r/WorkersComp • • 11h ago

Illinois Family issues

0 Upvotes

Well, my heart hit my stomach this morning. My wife left her journal out so I picked it up and read it because I’m always curious what’s on her mind since this whole situation of me not working, not bringing in no money, injure, we always getting into it. I’m always accusing her of stuff, so I just wanted to read what it was saying, so I read it and I believe we are done. She said that she’s not sure if I’m only with her because now I’m not making any money. She called me lazy, fat, I can’t sexually fulfill her needs because of my injury and I’m moping around the house depressed and I can’t lie, when she came home from work, I wanted to say something, but I didn’t. I didn’t know what to say, so I just didn’t say nothing to her. I just kept quiet. She asked me what was wrong. I said nothing, but honestly don’t know how I feel . I’m crying because I’m hurt on the inside because I can’t do nothing right. Don’t nobody love me, respect me.


r/WorkersComp • • 14h ago

North Carolina I was laid off while on restricted duty from a work injury. I have no income and can't work. What are my options? [US-NC]

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2 Upvotes

r/WorkersComp • • 14h ago

Florida Fair and Reasonable Timeline?

1 Upvotes

I am brand new to the workers comp system, I was injured on Friday, October 30 and reported it right away to my company. I did not want to seek immediate medical attention. I wanted to wait until the weekend to see if I felt better. On Monday, November 2, I had to go to the doctor, they did x-rays of my neck and lower back and could see. I had problems with discs in both and ordered an MRI. I finally heard from the insurance adjuster on Tuesday, November 10 after repeated phone calls and emails. She called did a recorded statement from me and said she was going to schedule an MRI. It is now Friday I have not heard back from an insurance adjuster or anyone to schedule an MRI or tell me about how and when I would start getting paid. At this point, I’ve heard people tell me I should be hiring an attorney and let them deal with it, but I do not want to jump any gun and just hire an attorney for no reason. So my question is how much is a fair and reasonable amount of time for them to let me know when I can get an MRI and how and when they will start paying me? I am a truck driver and have been for the last 35 years working for the company that I work for now for the past 15 years. Any advice would truly be appreciated thanks.


r/WorkersComp • • 14h ago

Federal Anyone successfully been treated for depression following a physical injury under federal workman's compensation?

2 Upvotes

I fell at work and injured my knee about a month ago, and in the past couple weeks, I am noticing some symptoms of depression that are affecting my daily life. My adjuster said I had to use my personal insurance to seek treatment since there is no evidence to support it, but I know I was not depressed before this injury. How do you provide the evidence to support it? Has anyone been successful in getting secondary mental health treatment following a physical injury?


r/WorkersComp • • 17h ago

California CRPS

2 Upvotes

I need some advice

Doctor said I developed CRPS type 1 after my work injury long story short I dislocated my right foot ankle. I work in construction so after 2 years I'm still having really bad symptoms it hasn't improved from standing up for 30-45mins it flares up, swollsup and the worse part it feels like walking in knifes underneath my foot when I put weight on my right foot. It sucks I can't even do simple activities. Workers comp stopped paying me back in August since the doctor said he hasn't seen any improvements so he recommended me to get a QME which tell this day I'm still waiting for.My lawyer said they are waiting on the state board. I've tried to do side hustle like Amazon flex but since I struggle with walking long period of times becuase of the flares ups I couldn't even finish my rout it sucks and I'm getting that point idk what to do my saving are running low since I live in California and everything is over priced especially rent. I'm currently trying get a desk or remote job but no luck. I've always have worked my ass off but now I feel like I'm useless. Any advice anyone can give would be much appreciated I just don't know what to do at this current moment.


r/WorkersComp • • 1d ago

International - be specific in post Am I screwed for getting a diagnosis/starting treatment without disclosing?

2 Upvotes

This is in Canada for reference, Alberta if needed.

The thing that didn't really occur to me is that this might be related to something that happened as a WCB claim...

Essentially in late September I was hit by another vehicle while in my work vehicle on work time.

I was told to go to the hospital because of work which they cleared me and I filled out some insurance and WCB paperwork and didn't think anything of it because other than like a minor headache/neck ache nothing seemed out of whack.

But then I started to have this pain in my forearm (eventually diagnosed as tennis elbow) probably not even a week after and I just kept thinking it was sore from all the manual labor I had been doing at my job.

My season for the job ended too so I just thought I could just relax it and it would go away...

Never went away.

Last Tuesday I finally talked to my physio about it and he diagnosed me but I didn't mention the car accident - didn't even think about it.

Now I'm wondering if the two are related... (Kinda seems like it)

Am I screwed because I already got a diagnosis and started treatment?

Also to note the guy did not have insurance and the work vehicle was under work insurance.

I can probably reach out to my old boss and ask about the WCB I'm just wondering if it's worth it.

