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How to Qualify for Workers’ Compensation (the Process)

Los Angeles Workers’ Compensation Lawyers Guide You Through the Claims Process

Diligently working to recover a monetary award for you

Tous Law Group is prepared to be your advocate during this difficult time. We understand that on-the-job injuries can cause chaos in your life, so we strive to lessen your burden by focusing on recovering your full and fair workers’ compensation benefits. For more than a decade, we have protected the rights and best interests of injured employees across the state of California. Let our understanding and skill help you obtain a just and fair monetary award for the damages you’ve suffered.

Eligibility for workers’ compensation

If you have been injured during the course of your job, it is probably a workers’ compensation injury and you are likely eligible to file a claim. Many people worry that their injury or illness does not qualify because it does not initially fall within their job description. It is important to confer with a qualified attorney to discuss the facts surrounding your claim and whether you qualify for benefits.

How to file a claim

There are several steps you should follow when you sustain an injury at work. We can help you from beginning to end, but below are some general guidelines for filing a claim:

  • Notify your employer. As quickly as possible after the injury, whether it is severe or not, you must notify your employer in person or in writing. Your employer has 24 hours from receipt of the injury report to file a claim with the insurance carrier.
  • File a workers’ compensation claim. You can file a claim on your own, but having a knowledgeable workers’ comp lawyer to help you increases your chances of a positive outcome significantly.
  • Investigation of your claim. Your employer or insurance carrier investigates your claim and either accepts or denies it. The investigation process may involve a medical evaluation to determine the validity and extent of your injury. It must also be determined whether your injury was caused by work-related activities. If your claim is accepted, you begin receiving benefits, including the expenses associated with your medical treatment.
  • Maximum medical improvement. To determine whether you are entitled to receive compensation for future medical care, you must be examined by a doctor again. Your claim is finally resolved with compensation for future medical benefits or a cash settlement.

With each stage of asserting your claim, we aggressively fight for your right to maximum benefits, both now and in the future.

What if my claim is denied?

If your claim is denied, we can appeal the denial before the Workers’ Compensation Appeals Board for resolution. It is a common tactic for an employer or its insurance company to request a determination by the appeals board before it pays your benefits. We are fully prepared to present your case in an effective and persuasive way at the hearing. We strive to obtain the maximum amount of benefits you are entitled to for your injuries.

Confer with Orange County lawyers to discuss your workers’ compensation claim

Do not delay in pursuing the compensation you are entitled to for your work-related injuries. Tous Law Group handles work injury cases throughout California on a contingency basis. This means if you do not obtain a recovery, we are not paid a fee. Call us at 714-602-4473 or contact us online to schedule your free initial consultation at one of our four locations.