r/WorkersComp

Help please!

Hey workers comp friends… sucks we’re all in this situation.

I’ve made a previous post but I’m lost and struggling

Backstory: I was injured at work on 8/25/26, manager wasn’t in but I did go to urgent care and pay for it myself that night. Went back to work the next day and informed my manager. She contacted workers comp and we got the claim going. On 8/27 I had to leave early due to the pain and me struggling to walk. I haven’t been back to work since. I’ve paid for all my appointments out of my own pocket. Got a claim number and contacted my claims adjuster then they told me they had to put me with a different claims adjuster since I had lost wages.
Contacted an attorney but STILL (now October) have yet to receive any type of payment from wc. No weekly checks, gas reimbursement, medical reimbursement. Nothing. I’m pissed. I feel like my lawyer isn’t doing anything and he’s hard to get ahold of. I don’t know if I “fire” him and deal with it on my own, if I just close the case completely, or if I get a different lawyer. I’m tired. I’m angry. And I’m still in pain. Is there anything I can do to get payments and back payment for what I’m owed since the beginning????

Also: my attorney said he tried to get ahold of my claim adjuster and couldn’t. He filed a motion to go to court over two weeks ago and I don’t have any update as to when that will be or what will happen afterwards.

If any of this helps: I’m in South Carolina and work for a large company who uses Sedgwick

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u/YamInfamous3734 — 3 days ago

Fell while pregnant

Hi, so I work for a federal contractor for DOE. I work as a janitor at a nuclear site. I fell while pregnant at work, the on site clinic released me to work with no restrictions. I saw the ER doctor the following day and was initially diagnosed with a lumbar strain. They were not able to do imaging aside from an ultrasound due to the pregnancy. I have been doing physical therapy for months and am coming up on almost a year from the fall and was barely able to get them to do a MRI after an EMG showed radiculopathy off my S1 nerve. The MRI showed I have a herniated disc. After the EMG and MRI they suddenly scheduled an IME. I brought union representation but my question is should I get a lawyer? Everyone is telling me to wait to see what the MRI doctor but at this point I’m so pissed off with how my whole case was handled at one of the most vulnerable points in a woman’s life and now I have a life long injury. I also don’t trust the IME doctor, once they found out I had a union rep with me they tried as hard as they could not to let her back into the exam room with me despite me already getting permission to record the appointment. So far I’m still receiving all my benefits and they have even approved my continued PT. I’m not sure how this whole system works.

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u/Wild_Flower8412 — 3 days ago

Boss backed into me with car

Just looking for advice and not sure how to proceed here. Was recently put on a PIP at work out of nowhere, so was the other person in my role at our office. It was due to failing reaching some impossible revenue/scheduling goals despite us clearly explaining why it was impossible to achieve. On Friday, my boss backed into me with their vehicle as I was walking in the parking lot. They rolled down their window, said "Oh my god im sorry, are you okay?" And I walked away quickly due to being in shock and frustrated. They backed into my knees and midsection. My leg and knee are sore now, and after the incident I received a text from my boss stating they never heard or felt anything, and were unaware I said I was hit. A coworker says they may have even smelled alcohol on my boss just prior to the incident. I am making a report, and fear retribution for reporting the incident, although at this time I have not included the bit about smelling like alcohol. HR is going to be pulling video from the parking lot from that time. Should I expect to be let go after filing this report? If so, would it qualify as retribution? Should I allow my work to send me to a doctor to be evaluated for my knee and leg, or work directly with my own representation?

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u/clumsybatman — 4 days ago
▲ 0 r/WorkersComp+1 crossposts

Legal Malpractice / Workers' Comp - Grand Rapids, MI / Is my case salvageable/ Can I get Help?