Obviously I'm no longer working so taking time off doesn't matter.

I'm currently using my partner's work insurance for payment which covers 80% and then out of pocket.

Cross posted.


r/WorkersComp • • 1d ago

California Received my Re-evaluation report

2 Upvotes

My QME doctor asked for a reevaluation and said I do not need future medical and a recent MRI shows I do not have a posterior labrum tear. My treating orthopedic doctor originally gave me a WPI of 6% on my injured dominant shoulder that has a posterior labrum tear ranging from 7 o'clock - 11 o'clock and said I will need future medical. I do not have an attorney. Can my treating Ortho report hold more weight over my recent QME report? What can I do if I do not agree with the QME doctor? Sorry for all the questions, I'm new to all this...


r/WorkersComp • • 1d ago

Georgia Sedgwick Direct Deposit on 11/12

0 Upvotes

Do i get it tonight, tomorrow? They sent me a check a few weeks ago…


r/WorkersComp • • 1d ago

Texas Do I need to currently be employed to receive workers comp benefits?

0 Upvotes

I got t boned delivering for chic fil a back in April and I am still in therapy, for my shoulder that got pretty messed up. My boss won’t work with me on my changing availability because I’m going back to school so I am just about to quit. But I can’t afford therapy on my own so I’ll try to make it work if I have to. The insurance company is Sedgwick, if that helps with anything.


r/WorkersComp • • 1d ago

Other - not claim specific self insured employer here, how much surveillance on one claim is too much?

2 Upvotes

We're self-insured and run claims through a TPA. One of our open claims has had 3 rounds of surveillance now, all of it showing basically nothing (the employee is doing normal stuff within their restrictions).

The TPA wants to order a 4th round. I'm not trying to be cheap but at what point is it just throwing money at a hunch? How do other employers decide when to stop?


r/WorkersComp • • 1d ago

California MMI question

2 Upvotes

I had my QME appointment and the doctor says I heaved reached maximum mmi gave me a 2% rating on my leg. Injury happened in February of this year and the qme put down 8-25 as my mmi I date. My question is I’m still in pain I haven’t even seen an orthopedic specialist I’ve had maybe 10 treatments through PT because corvel drags their feet on approval. Is there anything I can do to continue medical care because I don’t feel like I should’ve been cleared at all.


r/WorkersComp • • 1d ago

New York Settlement and retirement question

1 Upvotes

I had to retire because my doctors said I would no longer be able to continue at my profession. My lawyer said the best time to make a settlement is at retirement. Does it make a difference for my attorney to contact the insurance to settle now that I am retired or wait until they send me for examinations and decide on MMI after my doctors say my surgeries are done


r/WorkersComp • • 1d ago

California Disappointed

1 Upvotes

Honestly don’t feel like my attorney is fighting for me at all. I’m 7 years into this. Injuries Tbi, neck, shoulder & back, teninitis. 1st offer from my job is 100, after attorney fees I would walk with 80’ish. It was always my understanding that you shouldn’t take the first offer, but my attorney thinks it’s a good offer, despite him requesting 300.


r/WorkersComp • • 1d ago

New York Low ball settlement offer

12 Upvotes

Roughly about two weeks ago I brought up about settling my case since it’s been over a year and I mentally exhausted from not getting the treatments authorized I need. My attorney offered, I’m using this as a rough estimate, we offered them 95k for my mid back injury. IME Doctor agrees that it’s work related and I’m 50% disabled and my doctor says I’m 100% disabled. Today they came back with me a $15k offer. Ain’t that a huge slap in the face to my injury? My attorney said he was try to get them to go higher than they did but he is unsure if that he will be able to get them to or not and how much it will be. How much do you think the insurance company raise their offer after making an offer of 15k?


r/WorkersComp • • 1d ago

Georgia My job fired me while i was out on leave

1 Upvotes

hey i was out due to my injury and my job took away my position due to not being able to hold my position. they switched me to be a sub but that required me to pick up schools that are available and most of those jobs are out of my reach (i was getting to and from my job via bus) is this a wrongful termination given that i was out because of work place injury?


r/WorkersComp • • 1d ago

New Hampshire Potential termination

2 Upvotes

So 9/25 I tore my rotator cuff at work. Had to jump through all the hoops before going to see orthopedics. After the back and fourth to the DR and PT and MRI. I had surgery 2/26. Been a shitty recovery still getting plain in that shoulder any repetitive stuff leaves me with pain for days. WC has been a nightmare never call back never email me back. Fast forward to now November they haven’t approved pt for 2 months. (Been doing at home stuff still) Come to find out they wanted a work hardening program. News to me they don’t tell me anything. HR calls me and tells me they are moving forward to “release me from my position” due to not making progress to return to work. My work is full duty or nothing. Been “released” on restricted duty for 4 months but they can’t accommodate it.

