WHAT CAN A LAWYER DO FOR YOU?
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GOALS FOR YOUR CLAIM
I have four primary goals that I work hard to achieve for
every person that I represent in a Workers' Compensation
claim:
First, we need to do everything possible to obtain the correct
diagnosis and medical treatment for your injury. Our goal
should be to aggressively pursue your medical treatment
until you reach "maximum medical improvement." In other
words, we need to insist upon high quality medical care and
we need to help you get that care while you are still
covered by Workers' Compensation insurance.
Workers' Compensation Insurance companies often refuse to
pay for test, medical treatment and medication. In fact,
they often just ignore the requests and never reply, despite
your doctors' repeated calls and letters. Their refusal to
authorize medical treatment is the most frequent reason
people call us for help with their claim. It doesn't have to
be that way. Louisiana law contains a procedure that
requires Workers' Compensation insurance companies to
promptly respond to your doctor's request for testing and
treatment, often within less than a week.
Secondly, we want you to receive Workers' Compensation
income benefits, on time and in the correct amount, during
the entire time that you're unable to return to fulltime
work. Your Workers' Compensation benefits may be underpaid
without you ever realizing you've been shortchanged. Some
companies will aggressively reduce or terminate your
benefits with no explanation and only a tenuous legal basis.
Workers' Compensation cases are frequently hotly disputed.
Your employer may deny that your accident happened or they
may claim that your medical condition is not covered by the
Workers'' Compensation laws. In a highly contested case
where you're not receiving benefits, we need to prepare your
claim and bring it to trial as quickly as possible.
But in most cases, our goal is to obtain 100% of the
benefits that you should receive at the time that you should
receive them. And we want to keep those benefits coming in
on a regular schedule until you settle your claim or return
to work (or both).
Our next goal should be to help you qualify
for Social Security Disability as soon as possible if you
have a significant injury that will keep you out of work
for at least twelve months. While
it's true that qualifying for Social Security Disability can
make it more complex to negotiate the settlement of your
Louisiana Workers' Compensation claim, applying for Social
Security Disability while you are still receiving Workers'
Compensation can allow you to recover tens-of-thousands of
dollars in benefits that you wouldn't otherwise receive.
I frequently see people who have lost years of Social
Security Disability benefits simply because they failed to
file the right forms at the right time. In fact, your right
to apply for Social Security Disability completely expires
if you don't apply within the right time frame. While you're
out of work and receiving Workers' Compensation benefits,
your time for applying for Social Security Disability is
gradually slipping away.
It's a travesty to pay thousands of dollars of payroll taxes
into the Social Security system and then be denied
Disability benefits because you waited too long to apply.
While not everyone who receives Workers' Compensation
benefits will qualify for Social Security Disability, it's
usually a mistake to wait until your Workers' Compensation
claim is over before you file your Social Security
Disability application.
Finally, we want to obtain the largest settlement or
Judgment that the law allows. And there are many things that
we can do to make certain that you are fully compensated in
the settlement or Judgment of your claim.
We need to verify that your doctors understand the impact of
signing the insurance company's forms authorizing you to
return to work. Many people have told me that their doctor
signed the forms releasing them to work while telling them:
"You need to be retrained for a light duty job." That's a
great idea! But it hardly ever happens in a Louisiana
Workers' Compensation claim.
We need to be prepared to challenge the Labor Market Survey
prepared by the insurance company's Vocational Expert. We
often find that taking the depositions of the potential
employers shows that the particular claimant was not at all
suitable for the particular job, or that the employer was
merely “accepting applications to keep on file for when they
do need to hire somebody.” It's been my experience that
Labor Market Surveys often cannot withstand much scrutiny.
Most importantly, we need to formulate a plan that pays for
your future medical treatment, provides you with a fair and
just lump-sum settlement and allows you to receive the
maximum benefits you qualify for from other sources (such as
Social Security Disability) after you've settled your
Workers' Compensation claim.
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