I am an Indiana resident who worked in Michigan. The Underlying injury file falls within a sovereign tribal jurisdiction located in MI. I am seeking quick guidance regarding a Legal Malpractice/ Workers Compensationmatter. If Malpractice is not salvageable then the Workers Comp case is. I’ve been told this by many attorneys however they either don't have the time or do not practice in that area. I've been searching the Michigan State Bar Association for help. My retained attorney accepted my multi-injury file on contingency in 2020, performed zero legal actions for 49 consecutive months, and instructed me via voicemail to quit my position while I was incapacitated and continued telling me he was waiting or working on something, its been 6 years now. The insurance carrier recently admitted in writing that they possess zero certified mail tracking receipts for the claim closure, meaning the underlying track remains structurally open due to a service defect, they started ignoring me and no longer return my email or phone calls after weeks of direct contact, I worked really hard to get all the legal information needed for this case. As I mentioned, I have reached out to many attorneys and I don't understand why I can't find the help I need, especially since I dug up everything needed. I have a case however I've yet to find someone to help me. I have been at this since June 2026, I am actively fighting to protect my family before my discovery window closes on December 19th. Reviewing counsel would be able to immediately verify that my file is fully active and protected against any defense motions to dismiss under Michigan statutory parameters. The Standard Accrual Barrier (MCL § 600.5838(1)): Because "Attorney" final recorded action or email contact with the insurer occurred on September 6, 2024, the standard 2-year limitation deadline tracks to September 6, 2026. The 6-Month Discovery Window (MCL § 600.5838(2)): The Complainant discovered the complete absence of tribal court filings upon contacting the clerk on June 19, 2026. Under Michigan's discovery exception, a malpractice action is timely if filed within 6 months of this discovery, setting an unassailable filing deadline of December 19, 2026. Fraudulent Concealment Tolling (MCL § 600.5855): Because the October 25, 2022 email and February 8, 2024 text logs document explicit, written misrepresentations that the file was actively being litigated behind the scenes—directly contradicted by the insurer's empty system logs—the Complainant holds the material proof of active deception required to toll the general statute and extend the filing window to June 19, 2028. The most common response I get is "We have multiple trials coming up that need "Attorney" attention and or We would not be able to give your case the attention it needs". In regard to Workers’ Compensation, I believe once Tribal is seen many steer away and automatically say no. To clarify you don't need to be a tribal member or have specialized native law experience for this file. although it helps, The "excluded name" Band Tribal Court has a very simple process where any licensed Michigan attorney can join their tribal bar just by filling out a one-page application form with the Tribal Court Clerk, I have retained this information myself. Once that is filed, it is a standard administrative workers' comp track where you file a Notice of Appearance to force the insurer to address these notice defects and calculate my past-due benefits.

Who can help me? I explained what I could and hopefully I didn't break any rules. I have my complete 28-attachment digital proof stack fully compiled, indexed, and ready for someone to take the chance and help me.

If this happens to be the wrong area to ask for help please redirect me.

Thank you for your time and any professional insight you can share.

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u/BeforeIgiveUp — 6 days ago
▲ 2 r/WorkersComp+1 crossposts

WORKERS COMP CASE THEN LONG TERM DISABILITY

Has anyone had a wc case then they stopped paying you. Then your employer ling them disability plan starts paying monthly benefits. The when its over at the 2 year medical review. The try to but a lien on your WC settlement?

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u/No-Competition9398 — 8 days ago

The dislike and pure hatred I have for my adjuster is so deep at this point, I’m fine with an attorney taking the 33.5% after a settlement. Just so I don’t have to communicate with this person ever again.

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u/Pacific_Coaster — 13 days ago
▲ 1 r/WorkersComp+1 crossposts

Conveyor belt caught my hand at work and someone at the hospital mentioned a third party claim. is that actually thing sep from comp?

Six weeks out from a conveyor belt malfunction at the warehouse. Three broken fingers, tendon damage, surgery. Surgeon is not optimistic about full range of motion coming back.

TD is covering 60 percent of my wages and the machine had been flagged for maintenance for months before this happened. My coworker says the logs back that up but I haven't been able to see them.

Someone mentioned before I left the hospital that I might be able to go after the manufacturer or the maintenance contractor separately from comp. I didn't follow up, I was still pretty out of it. Does a personal injury attorney handle that or does my comp attorney take care of it?

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u/Odd_Literature_140 — 13 days ago

My employer is filing Workers Comp on me and I feel clueless on what the next step are. Please help!

So, its a little bit complicated but I'll try to explain the whole thing condensed; I returned to work after having surgery for a non-work, long-term injury/issue regarding my spine. Less than one week in, I was following my bosses orders when I re-herniated my spine.

