r/WorkersComp

I was with this security company for 12 years

Was a supervisor for 5 years . I slipped and took a hard fall at work due to another company cleaning and forgetting the wet floor sign etc.

Fast fwd they bring you to a lil doctor of course they say nothing is wrong but my knees were on fire . Slipped on a hard floor ..... fast fwd a few days later I get a MRI and my knee is swollen full of fluid and my hip was inflamed so that was swollen ( the band that holds hip together)

So they put me on crutches and currently cannot work.

Crutches to keep the pressure off my right side because I walk with a limp due to injury

Okay in the mist of going through this pain ....APRIL 1ST I was fired = NO ONE FROM MY JOB CALLED BEFORE HAND TO SEE IF OR WHEN I WAS COMING BACK but I sent excuses from my doctor.... They fired me and stated it was no where to place me ( DIDNT EVEN KNOW I WAS ON CRUTCHES)

I had to get a lawyer because dealing with workerscomp is a nightmare . Only goodthing out of this is im still able to pay my bills with weekly compensation.

Come to find out if have a 3rd party claim from who caused the accident.

Currently in therapy and I feel like the Ortho is trying to rush me off . I can't stand for long periods of times and im in pain EVERYDAY!

Im currently in a AT WILL state so I assume the termination was valid, but at will states say they can't fire you from your work injury. They didn't even offer light duty or asked if I could perform the job . I filed EEOC but I have no clue on what im about to say due to being in a AT WILL STATE ughhh

I hate all of this for me ! I would give anything to be bk to normal

Obviously burner account, but i broke a tooth at work while working normally, nothing outstanding just incident. I had witnesses, including a coworker and a client, reported the injury immediately after, at which point the insurance scheduled an appointment at the dentist's office the tomorrow and received the authorization letter for the dental office to evaluate and then treat my tooth, provided I return with corroborating medical reports and related charges. I smoke pot, and have found out that people get post-accident drug screening for workers comp (if i had known that, trust me, wouldnt have ever risked it.) My injury did occur in client's home, not the store facilities or in a vehicle. I haven't gotten a notice yet regarding a drug test of any kind, am I to be expecting one? And if so, what can i expect?

Spoke with an attorney yesterday and based off his numbers, he estimated my settlement at $10,386. Using the formula, Body Part Value x Disability Rating Percentage x Compensation Rate = Settlement.

155 weeks x 10% (estimated) x $670 (weekly rate) = $10k.

My attorney said he may be able to fight for more, but told me there is only so much he can do. Maybe I'm just being dramatic but 10k doesn't seem like much considering I broke the Tibia, Fibula, and had a rod installed. Is this just because of how Missouri's work comp laws work?

So I got injured due to shoveling snow and slipping on some ice. I injured my back pretty badly, and had re-injured it right after I was cleared to go back to work. I work as an RBT, and even though I'm on work restrictions that are very tight (no bending, pushing or pulling, and no lifting anything over 5 lbs) and able to follow them, I still experience really bad back pain, and it's so hard to focus on my clients. It sucks, especially when I'm in the middle of a program and have to pause because there's pain radiating down my legs.

Recently I hired an attorney because it's been getting really complicated with worker's comp with doctors not sending in order, doctors saying they sent in orders, only getting pain meds that I can only take at night, and no MRI or physical therapy to start healing my back. I'm calling out of work constantly because my back pain sucks so bad that I can't even focus on making a meal, taking a shower, play my video games, read a book, anything. And yes, I've been following the same work restrictions at home as well. It sucks because I want to show up to work, but I can't meet my program requirements with clients if I have to take a breather to push through the pain and then remember what I was even trying to do in the first place. I feel like the pain meds I take too linger into the next day, and I feel really foggy.

I'm just at a point in all this where I just wish I had a magic wand and erased any injury I had before all this. I was kicking butt as an RBT, and really loved interacting with all my clients. Now I feel like a stick in dry mud, and my performance has been lacking significantly since the injury. I was making enough to live but now, it's either I give really poor sessions to pay the bills, or I'm late on payments and not getting enough groceries for the house. This sucks, a lot.

I'm fortunate that the company I work for really care about me, and my supervisor has been really supportive of me. She even checks in every once in a while to see how I'm doing, and offers her help with anything she can do for me professionally (dual relationships are strictly forbidden in this sort of field). I really appreciate her, but I feel just terrible knowing that I'm like this now. I love my profession deeply, and would hate to lose this job at all. Hell, the clients I work with has brought me so much joy, and I'd hate to lose a job that I really love doing.

