Do you work in a high-risk industry? If so, it is in your benefit to know how to file a claim should an accident occur. While each state has different rules for filing a worker's comp claim, there are some basic steps that you should keep in mind.
1. Double-check to see if you are covered
If you are a sole proprietor or the only person working at an LLC in Massachusetts, then coverage is actually optional for you. Some positions, like longshore workers, may not be covered by worker's comp insurance, but rather, have their own organizations (e.g. Longshore and Harbor Worker's Compensation). You can find out if you have coverage by asking your employer and having them point out the federal “notice to employees” poster
2. Notify your employer and check if you have a qualifying injury
Your employer will need to fill out an accident report and then give you a copy and any other forms that you need to complete. All injuries need to be reported whether they qualify for benefits or not. Injuries that qualify you for benefits have to be work-related. What constitutes a work-related accident can be tricky for some professions. For instance, if you were injured while traveling to work, that may not be covered. Lunch breaks and social events sponsored by businesses also usually aren't covered. Lastly, if you flouting safety rules, that could also exempt you from compensation.
3. Gather Medical Documents and Do Some Research
Along with the copy of your accident report, you should keep a file of any and all relevant medical documents after visiting your doctor. If you need to hire a worker's comp lawyer to help, these documents will be vital evidence. While you gather relevant documents, you'll also need to do a little research to have an idea of what benefits you qualify for. For example, you can check out the benefits calculator at mass.gov to estimate your weekly compensation if your claim is accepted.
4. Follow up with your Doctor, Employer, and Lawyer
To qualify for benefits, you need to follow your doctor's orders to the letter. Make sure you continue to keep all of your appointments and save all medical receipts, notes, etc. Make sure that your employer has filed the accident report and filed any relevant documents on his or her end to the insurance company.
Lastly, if your claim is denied, you have an option to appeal. To make sure your appeal has a better chance of being accepted, you should bring your denial letter to a worker's compensation attorney. He or she will let you have a free consultation so you can discuss your concerns—dial 844-311-7900 today!