I saw my previous surgeon for this issue due to the massive amount of pain I was and am still currently in. He said I would need a revision surgery to correct the issue and I agreed. He has filed the prior auth with insurance, we have a surgery date set, etc., all typical things.

I found out very recently that my employer filed worker's comp based on the injury. How does this affect my current plans? I really can't delay this surgery and I'm afraid about being out of work longer than needed due to the amount of FMLA weeks I’ve already used this year for the first surgery. Any help would be appreciated. Thank you.

Edit: One more thing that complicates everything (I think?) is that I've been on short term disability with Sedgwick since the first surgery, up until i returnes to work. My boss suggested that I should file to return to it since they weren't letting me return to work and I did so before i knew about this.

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u/macrame_wounds — 12 days ago

Trying to figure out if I can get paid out to resign instead of doing light duty for almost another year

My labrum surgery finally just got approved from an injury that occurred almost a year ago and I've been on light duty since. Looks like I'll probably be on leave for recovery and get workers comp pay for 2 - 3 months then get sent back to light duty for another 6-10 months before getting back to full strength and regular duty.

So I'm trying to figure out if/how/when I can try to negotiate to get paid out like 3 -5 months wages to resign instead of sitting in light duty doing practically nothing for another 6 months+.

Is this something I can do without a lawyer? How do I go about it? If a lawyer is better, what kind? I had been talking to a law office but they specialize in litigation and said I don't really have a case. So I'm not sure if there's a specific type of firm that specializes in negotiating for a payment as well as getting maximum care such as more recovery time and pt because I know my MCO will try to push me back to light duty asap and be skimpy with pt appointments.

Thanks!

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u/Apprehensive-Fig3223 — 12 days ago

Termination based on alleged job abandonment despite documented communication

MAY 28, 2026 — ORTHOPEDIC EVALUATION
• Restrictions: Seated duties, no commercial driving, must wear boot, allowed to elevate ankle if needed, use crutches as needed.

JUNE 1, 2026 — LIGHT-DUTY DISCUSSION
• Supervisor called regarding proposed light-duty assignment.
• Assignment described as riding as a passenger in county pickup to inspect roads.
• I raised concerns about ankle elevation and rough terrain.
• I texted supervisor requesting written description before reporting.
• No response received.

JUNE 3, 2026 — WRITTEN LIGHT-DUTY OFFER
• HR provided written work duty offer at 9:54 a.m.
• Offer stated I expected to report at 7:00 a.m. on June 4.
• Offer stated patient would "use the county pickup truck to inspect county roads."
• Offer mentioned office duties available, including filing maintenance records.

My response, same day:
• Notified employer of scheduled PT appointment at 8:00 a.m. on June 4.
• Requested clarification: driving or riding as passenger?
• Noted previous verbal description differed from written offer.
No response received that day.

JUNE 5, 2026 — FOLLOW-UP
• Patient sent follow-up email at 10:56 a.m. requesting response to June 3 questions.
• HR responded at 11:34 a.m. stating physician had signed paperwork and county pickup is not a commercial vehicle.
• Did not answer driving vs. passenger question.

JUNE 9, 2026 — UPDATED RESTRICTIONS AND EMPLOYER COMMUNICATIONS
• Received voicemail from county commissioner at 9:42 a.m. stating "I guess you don't work for the county anymore" and asking about insurance continuation.
• I sent email at 10:05 a.m. explaining ER visit, stroke level Blood pressure, ongoing attempts to obtain updated restrictions, and transportation issues.
• Spoke with workers' comp nurse, who said job description showed riding as passenger (differed from written offer).
• Spoke with workers' comp case manager, confirmed had not resigned, was complying with restrictions, and had been continuously communicating.

Updated restriction received at 2:59 p.m.: No Driving of Company Vehicles.

Patient sent updated restriction to employer at 4:26 p.m. same day.

JUNE 12, 2026 — TERMINATION
• Termination letter issued stating employment terminated effective immediately.
• Claimed I refused to report to work.
• Claimed failure to report constituted job abandonment.
• Referenced physician who did not provide treatment.
• Final paycheck and vacation payout sent by certified mail with termination letter.

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u/Embarrassed_Eye_8574 — 12 days ago