I guess I'm here just asking: what would you do in this situation? I'd really like some guidance with this, as I feel like I'm either screwing myself or the company I work for over with this injury. All of this is so new to me, as I've never injured myself like this at all in any jobs prior to this one. I'm considering seeing my doctor soon and see if there's a chance I could have temporary disability to cover the lost wages. But I don't know 😕

Last IME for back injury was September

Just was notified of another apt at a different doctor

What’s this mean ?

L5/s1 injury
Ortho treating for SI injury too which has seemed to help most

I know no one thinks I’m faking this injury but I’m so embarrassed going to these
There’s so much stigma
😭 I’m only 30
My whole life has been uprooted

Been injured for 19 months

Updated to add

Pain management also wanted to do a repeat ESI to l5/s1
Ortho wanted to do si joint

I agreed to SI joint
And that’s been approved

Both areas are affected and doctors are in agreement with that but the argument between pain management and ortho may have prompted this

I got injured at work last week, and I have an adjuster who called me ONCE and has been a ghost ever since.

I’ve now sent her TWO portal messages (because I literally cannot call her), and even though the portal says you’ll get a response within 1 business day, that’s total bull, because even after the HR liaison tried to reach out and contact her, the adjuster has not responded to either one of us.

I need to see an orthopedic doctor ASAP, and the adjuster not responding to my messages is delaying my care.

BTW: Per my adjuster, I have the right to change doctors, but it has to be approved by them, so at this point, it’s not even about referrals or anything…but of course, the one who can approve the change is nowhere to be seen or heard from.

Any advice?

There is no one else to call either. Everything is done through the portal. I’ve tried.

This is NOT my first work comp rodeo. But it IS my first time with an adjuster who doesn’t respond.

Good afternoon I’ve been on workers-comp for awhile now , I received one of my checks for TTD and deposited but the bank emailed me saying check has no funds , since I have an attorney should I let him know about the check not having funds and will he be able to him me out ?

About a month ago I rolled my ankle at work. I work in construction industry. At that moment I felt a quick sensation go up to my knee and a little numbness for a second. I didn’t think much of it at the time however, that night I felt some knee pain. On my site it’s a normal thing to hit yourself or feel some pain from time to time so I didn’t think much of it. I continued working for about 2 weeks while wearing a knee brace (I wear a heavy harness and walk all day 15k+ steps a day while carrying material) and my coworkers all knew I was in pain. I assumed it would just go away on its own. At the end of the work day, on day 13 after incident, I told my safety what had happened and that the knee pain continued to worsen. I went to urgent care (my own choice as I was told to get it checked). That same day I went to urgent care and got X-rays done. The next day (day 14) I get a call saying I had a joint effusion and recommended I see an orthopedic. That same day I made an incident report at work (exactly two weeks after incident). My employer refused to send me to a doctor and told me I had to do it on my own insurance since I had already went to urgent care.

I continued to work for another week in pain (but on a lighter duty but not quite light just less than normal). On day 21 after incident I struggled to close my knee past 90 degrees or fully extend it and was receiving no help from employer so I made an appointment to an orthopedic. I went and put my insurance down. I saw an orthopedic doctor on day 22 and was told I couldn’t work until further evaluation and scheduled an MRI. I ended up getting an MRI done (also under my insurance). I finally received a WC claim number. MRI summary seems to show that I have a Bucket Handle Tear. I’m supposed to have a follow up appointment in a few days and am lost as how to proceed. I’ve been out of work for over a week now.

Any advice is greatly appreciated.

It has been 4 months since I signed the C&R but it is FINALLY approved. Now just waiting on that check.

So I am curious…. how does insurance know it has been offered? EAMS, defense or does the court notify directly?

When it comes, is it going to be a normal envelope or a larger Manila envelope with other documents? I only ask because I have USPS informed delivery and I don’t get notified of Manila’s for some reason.

In the past, my husband & I have each had a WC settlement. In both cases they had 30 days to pay but we had our checks about a week after the judge signed. I did not know anything about EAMS back then & we dealt with insurance directly.

I got injured at work last week, and I have an adjuster who called me ONCE and has been a ghost since then.

I’ve since sent her TWO portal messages (because I literally cannot call her), and even though the portal says you’ll get a response within 1 business day, that’s total bull.

I need to see an orthopedic doctor, and the adjuster not responding to my messages is delaying my care.

