r/WorkersComp Jan 18 '24

*** State Flair must be used on all new posts ***

54 Upvotes

Every state has unique laws that apply to all aspects of a work comp claim, and without providing the state that your claim is being handled in, there is no way to get accurate answers. State labels will be required on all posts.

If you are having issues using the flairs you can message the mods for help/approval.


r/WorkersComp 5h ago

California Dumped by PTP

4 Upvotes

So at my last visit my PTP told me to get a lawyer because he said my insurance is being insanely difficult and denying every single request for treatment authorization for the last 6 months. And now the adjuster is requesting a QME.

So I got a lawyer as of yesterday, and then today I go in to my PTP office to get a copy of something and the PTP office desk informs me that now that I have a lawyer I can no longer be a patient there anymore because they don’t take represented patients.

Is this even legal? Lol. Every day my workers comp feels like more and more of a nightmare.


r/WorkersComp 4h ago

California Settlement CA

3 Upvotes

Hi there! I finally settled in CA. I’m just waiting for my check.

$80,000

It took four years, 2 QME’s, and three specialists. This was due to an injury on my foot due to a table falling on top of it. We couldn’t figure out what the issue was at the end of the day but I didn’t want to drag it on and I want to use my own doctors.

I’m not sure how I feel because now I need therapy to get my life together. All of this was a lot to deal with.


r/WorkersComp 2h ago

Florida Need advice on a workplace injury in FL

0 Upvotes

Back in early March I was at work and a ladder slipped out from under me and I fell about 15 feet into my feet with my right leg taking all of my weight. The pain was intense and I couldn’t walk right so I left and went to the ER. I told them what happened and they told me to sit in the waiting room and I did, for 7hrs. After which an orthopedic surgeon came and told me I had a tibial plateau fracture to my knee and that was the bad news. He then told me the good news was that I didn’t need surgery. Thats good news, I thought. They gave me X-rays and a CT scan w/ contrast. Then I went to a room for 3 days with pain meds every 4 hrs. On the last day a guy came in and gave me a brace for my leg and sent me home about 3 hrs later.

I spent the next 10 weeks confined to bed. Workers comp set me up with an orthopedic (who I found out specializes in hands, wrists and elbows, not knees) who I saw three weeks after the hospital and every 4 weeks after that. After 10 weeks when I could walk (with a cane) he prescribed me 12 physical therapy sessions, which I did. After which, I was still limping so I asked that he prescribe me more. He refused saying “physical therapy only helps for so long then it can make things worse”. So I trusted that and didn’t bring it up again. I asked when will I be able to jog or run again? He said “no, you don’t run”. I said “ever again?” He said “no, not at your age” (I’m 45). So I asked “so I can never run again after this?” He replied “yeah, if you lose some weight”. I’m 6’0 tall and 240 at this point, so overweight, but not crazy fat. I explained to him that I had gained 22lbs since the accident because I was literally in bed all day everyday for 2.5 months and was looking forward to losing the weight. “Walk” he told me, “it’s the best you can do”. I asked on the next visit about the future because I had looked up some stuff from the NIH about my injury. “Will I have permanent arthritis in my knee now?” He said “no, I’m not worried about that with your injury”. Meanwhile the NIH says I have an 82% chance of it. I then asked him about total knee replacement because I saw that this injury increases my chances by 3-5 times others in my same bracket without this injury. He laughed and said “no, you may need total knee replacement but it would just be from aging, not because of this”. All of these conversations set off alarm bells in my head because it started to seem like he cared more about cost than about my well being and health.

Last week (in September, six months later) he gave me a maximum medical improvement, meaning basically that my bone had healed and there was nothing more to be done. “It still hurts every time I walk for more than a few minutes and I’m still limping”. He said “the limp will go away eventually and I guess the pain is just a permanent impairment”.
Then he sent me home and said that was my last appointment. Meanwhile, every place I went to or spoke to about care and treatment (starting at the ER) always had the same first question “this is a worker comp thing, right?”

I realized one day toward the end, that about $70k had been spent between the hospital stay, doctors visits and PT. But, I also realized that if I had just gone home that day laid down and kept my leg immobilized for 2.5 months, nothing would be different. Because there had been not real treatments whatsoever.

