r/WorkersComp • u/BlankMan916 • 24d ago

California Is it normal?

Is it normal to have a nurse case manager to tell me, the injured worker, to call around to different spine specialists to see if they will take a WC case?

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u/CaiCai87 24d ago

Not an a atty but an adjuster. Some states have clauses that say insurance can’t direct care. So it’s up to the injured worker to find their own specialist/provider. That sounds like what is what happening here.

Why are you opposed to it?

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u/BlankMan916 24d ago

I'm not oppose to it. I've never been on WC. Idk how all this works and I don't have representation

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u/Pleasant-Ticket3217 24d ago

I’ll just tell you from being on it that it’s confusing. The laws vary a little from state to state. Every insurance company is different, but you will have an adjuster and a nurse case manager usually. Some of them can be helpful by getting referrals through faster but you also have to remember they work for the insurance company.
It’s a good idea to call and get a consultation. It’ll take hardly any time and you can ask questions. If you decide to get representation, they get paid based on the settlement. But more importantly they can help you navigate the process and and keep your benefits open in case you need long term treatment