What can I do?

Also, I reached out to the insurance person at my job who is the liaison and even she can’t get ahold of the adjuster. So something’s up.

My original workers comp injury was may 2 and haven't been to work sense. My knee in my left leg was hurting bad and that's also the side for my left shoulder injury and neck and back pain. Have had knee pain in the pass but nothing like this pain. Should I inform my workers' comp lawyer.

Also Last time my boss told me well I did hurt my knee in a prior work event so nothing they are responsible for

So I had a back surgical consultation and they suggested to really consider fusing my back due to scoliosis and Spondylosis of Lumbar Spine . I’ve tried everything besides an RFA which the insurance kept denying I can try again for it in July really considering the fusion would love to hear how successful other peoples has been and unsuccessful for the unfortunate one. Just trying to rap my head around it in ways the doctors don’t talk to you about it.

It’s for my lower back pretty much all my L’s I think he was say I go back in a month after more imaging test are taken pacifically for scoliosis.

So a lot keep asking how is that Work related? Well I did tree Work and I was lifting 200+ pounds and dragging three times that all day long for years and the intensity of my job caused my body to digress faster than it normally would. Qme already deem it work related

Waiting on a settlement check is like waiting for your tax return when you did it wrong in the first place.

Hello I just received the supplemental agreement paperwork from wc insurance. I’m not sure if I should sign it or not because I’m not sure what it means. Could someone help me?

I’m in a limbo. I have worked for this big company for several years and I’m being discreet because I don’t want this post to come back to bite me in the ass. Basically, I schedule a LOA in late March 2026 . I called HR and canceled my LOA a week before taking it because I no longer needed it.

I’m charged health insurance biweekly and my price of health insurance doubles when I’m on a LOA. I was getting bills in the mail as if I was on a LOA. I called HR 2 days after my ‘initial LOA’ date and I reported that I haven’t missed any days of work and I’m not on a LOA. They told me to disregard the bills.

in April , one of my checks was incorrect but I was unaware of that at the time until when my next check was supposed to come, it never came. I went and checked my paystubs and I was charged health insurance 3x the normal amount. And recently charged me again taking 90% of my check. No notice , nothing. I called department dealing with my benefits and they said there’s no reimbursement. They messed up so they’re getting what they owe. if they would have notified me , I would have quickly paid it. Now, I’m behind on bills and likely would be put into debt. What could I do ?

TLDR: health insurance from my company didn’t take out their portion on my check , overcharges (X3 the amount) me with no notice. I’m going to be in debt. No ,my health insurance premiums did not change.

I started developing migraines about a year ago, which can result in changes of vision, speech, numbness in body, and motor skills. After a visit to the ER, they shared this most likely could be from stress and my doctor has shared this as well. Has anyone ever filed a claim for migraines and was it successful?

edit: I’ve been seen by neurologists and my primary care doctor. My medical notes state that I experience stress from work and include the medications/supplements I’m taking for the migraines and stress.

Looking for some CA adjusters that can speak to their experience.

I'm in northern California, 32 years old, just for the basics.

I have been a secretary/paralegal in a workers comp law office (applicant attorney side) for 11 years now, and I love my job. I'm good at it, my boss is my dad (the attorney) and my coworkers are great. I have an extremely flexible schedule, which is by-far the best part of my job.

All that being said, I just do not make enough and, while I get great bonuses, there is really no option for me to make more money here unless I become an attorney, which I am not interested in for various reasons.

My father retires in 3 years and it feels like a good time to move on. I have been looking into taking a CPWC course to get certified and hopefully get a job as a WC adjuster....Would any adjusters say this is a good idea? I have no college degree so I'm not sure if that would set me back in looking for employment, or even outright disqualify me. Are remote positions really as available as Google says they are? I know the job can be stressful due to the workload, but is it really that bad for an organized person? I don't find my workload now overwhelming, though it is quite a lot. I enjoy the field of Workers Comp. My biggest worry is the workload/hours as I can basically set my own schedule with my current job and I'm definitely spoiled by that.

Did anyone here switch from being on the applicant's side to being on the adjusters side? Was that a difficult switch for any of you? My father worked in WC defense for 20 years before starting this firm, so I've heard plenty of stories from his side but I am interested in more thoughts from an actual adjuster and not attorney. Thank you!

So I got hurt at work back in April (my back), I had to go to the emergency room first, they wanted me to go get an mri.