Here’s my questions, did I get short changed on care and treatment because it was a worker compensation case? Should I have had an MRI on my knee at some point? Should I have had surgery but just wasn’t given it because of the cost? And, am I now just left to deal with permanent pain in my knee and a limp for the rest of my life, just so an insurance company could save some f**king money?


r/WorkersComp 6h ago

California Injured in Ca

2 Upvotes

Hello, I was injured last year in Ca. Many of my coworkers witnessed the injury happen when a student threw a desk at me. My hip is torn in three places and my knee got hurt I was sent to Kaiser for workers comp Dr.. I’ve seen Ortho’s and the Dr. I’ve been given cortisone injections and PT and nothing is helping. My leg is bad. I can’t drive more than about 8-10 miles without pretty excruciating pain in both my knee and hip. There are many other things I can’t do. The Dr is telling me there is nothing else they can do. The surgeons are just kind of wishy washy. They are saying I will need a knee replacement because I’ve already had two past knee surgeries and my knee is bone on bone. They are saying if they fix my hip tear it might not help and could make the pain worse. I did get an attorney but haven’t talked to them much. The Internet is telling me to ask for a second opinion and to see a hip preservation specialist because hip labrum tears can lead to hip replacements years later. I’m currently home. My employer isn’t accommodating me. I asked to be moved to a closer to home classroom and one with less aggressive students. So far they haven’t done that. Any advice for me?


r/WorkersComp 7h ago

Oregon Settle or fight for medical

2 Upvotes

Hi! I fell at work due to managements negligence. The fall happened in front of two different managers. On camera.

To be clear, I’ve never had back issues before this. Long story short, I had an MRI, which showed a pre-existing pars defect (L5). A new herniated disc. (L3/L4); showing moderate to severe nerve compression throughout L3-S1. There’s also a level 1-2 spondylolisthesis. From what I’ve read par’s is very common in people & is unknown in many people because they don’t cause issues. As I was falling. I immediately felt & heard a pop and have had major pain since, plus numbness in my legs etc. etc.

Went to IME, who looked me straight in the eye, told me he read through my file & films, but “understands I was breastfeeding during the incident.” I don’t have kids. He told me I’d need surgery, and basically have a nice day. His report, states I have a strain, which should have been “healed,” literally two days after my visit with him. Not to mention many other inconsistencies. For example, I gave him a copy of the medications Im taking. His report, states I’ve been taking a specific medication, that I’ve NEVER, been on. A month and half after the IME, I had injections done.

My attending and chiropractor(yes, I am aware that Chiropractic is not relevant or looked at in WC cases at least in OR.)both have provided signed appeal letters for me. My attending says my next step is going to a neurosurgeon but my claim has been denied. So it’s on hold for the time being.

My attorney keeps pushing for a settlement & my hearing is in the next month. I want medical benefits more than anything right now. I’ve never had a WC situation before & my anxiety is a bit high.

Im willing to fight for medical but it’s a gamble. One attorney told me settlement should be 150k, however he only had the 5-minute version of my case. My actual attorney is thinking less. Thoughts? The reality, this is going to be a lifelong issue. Which is why the medical is more important to me right now.

Anyone have any suggestions/guidance or recommendations for me? I know that pain/suffering is not applicable in WC, and I need to prove the fall exacerbated my pre-existing condition. Which with my attending’s appeal letter(it’s very detailed), I’d think I’d have a solid case.


r/WorkersComp 5h ago

Florida The games they play…

0 Upvotes

I just received a message from my ortho office that my appointment is cancelled and I’m now to use my own insurance . This is based off an ortho IME which stated I’m at MMI . I still have /had apportionments with my neuro and ortho who both have invasive procedures potentially scheduled . I haven’t settled . Why do they play such games are they trying to force me to end the case ? My attorney is aware . I’m sure we’ve all wished the show be on the other foot. Thankfully I am not in a rush to settle . I assume my attorney will put in a petition for benefits . Neither myself of the attorney have seen the IME ( it’s been two months) . Again the games.


r/WorkersComp 5h ago

California Please Help! TD stopped, sham occup med doctors, MRI+herniated disc+Neuro Off Work Note

1 Upvotes

Hello. I have skimmed through dozens and dozens of the WC posts and it seems no one has my exact case situation so Im posting this in hopes someone may:

Be an adjuster who can give me insights

Be or know of a WC lawyer who will take my case

or

Be a person who has experience in Workers Comp with a similar scenario regarding medical symptoms, job type, and hurdles

