The Johnson Law Firm Workers’ Compensation
Arsenal Questions and Answers:
1. Question: What is Workers’ Compensation?
Answer:
Workers’ Compensation is a system of
benefit payments for people who are injured by accidents
arising out of and in the course of employment. If
you are injured in an accident, the Johnson Law firm
will file a claim and see it through the North Carolina
Industrial Commission. In Workers’ Compensation,
often injured workers receive temporary total disability
payments while they are seeing the doctor or receiving
therapy. Workers’ Compensation also provides
that employers make a stream of payments or a ‘lump
sum’ payment for permanent injury based on
an impairment rating, impaired wage earning capacity
or permanent total disability.
2. Question: How long do I have to file a claim?
Answer:
Within two years from the date of injury. If an employee
does not file a form 18 with the North Carolina Industrial
Commission the claim is barred unless the employer
misled the employee. Unless the employer knows that
the injury occurred, the employee must also give
written notice to the employer within 30 days after
the accident. Failure to do this often results in
claims being barred.
3. Question: What kind of injuries are accidents?
Answer:
If you are injured and it is not an accident then
your claim is usually not compensable. “Accidents” under
the act are sudden, unexpected events and are compensable.
There must be a slip, a fall, or an error in judgment
that would deviate from the worker’s job. A
compensable accident must also “arise out of” and “in
the course of” employment. This means that
the risk must be one inherent to the job and not
a risk that most people undergo daily, such as driving
to work. The accident must also occur as the employee
is furthering the employer’s business. If the
employee is not furthering the employer’s business
the injury is usually not compensable. But there
are exceptions. In Worker’s Compensation there
are many exceptions to the rules. An attorney from
the Johnson Law Firm will see that you claim gets
the attention it deserves.
4. Question: What if the accident was my fault?
Answer:
Workers’ compensation is a fault free
system. This means the fault of the employee
or the employer is not a consideration for determining
if the employee is entitled to benefits. One
exception to this rule is if the employee is
intoxicated and causes the accident because of
his or her intoxication . Intoxication can prevent
a successful claim. Another rule is that if the
employee intentionally disobeys a safety rule,
their compensation will be reduced by 10 percent.
This also works the other way. If an employer
disregards a safety rule they may be ordered
to pay 10 percent more in benefits.
5. Question:
If my Employer carries Worker’s
Compensation insurance can I sue him the “regular
way” people sue each other in court?
Answer: Generally NO. There is one exception where
an employer tells an employee to do something in
which he knows the employee will probably be hurt.
6. Question: How does my Workers’ Compensation
claim get settled? What are the things the Commission
looks at?
Answer: The main goal of the attorneys at
the Johnson Law Firm in any Workers’ Compensation case
sis get your claim settled and your payments started.
There are several ways to get your case settled.
At some point you will heal as much as your body
is going to heal. What we do then is to get the doctor
to give you a “permanent impairment rating”.
For compensation purposes, the body is divided into
body parts, arms, legs, etc. The impairment rating
is multiplied with the maximum number of weeks for
that body part. The second way is based on the wage
differential. The third way is for permanent disability
and total disability. Often a worker is faced with
the choice of a stream of payments or a lump sum,
which the company will negotiate to “clinch” your
claim. The attorneys at the Johnson Law Firm can
help you with these hard choices.
7. Question: Why do I need a lawyer?
Answer: Most
people are not familiar with the ins and outs of
Workers’ Compensation law. There
are some exceptions, like claims adjusters and company
representatives. An injured worker needs to “level
the field’ to make sure his claim is treated
with fairness. Often there are procedures or benefits
that no one is obligated to tell an injured worker
about. A good rule of thumb is that for any serious
injury one should have an attorney to represent them.
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