In Pennsylvania, state and federal laws help injured workers acquire benefits that cover the cost of medical treatment. The initial assessment is covered fully and determines the worker’s eligibility for further benefits. A Workers Compensation Attorney in Pittsburgh PA helps workers after their employer, or the insurer denies the benefits.
Were There Errors in the Original Claim?
The first step for the attorney is to determine if there were any errors in the original claim. The claim must include all details of the accident that caused the worker’s injuries. The medical report must offer details about the worker’s injuries and explain how the injuries affect their ability to work.
Was the Worker Eligible for Monetary Benefits?
Under worker’s compensation laws, injured workers are eligible for monetary benefits if they are unable to return to work. The benefits are available to replace the worker’s wages until they have recovered fully. The benefits equate to eighty percent of the worker’s wages. To be eligible for monetary benefits, the worker must be unable to perform any work including light-duty tasks.
Did the Worker Comply with Company Policies?
The injured worker must comply with all company policies. The worker must wear proper work attire at all times including slip-resistant footwear where required. Drug and alcohol policies must be followed at all times. At any time that a worker is injured, the urgent care facility or ER doctors must complete a drug and alcohol screening. If the worker failed to test, he or she is ineligible for any benefits available through worker’s compensation.
Did the Insurer Provide a Reason for the Denial?
The claim’s adjuster who assessed the worker’s claim must provide a reason for denying the benefits to the worker. The attorney reviews the documentation and determines if the insurer followed all applicable laws.
In Pennsylvania, worker’s compensation insurance is carried by all employers who hire more than one worker. It presents workers with benefits after they sustain injuries on-the-job. All injured workers must report their injuries to their direct supervisor within thirty days or forfeit their rights to the benefits. Workers who need legal assistance contact a Workers Compensation Attorney in Pittsburgh PA at the Law Offices Of Hall & Copetas right now.