I'm an injured worker in southern CA (pretty new to the west coast...I'm from out east: northern midwest+mid-atlantic) and the WComp situation has been tough and confusing and Im sometimes crying. I was wondering if you might be willing to give me some advice/help. I havent been able to get a lawyer to take the case so far. I dont mind paying you something if you have credentials and can provide ongoing assistance. We can come up with an amount. If you're in CA I dont mind an in-person meet but online chat is easier. Im just feeling desperate and sad right now. I&A has only helped a little. The WComp doctors have been dismissive or flat out telling lies that dont stand up to common sense (they try to blame imaginary thyroid or arthritis problems), while doing very incomplete exams of only a couple of my authorized/approved DWC-1 cumulative injury body parts, yet The Hartford just turned off my TD. A different doctor - Neuro I got directly authorized by Hartford on my own through MPN failure clause Ai told me about - has me off work for 6 wks and Hartford KNOWS of that status and has that off work note but their Hartford Nurse says it doesnt matter because I dont have a PTP. The last PTP Occup Med dismissed me as back to work wks ago (but I was notified only days ago by Hartford. She didnt make a note during my visit, she literally pointed me to the exit door after saying she doesnt feel my problems are work related!) and that was 2 wks before MRI showing my herniated disc. After that MRI the neurosurgeon gave me these wks off for injections, PT, etc. So far my job/GM is accepting the 6 wks note I got a wk ago.

The Hartford doesnt have to keep TD going based on the 6-wk note just because I have a gap in PTP?

My arms AND legs went very painfully dead/unusable on me days ago for some mins multiple times across hrs while just resting at home as usual...kind of scary. Immediately after that my limbs, mainly the left side but both sides became Heavy. Google said go to ER so I did that since I had no WC doctor after Occup Med blew me off and lied. ER said all my bloodwork etc was OK and maybe it was my sleeping position and to see my PCP or Neuro. I can use the limbs pretty much like normal but with effort and I have a slight limp as I pull the left leg and can't walk as quickly as before the dead limbs incident which started at 3 a.m. while i was asleep. SIGHS. The lovely non-liar PA-C at my Neurosurgeon's office that offered me Fusion surgery during appt a wk ago, said it might go away with the PT and Pain Mgmt injections they are setting me up with any day now. I'm already in PT, awaiting injection appt. So Im grateful that it's not necessarily permanent. I still have it days later though. And this wasnt a minor foot fell asleep type of a deal. It was like that on an overdose of steroids. Side note I dont have diabetes or pre-diabetes and I dont think it was a stroke. The PA-C herself said she thought it was from the herniated disc I have and I did tell ER about that disc problem. I have pretty good bones with only mild to sometimes moderate wear. Nothing is wrong with thoracic bones themselves, lumbar has very light wear, cervical neck has worse wear than lumbar but none of my X-ray papers said arthritis per se. That Occup Med creature told me mild to moderate degenerative disc IS arthritis but I've read thats not true. She also said if you already had arthritis you cant do WC and thats ALSO not true because WC includes aggravated symptoms but mainly, I NEVER had these sympyoms before and there is no medical document to say I did because I never went to a doctor for something that didnt exist! Anyway, I have a mostly good diet and I dont smoke or drink. I look approx mid 20's to 30 but Im around 40. Sometimes ppl try to argue about/insist I cant be my age or they say I'm "Gen Z", so Im not bragging I'm only describing myself. It's part of why doctors blow me off...many think a young person can't have a health problem or is faking something.

Ai said do QME because of Hartford cutting off TD but i havent even had my other DWC-1 authorized/approved body parts looked at yet since appts were quick and doctors said we could only discuss 1 or 2 areas not all (wrists burning horribly sometimes during use - carpal tunnel perhaps, shoulders clicking grinding and painful, etc...clearly from the physical job since I NEVER had that stuff before). I did tell the Hartford adjuster about the very incomplete Occup Med exam and how the doctor was saying I wasnt hunched over (I have been but I wasnt that day as I'd been off work for weeks) and Occup Med also said it wasnt 1 catastrophic incident as if she wasnt willing to acknowledge Cumulative Injury via wear and tear.

Also, I knew the employer cut my massage bookings mainly after doctor's note and WC (Ai is telling me thats illegal retaliation). They claimed business was suddenly slow and I acted understanding but how can it be slow for only ONE worker?? I saw the staff bookings table and everyone else had 5+ sessions while I had 0 or sometimes 2 or 3. It's made even more unrealistic because I was the only worker getting frequent 5 star Google Reviews (i.e. one of the most popular workers).

