Resolving a Claim
Thankfully, the vast majorities of claims are resolved with employees fully recovering from their injury or illness without any permanent disability or need for future medical treatment. In those instances where injuries or illnesses result in permanent disability, or require future medical care, your claim is settled when there is an agreement between you and the claims administrator. In order to protect your rights, whether or not you are represented by an attorney, settlements must be reviewed and approved by a workers’ compensation administrative law judge, to ensure they are adequate.
Payments - the amount is determined by information provided by a physician based on how well you recovered from the injury. You and the claims administrator will agree on the amount of temporary or permanent disability payments you will receive. This is usually paid in bi-weekly payments
Medical care - If the physician feels there is need for future medical treatment related to the work related injury or illness, the settlement usually includes a provision for future medical care.
Compromise & Release
One payment - You and the claims administrator agree on an amount to resolve your claim. This is usually paid in a lump sum
Medical care - If the lump sum includes the estimated cost of future medical care, the claims administrator will no longer pay your doctor. This becomes your responsibility and would be paid from the proceeds in the C&R payment.
Designed to address important safety related topics common in a K-12 environment.
Findings & Award
If you and the claims administrator are unable to agree on a settlement, your dispute will need to be decided by a workers’ compensation judge. The judge issues a decision regarding temporary disability, permanent disability and future medical care.