In Pennsylvania, worker’s compensation is available through an insurance policy secured by the employer. The policies define what injuries are covered and how much money the worker receives during their recovery. A Workers Compensation Lawyer in Luzerne County PA represents injured workers who were denied benefits.
What is the Deadline for Claims?
Workers must inform their direct supervisor about their injuries within one month. Any doctor that assesses the worker initially must file a medical report to the worker’s compensation insurer within ten days of the treatment and assessment. Any workers who need to file a legal claim against their employer or insurer must file within two years of the accident.
Can the Worker Face a Denial Based on Company Policies?
Yes, any worker who sustains an injury due to a failure to follow company policies won’t receive worker’s compensation benefits. The most common policies that are violated involve the use of drugs or alcohol, work attire violations, or a failure to follow instructions. Workers who don’t follow policies share the blame for their injuries and won’t receive coverage.
Can the Employer Deny Access to Benefits?
No, the employer is obligated to file an accident claim at any time that a worker is injured. A failure to file a claim is a direct violation of employment and worker’s compensation laws. The employer could face penalties due to these failures.
Who Make the Final Decision About the Claim?
The worker’s compensation insurer assigns a claim’s adjuster to manage the claim. The adjuster reviews the company’s insurance policy and compares the terms to the worker’s injuries. If the worker is at fault, the claim is denied. However, certain terms could lead to a denial as well. The adjuster must provide an exact reason for any denial of benefits.
In Pennsylvania, worker’s compensation insurance is required for all employers who hire more than one worker. The insurance pays the medical costs of injured workers and provides monetary benefits while the worker recovers from their injuries. The benefits range up to eighty percent of their income. Workers who need legal assistance contact a Workers Compensation Lawyer in Luzerne County PA or Click here for more information. You can also visit them on Google My Business.
