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Workers’ Compensation Case Process in Los Angeles

If you suffered a work-related injury, you could be eligible for workers’ compensation benefits. While applying for no-fault benefits may seem like a straightforward process, there are several legal and procedural barriers you may encounter before you can obtain the financial support you need to move forward.

Guidance from our experienced workers’ compensation attorneys at Levin & Nalbandyan could help you navigate the claims process with confidence. Here is a brief overview of the key stages within the workers’ compensation case process in Los Angeles.

Making a Report to Your Employer

The first step in the Los Angeles workers’ comp claims process is to inform your direct supervisor of your work-related injury or illness. While you do not have to provide comprehensive details about your condition at this stage, making a report in writing as soon as possible is essential to secure your right to claim benefits later on.

Completing and Submitting a Workers’ Comp Claim Form

Once you have reported your work-related injury or illness to your employer, they should provide you with a DWC-1 Workers’ Compensation Claim Form. Alternatively, you can download a copy from the state Division of Workers’ Compensation website. Filling out the Employee section and returning the form to your employer starts the legal process of your Los Angeles workers’ comp claim.

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AT LEVIN & NALBANDYAN, LLP, WE HANDLE THE FOLLOWING KINDS OF WORKERS' COMPENSATION LAW CLAIMS

Airline & Airport Employees

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Auto Workers

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Brain Injuries

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Business Professionals

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Fire Fighter Injuries

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Health Workers

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Hospital Workers

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Industrial Workers

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Neck And Back Injuries

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Police Officer Injuries

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Repetitive Stress Injury

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Restaurant Worker Injuries

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Shoulder And Elbow Injuries

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Union Workers Injuries

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Participating in a Mandatory Settlement Conference

If your employer and their insurance provider accept your Los Angeles workers’ comp claim, that is the end of the case process. In this instance, you could begin receiving benefits from the date on which you receive your notice of acceptance. However, if they choose to contest any aspect of your claim, state law requires you to participate in at least one Mandatory Settlement Conference with all parties involved. An ideal outcome of this conference would be a resolution of the matter with an out-of-court settlement agreement.

Getting the Workers’ Compensation Appeals Board Involved

If settlement talks are unsuccessful, you can continue the claims process in Los Angeles by filing an Application for Adjudication of Claim with the California Workers’ Compensation Appeals Board. This can be a lengthy process, however, which may end with a formal trial and possibly further appeals. It is worth discussing the matter with a legal professional before trying to start the process on your own.

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More on Workers' Compensation Law

What is Workers’ Compensation?

Workers’ compensation is a social insurance program that provides benefits to employees who suffer from a job-related injury. It is designed to ensure the employee receives prompt medical treatment and compensation for lost wages, regardless of who is at fault. The program was adopted in California and most other states during the early 20th century, and replaces the right of employees to sue employers over work-related injuries in exchange for benefits.

What happens if someone gets hurt and their employer doesn’t have sufficient coverage?

If an employee incurs a work-related injury or illness and the employer does not have valid workers’ compensation insurance, workers’ compensation may not be available as a remedy. However, the employee can still file a civil action against their employer in addition to filing a workers’ compensation claim. Employees should reach out to their local DWC office to discuss their options further. The employee can also work with a workers’ compensation attorneto help them pursue compensation.

Appeals for Workers’ Comp Denials in Los Angeles County

The last thing you want to deal with after being hurt on the job is fighting with the insurance company just to get your wages paid or to see that your medical bills are taken care of. Has your workers’ comp claim been denied or delayed? Do you suspect some type of insurance bad faith? Our Los Angeles workers’ compensation attorneys are here to help. We can file an appeal on your behalf and continue pursuing the compensation you deserve.

Featured Workers’ Comp Practice Areas

Amputation injuries
Back/neck injuries
Brain injuries
Carpal tunnel syndrome
Head injuries
Knee injuries
Mental/psychological injuries
Occupational disease
Shoulder injuries
Repetitive stress injury

Workers’ compensation claims can be difficult to navigate, especially after you have been injured. Our Los Angeles workers’ compensation attorneys are here to guide you every step of the way and ensure you have the best chance of success.

Hiring a Los Angeles Workers’ Compensation Attorney

Many workers’ compensation claims are complicated. The best way to ensure that you obtain your full benefits after an on-the-job injury is by consulting with a Los Angeles workers’ compensation attorney. Without the help of an attorney, you may not receive the compensation you are entitled to for your medical care, disability payments, and more. An experienced attorney can help you understand your rights and responsibilities regarding your workers’ compensation claim. They can also assist you with an appeal if your claim is denied. Workers’ compensation claims require adherence to tight deadlines, failure to report an injury in a timely manner can result in your claim being rejected. It is generally in your best interest to consult with a Los Angeles workers’ compensation attorney as early in the process as possible.

Workers’ Compensation Benefits and What They Cover

Individuals in California who are injured on the job or have a work-related illness may be entitled to several benefits through their company’s policy. Most employers in the state are required to either purchase a workers’ compensation policy from a licensed insurer or become self-insured. If you are injured at work, your employer’s workers’ compensation benefits may include payment for:

Medical care
Temporary disability benefits
Permanent disability benefits
Supplemental job displacement benefits
Death benefits

It is important to discuss your case with a Los Angeles workers’ compensation attorney as soon as possible after your injury. An attorney can help you understand how to file a claim through your employer’s policy and ensure that you receive the maximum compensation available based on your case.

