What To Know About A Workers Compensation Claim In Luzerne County, PA

by | May 18, 2018 | Law Services

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In Pennsylvania, worker’s compensation laws require employers to purchase the insurance coverage. The insurance protects against liabilities that occur when workers are injured on the job. A local attorney helps injured employees file a Workers Compensation Claim in Luzerne County PA after an injury.

Reporting the Accident to Management

All supervisors are required to send their workers to the human resources department to process the injury claim. Initially, the worker visits an urgent care or ER. The doctor completes a medical report for the insurance provider with vital details about the worker’s injuries. All reports and claim forms are sent to the insurer for a determination.

Who Makes Decisions About the Claim?

The insurance provider assigns the claim to an adjuster. The claims adjuster reviews and investigates the claim. It is their purpose to determine how the accident happened and if the worker followed all company policies. Deviations from company policies often cause accidents. If it is determined that the injuries were the worker’s fault, the worker is disqualified from receiving worker’s comp benefits.

What is the Worker Entitled to Receive?

Workers who qualify for worker’s compensation receive payments for all their medical expenses related to the accident. Monetary benefits are provided when the worker isn’t cleared to return to work immediately. The monetary benefits range between eighty and ninety percent of the worker’s wages. The worker could receive long-term disability benefits if they sustained serious injuries.

What Happens if the Worker is Denied?

The worker has the option to file a legal claim to acquire the benefits they deserve. The legal claim could lead to a lump-sum settlement based on the employee’s losses. More serious injuries lead to higher awards if the worker didn’t play a role in causing their own injuries.

In Pennsylvania, worker’s compensation laws require insurance for employers that hire more than one worker. The insurance pays for medical expenses and provides wage replacement while the worker recovers. However, insurers deny the claims based on non-compliance with company policies. The insurance companies also use loopholes for unethical employers who want to avoid a payout. Workers who are injured and need help with a Workers Compensation Claim in Luzerne County PA can Visit website now. You can also visit them on Google My Business.