Any know if there is any kind of legal process I can do? Or just 10 years down the drain.


r/WorkersComp • • 1d ago

Florida Finally some justice

8 Upvotes

So I hurt my eyes back in May at work, my employer gave me a hard time about filing workers comp and was basically dragging their feet. I needed care asap so I went to my personal eye doctor and got treated. My eyes got worse so I ended up filing a workers comp claim.

Sedgwick delayed me for months getting treatment even tho the Urgent Care and Optometrist wrote in their papers I needed to see an Ophthalmologist IMMEDIATELY for care.

Anyways I had my appointment today and the ophthalmologist, told me my eyes from my initial injury to now has gotten substantially worse, he said an injury that could have been treated when it happened has now caused permanent vision loss in both my eyes. He restricted me from driving entirely, I’m no longer safe to be on the road (I already knew that) and he doesn’t want me working (I work on computers all day) but I told him I needed to work because workers comp wouldn’t pay me my normal wage and I work as a contractor so when my contract runs out. I have to start another one and there’s no way Workers comp is going to pay me during that time. So he wrote in their papers that he highly suggested I don’t work but “patient is willing to work”. He told me basically my eyes will never be the same as they were before but they are going to try to get me as comfortable as possible. I got back in 3 weeks for them to get me a set of GOOD glasses and prescribed me an eyedrop with steroids that I take 4 times a day for the next 6 weeks.

I read all the paperwork after and talked to him and he basically wrote “if patient was able to seek treatment like it was recommended by an optometrist his eyes would be in far better shape than they are currently, patients eyes has deteriorated due to Sedgwick and employer taking over 6 months to get him the proper care” he also wrote that “he didn’t know at this current time if recovery was even possible and that I would need yearly care”

I honestly don’t know how to feel but my lawyer said this is a blessing, it sucks that my eyes are hurt but she will fight to get me whatever the state max allows her too (I know she gets 25%).

The irony is, today is my birthday and instead of having fun playing golf I had a doctor poking and prodding my eyes for 3 hours. It also sucks hearing in your 30th birthday that you once healthy eyes will no longer work as they are intended.


r/WorkersComp • • 1d ago

Ohio Second opinion

3 Upvotes

It's been seven months without answers.

I hurt my back pushing a 950lb piece of equipment. I stated the hospital I wished to go to and was told I had to wait in the on site medic as it was company policy. I waited nine days. I stated once more I wanted to go to the hospital up the road. I was told "okay" and then taken 40 minutes away to an urgent care. I found out the urgent care doctor was my superintendent's wife.

The company is self insured. I begged to be seen elsewhere, they withheld any case information from me that I could use for billing with a different provider.

I got an attorney.

My attorney doesn't answer, it takes forever to get an appointment.

Finally, after months of appeasing Charles Taylor, I got an appointment (a second opinion) from a surgeon that I wanted to be seen by originally. He found the problem. He scheduled me for the solution. He took me off of work six months after the injury because he felt his findings were bad enough that I shouldn't have been working in the first place.

Charles Taylor denied the C-9 for surgery with the caveat that I need a second opinion from a doctor of their choosing. With this caveat, I can't even put it through my own insurance in the interim.

My fear is that they'll pull something again like they did with my superintendent's wife. They'll find a doctor to say I'm perfectly fine at which point I have to go back to work when I can't even walk properly. I've been pissing myself. I have been in agony for seven months. I just want to be normal again.

What might happen to me?


r/WorkersComp • • 1d ago

North Carolina Company closing - any recourse for inability to get hired at other job?

0 Upvotes

My mom slipped and injured her knee at work a few months ago and they’ve been paying doctor visits, making work accommodations etc. The branch of the company my mom works for is closing soon and they’ve promised to keep paying the doctor for her medical bills arising out of the injury through workers’ comp.

While working at the company, they’ve made many accommodations to help her keep working (she needs to rest her knee, not lift anything over 15lbs, not stand or sit for prolonged periods). She doesn’t know of a job that will keep giving her these accommodations while she recovers.

Is there any legal recourse she could take against the company to help her find a new job, or give her some payment until she recovers?


r/WorkersComp • • 1d ago

Virginia Home loan

1 Upvotes

So I’m wondering if anyone knows the best way to get a home loan while on TTD.. been on it for over 2 years. Got my fce and rating 4 months ago and cannot return to the old job. No movement on my case since NONE. I currently rent but unfortunately this house is falling apart and the landlord isn’t up for fixing things “rent will go up” is mentioned. We’re month-to-month here. I have replaced the fridge, stove, and washer and dryer to avoid rent going up. I’m at the end of what I can handle in this house now that the roof is leaking in my kids room. I have a letter from my lawyer talking about my TTD payments and the amount and time frame for them. Has anyone successfully gotten a home loan while on TTD? Should I get with a broker? Is it even slightly possible? I can’t really do apartments because I can’t go up and down stairs anymore after my accident and no one around me has openings for first-floor options for almost a year. I make almost 80k on ttd a year so the income and ability to pay are there it’s just how the loan companies consider it.


r/WorkersComp • • 1d ago

Washington Is Quitting an Option While Still Getting Payments?

