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Winston-Salem,
North Carolina Worker Compensation
The injured worker is often taken advantage
of because they do not know their rights. Your
Winston-Salem employer may not tell you of all the rights you have and the
insurance company is strictly concerned with minimizing the cost of your
claim.
This means you may not have all the available information regarding job
retraining, overtime pay benefits, wage differential benefits, statute of
limitations, notice requirements, repetitive traumas, maintenance payments
when being retrained and settlements.
Winston-Salem Worker’s Compensation benefits may include:
Medical Care - The injured party has the right to all reasonable
necessary treatment to cure or relieve the effects of the injury. Included
under medical treatment compensation are all medical bills, prescriptions,
and even roundtrip mileage to the hospital.
Temporary Disability - If the injured party must take time away from
work due to medical reasons related to the injury, he or she might be
entitled to temporary disability payments. That would provide him or her
with partial compensation for lost wages. There are specific maximum and
minimum limits to the pay rate, but this normally equals about two-thirds of
one's average weekly gross pay, and is paid out every two weeks.
Permanent Disability - If a worker can't completely recover from the
effects of an injury, he or she could be entitled to a monetary award for
his or her permanent disability. Permanent disability means that the injured
party has lost some ability to compete in the open labor market of uninjured
workers.
Vocational Rehabilitation - If an injury prevents a return to one's
former job, assistance in getting another job (vocational rehabilitation)
might be included in workers' compensation benefits. During vocational
rehabilitation, a partial income is distributed, similar to temporary
disability. The vocational rehabilitation benefit usually has a maximum
monetary limit, and may be replaced by an offer of different or modified
type of work from the employer.
An employee may be entitled to workers’ compensation benefits when he or she
is injured in the course and scope of his or her employment. When each and
every element of this claim is proven, workers’ compensation benefits become
available to the employee.
An employee must give notice to his employer of an injury on the job by
filing a written notice. This notice of an accident should be filed within
30 days of the date of the accident. The absolute limit for filing a written
notice is two years.
Injuries that typically arise out of and in the course of employment
include: -Broken/fractured bones -Back problems/pain -Knee
problems/injuries
-Grip loss -Heart attacks -Hypertension -Wrist injuries
(carpal tunnel syndrome)
-Burns -Shoulder pain -Neck pain -Headaches -Slips/Falls
After missing 7 days consecutively form work, an injured worker may be
entitled to temporary total disability compensation. TTD is paid weekly, and
this amount, also known as the compensation rate, is 66% percent of the
injured worker's average weekly wage. An injured worker is also entitled to
have his medical treatment arising from the at work injury paid for by the
Worker's Compensation insurance company; however, the Worker's Compensation
insurance company generally has the right to direct the medical treatment.
Related prescriptions and reimbursement for mileage for medical treatment
may also be payable to the injured worker.
After a person has reached maximum medical improvement, the treating
physician assigns a permanent partial disability rating to the particular
part of the body that was injured. The worker is paid for his or her
permanent partial disability based on a numerical formula laid out by
statute. Additionally, there are alternative ways to calculate the
compensation a person is due for his or her permanent partial disability.
The description above is a very brief summary of the Worker's Compensation
system. However it does point out that person's benefits are specifically
limited under the Worker's Compensation Act. Because the benefits available
are limited, it is extremely important that an experienced attorney help you
to evaluate and maximize your claim.
A few other important things to know:
-If you are receiving Social Security benefits, long term disability
benefits or some other type of compensation for your disability, there may
be an offset or reduction in your benefits if you also receive workers'
compensation benefits. It is important that you see an attorney to make sure
that you are receiving the full benefits to which you are entitled.
-You do have the right to ask the Industrial Commission for permission to
see a doctor of your choosing. However, if you are treated by your own
doctor without getting permission, you may jeopardize your benefits. You
should seek legal assistance or contact the Industrial Commission if you
have a question about changing doctors or getting a second opinion.
-There are different ways to "settle" workers' compensation claims. One type
of settlement is called a compromise settlement agreement, commonly known as
a "clincher" agreement. Signing a clincher agreement means you give up all
rights to future workers' compensation benefits in exchange for a sum of
money. Other types of agreements are completed on Industrial Commission
Forms 21 and 26. If you sign one of these forms, your workers' compensation
case may remain open but you will be giving up certain rights and the rights
you retain will be limited in time. An experienced attorney can help you
decide whether you are making a decision that is best for you.
-There are rules governing what medical and vocational rehabilitation
professionals can and cannot do in your case. For example, you have a right
to a private medical examination and you have a right to be present when the
rehabilitation professional speaks with the doctor, except in special
circumstances. For further information about these regulations, follow the
previous link to the Industrial Commission website.
Can I Sue My Employer Instead of Filing a Workers' Compensation Claim?
In most cases the answer is no. Workers' compensation systems were
established as a tradeoff in which employees gave up the right to sue
employers in court for their injuries, in exchange for the right to receive
workers' compensation benefits regardless of who was at fault for their
injuries. Most employers are required by law to provide workers'
compensation insurance for the benefit of their employees. In exchange for
providing that insurance, employers are protected from defending personal
injury claims brought by employees in civil actions.
Dealing with the workers' compensation system can be very stressful. Not
only do you have to deal with the stress of your injury but you also have
the hassle of dealing with an insurance company, your employer and medical
providers. You are probably worried about whether you will receive your
benefits and whether you are protecting your rights. You may be having
difficulties supporting yourself or your family because of your injury.
Contacting the right lawyer can help you address these issues in the way
that is best for you.
If you have been injured at work you have a
right to workers' compensation benefits and you may want to consider
contacting a Raleigh lawyer. Even if you are already
receiving benefits, it may be to your advantage to consult an experienced
Raleigh attorney to ensure that you are receiving the maximum benefits
available under the law.
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