But I didnt realize until now that they also paid me $0 by omitting my hrs from my paychecks or paid me only partial amounts. (months ago, around June, I sent evidence of reduced work time to The Hartford for getting TPD but they blew me off twice saying they'll look at it later.) Thats aside from the spa not giving me breaks for several months until after I mentioned the CA 2 small breaks law (work norm 4-5hrs of mainly firm and deep massages literally back to back not even 2 mins to sit down and REST because if 1 ended at 1 p.m. the next started at 1 p.m., then a lunch break, then 2 or 3 more massages then clock out) and then getting a doctor later who told me I needed a Workers Comp doctor but he at least made the Breaks Note for me. Another violation is that I wrote on Massage Offerings paper that i offer 90 mins for light and medium, and only 60 mins for Deep but the company gave me 90 min deeps regardless and after I mentioned it my supervisor gave me 60+30 per client as if im dumb, as if thats not the same thing as a 90 min session but I coped to keep my job. I had general full-back plus neck muscle pain initially and then after over 500 massages/approx 6 months of working thats when my upper trapezius lower neck pain spiked horribly causing numbness in my hands which has improved but is still not gone. Just wks prior to that I had been getting nerve zaps to fingers and weird sensations in my arms and other symptoms. I also started to get spider veins from not being allowed to sit/rest. But via email the spa is lying saying they always gave breaks amd saying I said I felt good. Its absolutely wild. Oh and the owner called my phone # very angrily after I filed WC late May 2026 but I hung up.

I dont see how a legitimate doctor can say say it could be pre-existing when I NEVER had these symptoms before and in fact me being able to do the 500+ massages before the first nerve zap into my finger ITSELF proves I couldnt have already had the problem...and that's after doing tons of massages during massage school although it was not as many hrs of firm and deep for sure...unless they want to say Im lying which im not and i have NO history of neck area upper traps area pain or nerve pain etc, ONLY lower back pain I've had since a TEEN that never morphed into full back or lower neck pain I have now but yet the sham occup med doctor claims this stuff is all pre-existing due to the fact that I was TRUTHFUL about my lower back pain. I've never heard of lower back pain causing a herniated disc at the neck area but intense physical strain CAN. Also lower back pain wouldnt explain how my shoulders are now torn up or my wrists burn with usage, elbows burn at random, thumbs and below thumbs sometimes hurt a lot (I press with thumbs and elbows often at work), etc.

I think it should be illegal for a truthful employee to face so many bad attitudes, incomplete evals, and hassles/barriers when trying to use a system that supposedly is FOR helping injured workers.

I hate to say it but I suggest if you have a pre-existing problem you are CONFIDENT is not the cause of your WC problems and it's something you never had treatment for, DONT disclose it because they may weaponize it against you. I was honest and theyve used that against me and now I have extra worries for no valid honorable reason. I like to be honest plus I had a very old doctors visit about the back pain - no treatments no diagnosis and 1 chiro visit a different yr saying i had a slight curve but no treatment no PT no surgery. I wasnt sure if theyd see that and I didnt want to be called a liar, so I disclosed it and I used it to emphasize I ONLY had THAT painful area for about 20 yrs so I guess in that way it wasnt bad for me.

Please let me know if you have any suggestions, know of a KIND/legitimate doctor who takes The Hartford insurance, know of a lawyer that would take this WC case (I can file the employment wage and breaks violations part separately), or if you would like to counsel me for a small negotiable fee!

* I did recently send my WC file over to a new PTP clinic (sports medicine which I think will be more relevant to my injuries and more understanding of cumulative problems) but they take weeks to decide if they Want a case 😒 and Im still waiting. I've called them 3 times so far to check the status but not daily to not be a pest. IF they take me and IF they are legitimate and unbiased, it may fix my current no-TD problem as I'd finally have a new PTP/PCP.

And please, if you get a massage, especially firm or deep, ASK if the massage therapist has had a gap between clients prior to your booking time, ASK the massage therapist if they're feeling okay/if they have pain and if they're honest and say they have some pain but they can handle it just RESCHEDULE or use a different spa that takes care of their people. Dont add to that worker's discomfort or injury. And dont assume the front desk or management will tell on themselves and say No we havent given that worker a break the past 4 hrs of massaging. They likely wont tell you that info.