Workers’ Compensation and Wrongful Termination

An employer cannot fire you for filing a workers’ compensation claim. It is unlawful for an employer to retaliate against an employee who has been injured on the job and is seeking workers’ compensation benefits. In addition, an employer cannot deduct a portion of your paycheck in order to help offset the cost of workers’ compensation benefits. If you filed a workers’ compensation claim and were subsequently fired from your position, you might be entitled to file a wrongful termination lawsuit. There are strict state and federal laws that protect workers from wrongful dismissal. Our attorneys can help you file the appropriate claim against your employer if you were wrongfully terminated.

Workers’ Compensation and Permanent Disability

Depending on the severity of the injury, you may be unable to return to your previous job duties. If you have long-term medical problems related to your on-the-job injury, you might be entitled to permanent disability benefits. Permanent disability benefits are designed to compensate those whose injury results in a reduced earning capacity. You might still be able to collect permanent disability benefits even if you are able to return to work. In order to qualify for permanent disability benefits, a doctor must first find that your condition is not likely to change or improve. The doctor may state that your injury has reached its maximum medical improvement or has become permanent and stationary.

What to Do if You Are Injured on the Job in Los Angeles

If you have a work-related injury, you need to act quickly to protect your right to compensation. First, report the injury to your employer. In some cases, your injury may be caused by repeated exposure as opposed to a single accident. It is critical to report the injury immediately upon discovery, even if it occurs over time. Second, you need to seek emergency medical treatment. Any delay in treatment may directly affect your ability to receive full workers’ compensation benefits. Seek and continue treatment. Do not miss doctor’s appointments and follow through with any referrals to specialists or other recommendations. Finally, contact a Los Angeles workers’ compensation attorney. An attorney can help you file a claim for benefits and ensure that you receive fair and full compensation for your losses.

Losing a Loved One to a Job-related Injury

In the unimaginable event that you have lost a loved one due to a job-related injury or illness, you might be entitled to workers’ compensation death benefits. Generally, spouses, children, and other dependents are entitled to death benefits. A Los Angeles workers’ compensation attorney can help you understand your rights and whether you qualify for death benefits. We know that no amount of money could ever fully compensate you for the loss of your loved one, but these benefits may help to relieve unexpected costs such as burial expenses.

How Does Workers’ Compensation in California Work?

By law, most employers in California are expected to have workers’ compensation coverage for their employees to compensate them if they are injured on the job. Your employer is required to pay a specific amount to you; however, if a third party was involved—such as a manufacturer or someone not employed by your employer—then you may be entitled to secondary compensation.

What Costs Are Covered by Workers’ Comp?

In California, workers’ compensation covers all of your authorized injury-related expenses, including (but not limited to) medical costs, rehabilitation costs, therapy, and any job-related retraining you may need to get back to work. You may also be eligible for temporary total or temporary partial disability benefits if your injury has put you out of commission for a time. Should your injury pose permanent limitations on your ability to do your job or eliminate your ability to work at all, you may be able to receive permanent disability benefits.

How Do I File a Workers’ Comp Claim in California?

Talk to your employer about your injury or developed illness right away. Ideally, do this as soon as you are injured or become aware of your illness so that your employer has the option to send you to a physician in their medical provider network. Seek medical attention and keep record of any diagnoses, x-rays, doctor’s notes, prescribed treatments, etc. If your injury requires you to receive immediate medical attention, do so before talking to your employer, but do not wait more than 30 days to report your injury. Make your workers’ comp claim official by filing an Application for Adjudication of Claim no more than 1 year after your injury. This is one of several forms you will need to file in order to recover costs associated with your injury or illness.

What Happens if a California Employer Doesn’t Have Workers’ Compensation Insurance?

Every employer in the state of California is required to hold a workers’ compensation insurance policy with a licensed insurer and provide related benefits to their employees when the need arises. Even small companies with only a few employees must provide workers’ compensation for their employees and have sufficient insurance.

What resources are available if my employer is uninsured?

If your employer is not properly insured and cannot cover your injury-related costs, the state of California has what is known as the Uninsured Employer’s Benefit Trust Fund (UEBTF), which serves as a fallback and provides the funds for hurt workers.

Are There Workers’ Compensation Lawyers Near Me?

Levin & Nalbandyan is located in downtown Los Angeles. We can take all workers’ compensation cases based in California.

Contact Us To Discuss the Case Process for Your Los Angeles Workers’ Compensation Claim

This is not a comprehensive guide to every legal barrier you could encounter during your workers’ comp claim, but it should give you an idea of what you could expect. Your case could be straightforward, but it may also face opposition from your insurance provider or employer. For this reason, it is important to seek legal counsel as early as possible in the process.

Our knowledgeable team understands every aspect of the workers’ compensation case process in Los Angeles, and we provide tailored guidance to help you maximize the benefits you receive from your claim. Call Levin & Nalbandyan today to schedule a consultation.

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If your claim has been denied or your attorney has decided to give up, reach out to our firm for a second opinion.