Wc does not want to send me for the mri, but I have to go through thier channels, and all that jazz. Well I hired a lawyer because they were trying to wait me out I guess and​ not schedule me an appointment for thier Dr's. The lawyer got my appointment for me. I have to go back once a week and try PT. Before they will send me for an mri. Ok fine.

​I recieved my first check in the mail on the 9th and it was late. I should have gotten another check on the 14th, but I didn't. I looked at my days and its past the 21 days of being out of work so they owe me for that. And this Friday I will be owed another check.

Wc has stopped responding to my lawyers and we won't speak to me because I have a lawyer. What am I supposed to do? I need money, my bills are getting behind and I hate that.

What are some of the things I have to look forward to? What can I do?​

Hello everyone, I'm hoping to find some advice here. TLDR: I feel that workers comp has not taken care of me adequately or in a timely enough manner which I believe has led to prolonged temporary disability and potentially exacerbation of the initial injury.

I slipped and fell at work on April 11 and landed on my knee, reported the incident to worker's comp, and went home. I was offered either telehealth or in-person for my first appointment, and I opted for telehealth, because I was in a lot of pain and didn't want to drive somewhere. She asked me questions, didn't want to see the bruising and swelling on the knee though. Told me to ice and elevate, and that I'd be given a followup telehealth appointment in a little over a week. Told me she would send orders for an x-ray and also send a brace for my knee. I missed the call about the brace where they wanted to verify my address and size, but when i returned the call later that day, I was completely unable to get in touch with the adjuster. (Later down the timeline, I was told that the original doctor never ordered an x-ray, and that the brace had already been sent, which, 5 weeks later, still hasn't come). A few days into the week, i let my adjuster (the only person who has contacted me at this point) know that I was in an immense amount of pain and that I needed a sooner followup. She offered another telehealth and I told her I wanted someone to physically look at it, not just ask questions. She said she'd try to get me an in-person appointment. I asked about getting x-rays and she said there were no orders from the doctor for that. Over the next few days she was impossible to get ahold of. I'd send emails, leave voicemails, and she wouldn't return them. It got to the point where my boss started trying to contact her as well. I ended up going to urgent care on April 18, where I was given x-rays and a bandage wrap kinda thing, and was told the same advice as before, but also told to wrap it for compression. She gave me a prescription for an anti inflammatory pill. She also made a note that i can't return to work until I get an MRI and have a followup after that. I let my adjuster know that I went to urgent care, and when she reached back out she got noticeably upset with me, told me that I can't just go to any doctor, that I have to get it approved first if I want workers comp to pay for it. Told me not to do that again. I told her I didn't know what else to do, that i felt very in the dark and didn't know how else to try to manage the pain. She said she would get me an appointment for an orthopedic doctor, and within a few days I had an appointment for April 30. I was then transferred to a new adjuster, who went over all the details on my case to verify, and discovered that the original adjuster put the wrong date for when I started missing work (she cut an entire week out). He told me he wasn't sure what took so long on each step, and I told him that the original adjuster told me it was because the new adjuster was out of work for the week, and he told me that was not true at all. So im not sure what was going on with the original adjuster. I was finally given an appointment for an MRI for May 18, five weeks after the injury. This whole time, i have had very minimal instruction on managing the pain, taking best care of the injury, etc. I was left to use my knee for the five weeks, with no way to keep weight off of it, and even with barely using it, i was dealing with a lot of pain just from small trips to the bathroom and back. I haven't been able to even pick things up from my floor without pain; i have been useless and stuck sitting on my bed in order to not be in pain. I had to send my nurse case worker a long drawn out text about my pain, my mental health suffering (5 weeks of sitting in bed without working, being able to clean after myself, unable to fully shower due to pain, being clueless about injury, etc has led me to being extremely depressed, also not eating due to the depression caused me to lose 6 pounds in one week, keep in mind I have been doing zero physical activity) and that's when I was finally offered crutches and a shower chair. Now that I have the MRI results, I have no idea when my follow up will be, as the MRI appointment was made 3 weeks in advance. I'm suffering physically, mentally, and financially, and I feel like my injury is potentially now worse due to the combination of lack of instruction, the need to bear weight for 5 weeks, and the lack of urgency in the matter. I know in my state (NC) you can't sue for pain and suffering, but you can get a workers comp attorney. Now I'm sure I left out some details that would be helpful, i have all the documents and emails I just didn't reference everything for this post. Can anyone steer me in some direction to get more help than workers comp is offering?