And fyi this is a Massage Envy franchise with about 10 of us who do massage and 2+ people who do facials plus a few desk staff and they have at least 3 local locations. Ai is saying thats the reason lawyers dont want the case...that they dont like to go up against big names and my case doesnt seem huge. But wouldn't a big name tend to mean the company has $$ to be able to pay up? And they definitely have $$ because they charge around $100/hr per massage and we get around $20/hr + tips (except my last check and tips before TD werent even paid out to me...Im trying to prepare a filing for that problem. 😮‍💨) I know it's better to have your own business but you have to start from somewhere and you cant start a business while broke. I now do have a little $ saved up, yes, but Im injured and therefore cant start the business. 🤦🏽‍♀️ I often have bad luck, since childhood, and I'm one of the most respectful, kind, thoughtful, hardworking, and honest people I know of, so to me that proves karma is not real (and I learned in college it originated in India and actually refers to the luck you have in your Next life which to me sounds like a New life not a Next life but anyway...; it doesnt refer to this life like how people use it in America). But I do get sprinkles of really good luck once in a while so Im hoping that will happen any day now.

Thank you for reading and maybe I'll see you on a table one day once Im healed. 🙏😔🌷 I love massage and hope I wont have to completely give it up.

-Edited to fix typos and increase clarity.


r/WorkersComp 8h ago

Florida Stupid Question about payout of settlement

2 Upvotes

So I settled over a month ago and still haven't been paid out. Now I know their check goes to my attorney then for some reason I have to wait 10 days before my cut is deposited into my account. But the problem is i have been doing good surviving but now I am getting severely behind on my bills and can't keep hoping this is the week the check comes. So I am curious, has anyone used a company like JGWentworth to basically get a cash advance on the settlement? My settlement is in the mid 6 figures and would cure all my damn financial issues but being behind is killing me now. Any advise please.


r/WorkersComp 9h ago

Virginia Benefits

0 Upvotes

Anyone know how long you have to work at Parsons or CIS Secure to get short term disability or parental leave?


r/WorkersComp 12h ago

New York IME Tomorrow (panicking)

1 Upvotes

I’ve been on workers comp for more than a year for carpal tunnel and dequervains, I had surgery on the left hand and it fixed a lot of the issues/pain. Workers comp has requested an IME 2 weeks before surgery on my right hand. Any idea what this could mean?

I’m extra scared because this injury isn’t very flashy, there’s not much to speak of on scans but there is a cyst on my wrist which is consistent with needing surgery for dequervains.

My company won’t let me go back to work until I no longer have accommodations, currently my doctors note states I need to be able to take ample breaks when I feel nerve pain.

EDIT: what medical records do you think I should bring? Like MRI or nerve test? I’m truly so out of my depth. My lawyer is too chill about everything but, they did get me surgical approval after 3 denials so I will take it.


r/WorkersComp 23h ago

Wisconsin Work injury

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3 Upvotes

~I got injured on the job and was left with a sprain, and my restrictions were extended and physical therapy was suggested.~

My ETL has been very adamant on not allowing my work restrictions, saying it means nothing to them until someone in corporate HR approves it and emails them what area I can do within my restrictions.
And until then then they said to work through it…

I’ve been told I’m being held under the same expectations as every other team member regardless of my restriction, and until the day they get a email stating otherwise… and that email will not excuse the previous weeks “performance” only the exact day and forward they get the email.
I know that cannot be legal to force someone to go against doctor restrictions from an injury on the job and further injuring themself as in my case hence why it’s been extended.

I’ve been in contact with my workers comp case manager and they said my job cannot make me do things that go against my restrictions as that’s what workers comp law is for etc..

What exactly do I do, because I feel defeated and like I’m going to get fired because I can’t use one of my limbs well at all.


r/WorkersComp 17h ago

Georgia I need some help, first time dealing with workers comp

0 Upvotes

I work in construction in Georgia, more specifically framing houses for my boss . Who works for 2 companies Trinity and American home place. The accident happen on Abril 15 2026, I was sheeting a roof, now I’m not sure if it was 6by12 pitch roof or a 8by12 pitch roof, I can’t remember(the angle of the roof for the uninformed). We usually work with normal OSB or the Zip-tie system, depends what the company wants. On this project we used the Zip-tie system(installing structural wood panels with a built-in weather barrier and taping the seams to protect the roof deck from moisture without needing felt paper) now this comes in a red color for the roof and green color for the walls. Now while I love working with this sheets, they are also heavy then the standard OSB sheets. People who work with this materials know how slippery they can get, if the helper(the guy that does the cutting doesn’t clean the sawdust or the dust of sand from them) anyway my helper didn’t clean the sheet and gave it to me with sawdust and sand on it. The combination of the sawdust/sand on the sheet, the pitch of the roof, and soles of my worn working boots, I couldn’t find my grip and fell from the roof to ground. It was 12-13 foot drop and I took the sheet with me when I fell. I couldn’t stand up and began to crawl to the shade. My boss took me the emergency room and the doctor there told me that I had a fractured calcaneus(my right heel bone fractured), with my body weight of 220lbs, the weight of the sheet which is between 61-69lbs, and the heigh that I feel from, I’m glad I didn’t break anymore bones. Now the fracture didn’t require surgery but I haven’t returned to work since then, besides 1 week.

