also incurred during the accident However, when I showed the report to my Son in-law, he was upset his line of work is working with Behavior health Clients He said where's the Brain scan before handing out Drugs. I don't Do Drugs except one. . She the doctor said therapy heavy duty drugs when asked will it get better, she said NO so why take toxic drugs that will not help you. I would love to hear what you have to say. I see my pastor and talk to God Best FAITH How do I know here I am amen
I work for a surgeon who provide care for work comp patients. What should we do if adjusters take so much time to provide a determination letter? Some of the treatments requested are still pending for more than 2 months
Not to mention we need wage statements from employers to calculate average weekly wages. Things take time. But our main goal is to help. Please be patience.
As a claims examiner, I absolutely do care, and relate. Sometimes we are so overwhelmed with claims. We don't have secretary's, or assistance. Every thing is done by us. Including filling out state forms and documentation of state forms. We also need to fully investigate all claims. And ensure treatment and benefits are paid timely. We do everything we can to ensure a claim is reviewed and benefits paid if owed. I understand stand and relate to the injured worker.
Is a claim manager for a self insured company the same as a adjuster?
Oh, I see. You delete my comment because it’s a conflict of interest for a claimant to see that adjusters actually do care. I can’t believe how shady that is.
HOW LONG DOES IT TAKE TO DO A MSA IN MY WORKERS COMP CLAIM? WHO DOES THIS PROCESS & WHO PAYS FOR THIS? I HAVE 3EA. WORKERS COMP INJURIES ALL WITH DIFFERENT INJURY DATES-
WORKERS COMP WANTS TO SETTLE WITH A GLOBAL SETTLEMENT–WHAT IS THIS? MY ATTORNEY HAVEN'T TALKED TO ME YET ABOUT THISNO OFFERSNO NUMBERS YETNO BALL PARK FIGURES-NOTHINGI KNOW IT'S LATE IN THE GAME TO FIRE HIM-BUT HOW CAN I LIGHT A FIRE UNDER HIS AZZ –IT'S BEEN OVER 7 YRS. NOW, ALL TREATMENTS DONE, NO LONGER WORKS FOR THIS COMPANY WHERE I WAS INJURIED; NOW THIS GUY HAS OMITTED NEEDED SURGERY DOCUMENTS IN MY MEDICAL REPORT TO CMS FOR MY MSA AWARDALSO INCREASE MY FINAL PD RATING–YOUR ADVICE IS NEEDED-REPLY NEEDED ASAP–THANKS.by the way
-I do have an attorney but he is not returning my callsi know it is too late in the came to fire this guy– but how can i further my settlements (global) forward?can i fire my claim adjuster?
talked with the adjuster who is handling my workers comp case about treatments not being given due to in process of settling 3ea. cases w/ different injury date- 1 question about this doctor is that he planned surgery thru out treatments because is was still treating for my other injury(surgery)-now that my other surgery was completed he omitted the surgery in his final report downing my pd rating. should i see a QME?