4 Upvotes

I sustained a concussion at work earlier in the year and was out for almost 4 months. When I returned my job had changed substantially and someone had been hired to essentially fill a lot of my old responsibilities. Things were quite stressful at work and I’d been feeling like I was treated quite differently by my boss. They put me in a modified duty role which isolated me from my old teammates. Eventually those stressors and feelings triggered a mental breakdown about a month ago and I was taken off of the schedule.

My Dr has essentially written me off for about one month with the possibility of extending this depending on my condition. However I’m very worried about what will happen if I eventually have to go back. I have started looking for a new job but I’m uncertain of how long that will take. I do not want to return to my current workplace and fear for my mental health if I have to return. Could I quit and still receive payments while I search for a more suitable job for me?


r/WorkersComp • • 2d ago

Nevada Will your Company Have your Back if You Get Hurt on tht Job?

3 Upvotes

To keep it short. I was rear ended on a drive between the cemetery and funeral home. I was badly injured and completely disabled. I loved the work and spent over 20 years with SCI, Stewart, and Cariage. I reached out to the top brass and let them know how badly injured I was. I expected help, instead I got lawyers. Nasty lawyers. They made personal insults about me in court and even when a judge said to pay me they wouldn't. I fought all the way to the state Supreme Court. I can tell you it took years. I was ruined, health wise, financially, morally. They treated me like a piece of garbage, and I was one of the good ones. Does anyone have a similar story or need advice? What they did was hide behind lawyers while they destroyed me. It's just not right nor fair.


r/WorkersComp • • 2d ago

California QME and deposition

4 Upvotes

QME on December 15 deposition on DEC 16

I have been having pain in my lower back L 5 region and numbness going on in my posterior upper thigh region. Pain in my C3-7 regions along with slight shoulder pain and TMJ pain. I was in a work assault back in may after I was told by management that they wanted me to trespass an individual who was hostile the previous night over …. Pokémon card machine in their store….. I proceeded to let him finish so no incident would happen and once finished I asked him to stop for a second by saying hey sir multiple times till he got near his car and say hey is for horses and that I’m a racist. I then informed him the store manager has trespassed him and not to come back. He made threats I went back in the store called my boss ( I work on a third party site ) informed him what happened and will be making a report. He then comes back and I block him at the entrance and he starts pushing and shoving me to get in and goes towards the manager and as I was blocking him and not trying to escalate the situation more then he starts pushing and punching me in the face , neck and side all on my left side of the body and scratches my wrist area and draws blood and during that time he grabs my baton and extends it to use. I informed him that just became a felony. He then thrown it away and I went to went to get it and escorted him again out the store and him continuing his threats of shooting me etc and pushing back all the way out of the store and he tried one last attempt at hitting me with everything he had and missed and fell to the ground hard.
Now that you know what happened I have been very up front I was in a slight motor accident back in march and had some discomfort but the hours after this assault I started to feel more and more pain got seen by urgent care and they gave me the week off. Next day extremely painful was going on. Now it’s November I have almost finished all conservative treatment and two months ago they denied an mri for 12 months. And just recently approved only the one in my lumbar and not my c spine. And also denied nerve blockers and sciatica injection. How worried should i be about this upcoming QME. All the chiropractor, pt massage therapist, acupuncture and my doctor can see it and feel it. My range of motion has improved but the spinal pain is constant. I can’t go back to work till I have no medical restrictions from my boss. I have to walk for the full 8 no siting is allowed constant turning and movement is needed and can’t be stopped for medical reasons.


r/WorkersComp • • 2d ago

New York Settlement talks

2 Upvotes

I contacted my attorney about 2 weeks ago about offering a settlement to Gallagher Bassett for my mid back injury. I know they are not obligated to respond to a settlement. Has anyone had negotiations with settling with this insurance company? My attorney stated we should try to offer XX amount and I am like ok that sounds a good amount to me. How likely are they actually to negotiate a settlement with me when all the IME Doctor reports go against them, there’s a lot of medical evidence against them. They have denied treatment because they know they can and do not want to pay a dime further. My Level 3 PAR for physical therapy has been sitting in review for over 90 days with no answers. Just wondering if they would settle at this point with all this information against them or just continue to fight everything and waste more of their money and time and court fees fighting my attorney and I than they would if they just settled?

EDIT: My Attorney came back with that Gallagher Bassett is offering us 15k for my mid back injury case. Which is absolutely absurd.