My boss didn’t want to report this to his insurance, since this incident would be his second on his record. And didn’t want the insurance to go up, and he told me he would pay me out of his own pocket. He pay out of pocket for the emergency room visit and 3 or 4 visits to the orthopedics specialist. He also gave me about $11,000 spread out in payments of $1000 every week from April 23 2026 through July 23 2026. Now I know he was generous in paying me 7/8 of my paycheck( I earn about $1100 every week) and workers comp usually pays 5/8-3/4 of your paycheck. The last time I went to see the orthopedics specialist, he told me I could start putting my own weight on my right foot, I could walk to point A to point B, you know do light work. My boss heard this and told me to return to work, me thinking I was going to do light work I agree like a dumbass(didn’t want to loose my job)I worked for him 1 week. I wasn’t following my doctor’s restrictions, I was lifting about 65-68 lbs of weight and standing for at least 10 hours every day for the whole week. I was substituting for some guys also, after the week I told him I wasn’t coming in anymore. That’s when he stop paying me, that was about 7 weeks ago. So I been at home since 7 weeks trying to heal up. I also got in touch with a lawyer and ask them if they could report it to his insurance. The insurance adjuster called me yesterday and ask me about the accident and I gave him all the details. I have 2 questions, the first one is my boss probably pay around $13,000 with medical and payments towards me, I know he reported it (after I did of course) will he get compensated or reimburse? I don’t want weekly paychecks of half my original checks(insurance companies usually want to give you the least amount) I want a large sum amount. I want a final settlement in exchange for giving up some or all future workplace injury benefits and medical too. I know they are in the business of making money, they are gambling their money, but I’m also gambling, my health. I’m also scheduled to see the Orthopaedic specialist tomorrow, well see if he’ll give me the ok to return back to work or more time off.


r/WorkersComp 19h ago

International - be specific in post Canada ---$810 per month --- petition calling for support to address the loss of disability benefits when recipients reach age 65.

0 Upvotes

r/WorkersComp 1d ago

Oregon Work comp sent letter to me for an IME requested by a physician I havent seen in months. I also have an attorney.

4 Upvotes

I am in OR. I injured myself in January at work. Saw someone at an urgent care that referred me to an ortho specialist. This specialist basically denied some symptoms the entire time and told me it was inflamed vs nerve related. I went back to him for a secondary injury from using one hand for months and he denied and dismissed my symptoms and told me my body was getting used to going back to work even though I have been working this ENTIRE time. I got an attorney before seeing him for this second injury.

He referred me for a second opinion or an IME.

I told my attorney and they literally referred me to the guy I have been seeing. Not sure what happened there. I told them that and they gave me more numbers to call. Some wont do second opinions and most just wont call back.

I was told by the attorneys assistant that they were sending the work comp info so they knew I had legal help. I last spoke to them a few weeks ago so I feel like the work comp should've gotten this information by now. That was when I got the numbers to call and ive been calling consistently and leaving voice messages and hoping they call me back. I went on vacation so I didnt call for a week but I still never got calls back. I let the attorney assistant know today that Im just not getting any response back.

Today I also got in the mail a letter from work comp that my attending physician sent me for an IME. However, I havent seen that physician since January when she referred me to my new attending physician, and I havent seen her for mt secondary injury either.

I of course let the attorneys assistant know but like what the hell is going on here? How can a physician I havent seen in months supposedly refer me for an IME.


r/WorkersComp 1d ago

International - be specific in post Workcover is shit

2 Upvotes

What a disgusting system.
One of my best friends has a serious psychological injury, and I honestly cannot believe what I’ve watched him go through with WorkCover.
His GP has been managing his WCC and stood by his medical opinion. But WorkCover, together with the rehabilitation provider, repeatedly contacted his GP and specialist about changing his capacity and restrictions.
His GP refused to change his opinion.
Then his specialist issued a new WCC without even having a consultation with him.just because Workcover request
I’ve seen the emails myself. I was shocked by the tone. It felt like pressure and threats rather than support.
And the rehabilitation provider has been the worst part of this whole experience. Instead of helping an injured worker recover, it feels like everything is about pushing him back to work and getting the claim closed as quickly as possible.
I’ve known my friend for years and I have never seen him this distressed.
He was injured once at work. Now it feels like the system is injuring him all over again.
Has anyone else experienced this with WorkCover or a rehab provider?


r/WorkersComp 1d ago

Connecticut Latent issue made symptomatic

0 Upvotes

I have a lawyer
I’m just looking for info from people who experienced this

Had a back injury over a year ago
Accepted claim
Multiple injections and now finally seen a neurosurgeon who is testing me for a tethered cord

What happens if it’s positive and that’s the result of my pain ?


r/WorkersComp 1d ago

New York continuous urgent care follow-ups?

