This is how you do worker's compensation claims

At Shaw Law Offices, we do lawsuits against businesses and people who did not maintain their property reasonably.

What We Can Do for You

At Shaw Law Offices, we can certainly help you do a worker's compensation case or locate somebody who can.

But, we also investigate whether you can sue somebody else other than your employer -- these are called "Third-Party Actions."

You'd be surprised how many work accidents happen on property that was owned by somebody other than the employer or on property that was to be maintained by somebody other than the employer.

This unreasonable behavior then leads to your slip and fall injury.

But, sometimes you are hurt at work in a slip and fall and you are prevented from "suing" your employer in a court of law.

When You Can't Sue Your Employer and Must File a Worker's Compensation Claim

What do you do then?

Slip and falls are one of the most common types of work related accidents. According to the National Safety Council, slip and fall injuries account for over 20 percent of all workplace injuries. That's more than 1,000,000 worker's compensation claims started each year.

The majority of those injuries are minor, but a large percentage of slip and falls result in much more serious injuries: these include head trauma, disk herniations in your spine, broken bones, or burns.

With few exceptions, employers are bound by rules set by the Occupational Safety and Health Administration and its regulations. These regulations mandate safety measures in the workplace. An investigation by OHSA can review violations and the employer can be fined.

In a Third-Party Lawsuit against Somebody Else, They Can Blame Your Employer and Reduce your Award Due to Comparative Fault in Indiana

This investigation can then be used in court in a third-party action, which allows the defendant to sometimes blame the employer in any injury-producing accident.  This perversely allows the defendant to lower its responsibility to pay the injured worker by blaming the employer, too.

An example is if you are struck by a truck in a parking lot.  You can sue the truck driver and his employer, for sure.  But those defendants might blame the store for having inadequate parking lot security or rules.

It's a hard world out there for people injured while at work.

But, slip and falls are the most common injury at work.

The most common causes of falls at work are:

  • Spilled liquids
  • Cracked, torn or uneven flooring
  • Inadequate or non-existent warning signs
  • Poor lighting
  • Holes in the floor or parking lots
  • Broken or uneven stairs
  • Exposed cables running along the floor or ground

 

Compensation for Workplace Accidents

Employees injured in workplace accidents have a right to workers' compensation benefits.

You do NOT need to prove the employer did something wrong (negligence).

An employee who contributed to the cause of his workplace injury is entitled to workers' compensation benefits. Just as it isn't necessary to prove the employer was negligent, workers' comp laws do not bar the employee from coverage if the slip and fall accident is entirely his fault.

There are a few exceptions. If actions that result in an injury are intentional (actions that have a high probability of causing injury or exhibit a "wanton disregard of probable consequences"), a work accident claim may be denied. These situations are normally found in "fraud" cases of injury or when a worker intentionally does something he knows is unsafe.

Normally, your injury alone is sufficient for you to file a workers' comp claim and receive benefits.

Benefits can include:

  • Payment of Medical Bills
  • Payment for Physical Therapy
  • Out-of-Pocket Expenses for Medicine or Crutches or Wheelchairs/Scooters
  • Lost Wages, but not at a full repayment rate (sometimes 2/3)

How to Begin Your Work Accident Claim

To begin a work accident claim, you have to file a "first report of injury" form (DWC-1) with your employer. You must enter specific information about the date, time and cause of your slip and fall accident on the form. If your injuries are serious enough to require immediate hospitalization, you may complete the DWC-1 form once you're feeling okay enough to do so.

Then, your employer will provide you with a list of "company-approved" physicians. The workers' comp insurance company of your employer then pays these physicians.

Despite obvious potential conflicts of interest, in most cases you have no choice.  If you want your bills paid, you see the company's doctors.

Then you choose one of these physicians as your "primary treating physician."

How the Treatment Works

Your primary physician examines you and, if necessary, refers you to a specialist. These can include surgeons, podiatrists, orthopedic doctors and neurologists or other doctors whose practices are involved in the medicinal area of your injury.

If you believe your injury is much more severe than your primary treating physician is willing to acknowledge (or that your physician isn't acting in good faith), you may request a second opinion from another company-approved physician. You can see your own physician, but there's no guarantee you'll be reimbursed by workers' comp. You may be personally responsible for any fees your private doctor charges.

Your workers' comp physician determines when you've reached a level of MMI (maximum medical improvement). At that time, he can provide the "return to work" form, finding that you are able to return to duties.

How to Return to Work

Your treating physician can also diagnose:

  • Temporary Partial Disability -- you can resume your former job duties only after a time period of recovery.
  • Permanent Partial Disability --  you may be able to return to work, but not at your former job.
  • Permanent Total Disability - you won't be able to return to your former job or do any other type of work.

Your employer may give you a different position that accommodates your disability or you may have to seek employment elsewhere if such a position isn't available.

What We Can Do for You

At Shaw Law Offices, we can certainly help you do a worker's compensation case or locate somebody who can.

But, we also investigate whether you can sue somebody else other than your employer -- these are called "Third-party Actions."

You'd be surprised how many work accidents happen on property that was owned by somebody other than the employer or on property that was to be maintained by somebody other than the employer.

Most workplace slip and fall accidents limit an injured employee's benefits to workers' compensation. This includes payment of medical bills, out-of-pocket expenses, and a portion of lost wages. Workers' comp benefits do not include payment for pain and suffering. An injury resulting in a disability may entitle the employee to a separate cash settlement award.

There are some cases where a slip and fall at work may result in a "third-party" personal injury claim or lawsuit (against parties other than an employer). These cases entitle an injured worker to payment of medical bills and out-of-pocket expenses, the full amount of lost wages, AND an amount for pain and suffering.

In those cases, you must prove fault (negligence).  See our discussion of "Slip and Fall Laws" above that discuss negligence.

In short, negligence means a duty to you that was breached by the defendant and caused your injuries.  The standard of care associated with that duty means the defendant acted unreasonably compared to normal people or businesses (or failed to do something that would have reasonably prevented your injury).

We Get You Back on Your Feet.

Legal Disclaimer - This is an Advertisement

The information you obtain at this site is not intended to be legal advice. You should consult with an attorney regarding your individual situation. Contacting us does NOT create an attorney-client relationship. No representation is made as to the quality of legal services. No guarantee of any particular result on any case or claim is made. Each case is different. Results vary. No representation is made that Shaw Law OfficeS legal services are greater than other attorneys.

We Get You Back on Your Feet -- Better Call Shaw !

NO FEE UNTIL WE WIN. After we win, we make your community safer by donating 2.5% of all attorneys' fees to a community or state wide organization that (1) promotes safety conscious goals and (2) is a 503(C) charitable organization (non-profit). We Care About The Safety of Your Community