Frequently Asked Questions About Claims

Posted By : Aubrey Mead , on Dec, 2016


In Pennsylvania, employees have certain protections that prevent employers from denying them benefits after an injury. Under employment laws, all workers have the right to workers’ compensation benefits if they qualify. These same laws require employers to maintain the coverage for these events. The following are frequently asked questions about claims addressed to work injury lawyers.

What Is the Deadline for Reporting Injuries to Employers?

All workers have a deadline of thirty days to notify their employers of any work-related injuries. If they wait until after their thirty days, the employer is not required to provide benefits or file a claim. For this reason, all workers must inform their employer about any injuries sustained while performing their job immediately.

What Is Submitted to the Insurance Provider?

The employer must send the worker to the emergency room or an urgent care facility for treatment. The attending doctor must complete and submit the medical report to the insurance company within 10 days. If they don’t submit the report as directed, this could hinder the worker’s ability to acquire benefits. It is the responsibility of the employer to acquire this medical report and submit the completed claim to the insurance provider.

What Is the Standard Process for Claim’s Processing?

A claim’s adjuster is assigned to the claim. They evaluate the medical report, accident report, and the claim submitted to the insurance provider. They review the terms of the workers’ compensation policy to define eligibility for the worker. Ultimately, the claim’s adjuster determines if the worker acquires further benefits beyond their initial medical expenses.

How Can Employees Fight Back Against a Denial of Benefits?

They hire an attorney to evaluate all documentation for the claim. An attorney reviews the reasons for the denial. If the employee has a viable case against their employer or the insurer, they file a lawsuit to collect compensation.

In Pennsylvania, employees have access to workers’ compensation benefits after they are injured on the job. These benefits include the full payment of their medical requirements. If they are out of work for an extended period of time due to the injury, they may qualify for further benefits. Workers who were injured on the job should contact work injury lawyers by visiting today. You can also follow them on Twitter for more updates.

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