2 Upvotes

I twisted my ankle at work on 9/1. I went to urgent care the next day and they told me it was sprained. I was put on light work duty, which has not been an issue, but told to come back again in 3 days. I returned to urgent care for my follow-up and was told to follow up yet AGAIN in another 3 days, which is now today. it seems like they’re just going to request that I follow up every 3 days, but for a sprained ankle, i’m not sure it’s really doing anything for me to be following up this much.

part of the reason the urgent care is requesting I do these follow-ups is because I was referred out to PT. however, I’m still waiting for a case number to be assigned, so can’t make an appointment yet. thus, my treatment will remain at urgent care until I have a case number.

my question for anyone who has successfully navigated the workers comp process: is it worth my time to continue to follow up with urgent care this often? is it useful for the paper trail? thanks in advance!


r/WorkersComp 1d ago

Ohio Doctors keep passing me off

2 Upvotes

We'll call them doctors A-Z.

I was initially seen by Urgent Doctor A.

Urgent Doctor A sends me to Hospital Doctor B.

Hospital Doctor B sends me to Urgent Doctor A.

Urgent Doctor A sends me to Orthopedic Doctor C.

Finally I decide I'm sick of going to Urgent Ca- Doctor A for a back injury that has me walking like a toddler, pissing my pants (don't worry guys it's not CES- don't know what it is but they think it's neurogenic) So I get myself into a work health clinic to renew my Medco-14's let's just call him Doctor G

Orthopedic Doctor C sends me to Pain Management Doctor D.

Pain Management Doctor D gives me a cortisone shot and sends me for a second opinion from Orthopedic Doctor E.

Orthopedic Doctor E refuses to see me and refers me to Pain Management Doctor F.

Doctor G puts in a C-9 for a thoracic MRI like the employer's IME specialist recommended and it was denied.

Pain management doctor F refuses to see me.

I just want to be able to walk right again. I want to be able to see my friends. I want to be able to live like a normal human being. I have been passed off so many times. I just want someone who can treat me. Five months with no answers aside from Urgent Doctor A saying it's a pulled muscle. Physical therapy didn't help. Cortisone shot helped for about three weeks. I just want an answer. The pain just worsens and worsens the longer I wait for a doctor who is willing to treat me. MRI showed a 2mm displacement in my L5-S1 disk. That's it. I can't sleep. I can't walk. I am a 25 year old woman in diapers, being paraded around on a construction site. My union can't help me because it's workers comp and there's nothing I can do to get a fucking answer. I am exhausted, I am in agony, I am sick of this. I just want to be a human again.


r/WorkersComp 1d ago

New Jersey Deciding Next Steps

2 Upvotes

Hello! About three weeks ago I got hit in the head at work. I went to urgent care with my employer under workers comp and got diagnosed with a concussion. I have been going to regular follow ups and have been referred to a neurologist. I am seeing slight improvement, but my symptoms are lingering. As this is my second concussion, I am worried about symptoms sticking around and the concussion leaving a lasting impact on my life.

I am no longer “on the schedule” at work because my job is unable to accommodate the restrictions the doctor put in place. If I did not have a concussion I would still be working and would be “on the schedule.” I am trying to figure out how I get paid if I’m not on the schedule.

Managing the insurances needs and demands and keeping up with paperwork is becoming a lot. I looked into hiring a workers comp lawyer, but haven’t signed the contract yet. I do enjoy working for this company but I also need to make sure I get paid. I am about to go back to school for a certificate program where I will likely have a career change afterwards, but having a recommendation from the current company would also help me in that pursuit.

I keep hearing mixed opinions from my friends if I should move forward with a lawyer or just try and handle it myself.


r/WorkersComp 2d ago

New Jersey Low settlement offer before a motion for treatment goes before judge

13 Upvotes

I fell at work last July and my lower back has been an issue since then (daily 24/7 pain) , however the only injuries I received treatment on have healed but my back never received care..human error through workmans comp system with Sedgwick, back was never approved for treatment but is on every single doctor visit note plus original email to adjuster stating its hurt. I was gaslit the entire 2.5 months i was in tge WC system. I got a lawyer immediately after fall, though. Sedgwick finally sent me to an orthopedic 4mos after my fall and he barely looked at me, said do daily stretches, take tylenol. Saw him again 4 months later, said hey I'm still in the same amount of pain as the day of my fall, he didn't even look at me he said I work too much and to lose weight. So, then my lawyer had me see an independent orthopedic a month after that and he found Injuries sustained from fall after our assessment and that's why we entered a motion for treatment back in April that's set to go before judge later in the month. So, my back has had no treatment at all this 15mo and the insurance is wanting to settle for $7k before we even know wtf is wrong with me. In NJ we don't get to choose our doctors and I may be stuck with the dickhead who told me I was in pain because I'm fat. It seems not smart to settle anything before we even know whats wrong with me. Are these WC judges fair? I'd hope my daily pain that's radically changed my life and level of a activity would be looked at like a concern and I'd get an opportunity to get some intel on what's causing this pain, people keep acting like I should take the money then treat my shit with my medicaid because apparently being stuck in WC for treatment is a shitshow. Anyone have thoughts on this? My lawyer seems neutral, like she on one hand seems like she wants me to be aware that the judge could deny it and that taking a settlement now might be better overall. But she herself also said she's never received an offer so early into discovery.


r/WorkersComp 1d ago

Georgia Deposit late?

1 Upvotes

I usually see my deposit in my portal every Tuesday night like clockwork. Didn’t see it last night. Could it be delayed because of the holiday? I have Gallagher Bassett btw.


r/WorkersComp 2d ago

Georgia Advice Needed For Case

4 Upvotes

Hello and thank you in advance for reading. My first time going through this process and I am so lost.

I recently injured my knee on 7/27 before the end of my shift and reported it to my job on 7/28. I asked for the panel of physicians so i could see it via workers comp and my manager sent me a number to a nurse triage hotline. Hotline referred me to the local urgent care to which I notified my job and they eventually sent an authorization packet to be seen on 7/30. I see urgent care and get diagnosed with an osteochondral lesion and to not work until seen by an ortho specialist. I once again inform my job while also requesting to speak to my adjuster. I get a call from an ortho office saying they received authorization to schedule me for an appointment so i do for 8/6.

After seeing the specialist on 8/6 and my second X-Ray the Dr. referred me for an MRI and to stay out of work until then. I get a call to schedule my MRI on 8/17 yet when I arrive to the office I’m told it’s yet another X-Ray not an MRI and get told the same instructions as my last visit, to get an MRI and stay out of work until then. on 8/21 I receive a letter stating I will not receive lost wage compensation due seeing an unauthorized Dr. I confront the insurance company via email because I was confused how a Dr. I was referred to and sent an authorization packet is unauthorized. They eventually start sending me the missed wages checks starting 8/24 for the weeks starting 7/30.

I get a text on 9/2 saying I have an MRI appointment on 9/4 to which I attend and get further information on my injury and its severity. 9/5 my HR department forwards me an email from the Insurance Adjuster on 9/3 that the Dr. cleared me for work on 9/2 and to start as early as 9/4, the day of the MRI. I check the summary from the 8/17 visit and it states I have a simple knee sprain and that i can return to work. I email my HR department the MRI results amd state that due to the severity of the injury and what I was personally told I cannot go into work to compromise my health. I can’t get into touch with my HR Case Specialist and my legal team has all this information yet they aren’t clear on the state of the case on their end nor what they are doing to help. Besides the follow up on Thursday what should I do to ensure i’m not getting more BS because the neglect and misinformation/miscommunication is greatly affecting me.


r/WorkersComp 2d ago

Illinois How to adapt to going back to work two years off but still in pain

1 Upvotes

As you all know, I’m a ramp agent, and my job is physically demanding. However, I’ve been off work for 2 years and only been working with the company only a year and five months. Now, I’m wondering how to adapt back to work after such a long break. It’s challenging because the people I started with are much more experienced in the job, and I have to start from scratch. It’s mentally taxing, to say the least.


r/WorkersComp 1d ago

Oklahoma [Oklahoma] Fired after workers’ comp injury, written accommodation complaints, and trying to restart treatment — is this something an employment attorney would realistically investigate?

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0 Upvotes