When to Hire a Workers’ Compensation Attorney

Deciding when to hire a workers’ compensation attorney isn’t always obvious.

Most workplace injuries don’t seem like a legal issue at first. You get hurt, report it to your supervisor, fill out some forms, and expect the system to help you.

For minor injuries, this usually works out. Still, knowing when to call a lawyer instead of handling the claim yourself can mean the difference between a fair recovery and an unexpected struggle.

Here’s how to tell which situation you’re in.

Your Claim Was Denied Or Delayed

Your Claim Was Denied Or Delayed

A denial does not mean your case is finished, but it does mean the insurance company found a reason, whether valid or not, to avoid paying.

Common excuses are disagreements about whether the injury is work-related, claims that it was pre-existing, or paperwork issues.

If your claim has been denied or has gone unanswered for weeks, it is a clear sign that you should hire a workers’ compensation attorney.

Appeals with the Indiana Workers’ Compensation Board have strict deadlines, and insurers usually respond more quickly when a lawyer is involved.

Your Injury Is Serious Or Long-Term

Your Injury Is Serious Or Long-Term

Workers’ compensation usually works well for routine injuries like a sprain, a minor fracture, or a few weeks away from work. But things are very different when it comes to serious injuries.

If you have a permanent partial disability, a back or spinal injury, a traumatic brain injury, or any condition that could keep you out of work for a long time, your claim becomes more valuable.

At the same time, the insurance company has more reason to try to lower what they pay.

These cases often lead to disagreements about your disability rating, whether you can return to your job, and how much care you will need in the future.

You’re Being Pressured Into A Quick Settlement

Insurance adjusters may offer you a quick settlement before you know how serious your injury really is. It can be hard to say no, especially when you have bills to pay.

However, if you accept the offer, you usually can’t ask for more money later if your condition gets worse.

If you get a settlement offer, especially if it comes quickly and you haven’t fully recovered, ask a lawyer to look it over first. It costs nothing to find out if the offer is fair.

Your Employer Is Retaliating

Employers are not allowed to fire, demote, or punish employees for filing a workers’ compensation claim.

If you notice changes in how you are treated after reporting an injury, such as fewer hours, write-ups, or being let go, this is a different legal issue. You should tell an attorney about it right away.

A Third Party May Be Involved

A Third Party May Be Involved

Workers’ compensation pays for your medical bills and part of your lost wages, but it does not cover pain and suffering. Because it is a no-fault system, you usually cannot sue your employer, even if they were careless.

However, if someone else was partly responsible for your injury, such as a subcontractor, an equipment manufacturer, or a negligent driver while you were working, you might be able to file a third-party claim along with your workers’ comp claim.

Many people miss this chance in workplace injury cases. A lawyer can help you figure out if it applies to your situation, since most injured workers do not notice it themselves.

You’re Not Sure What You’re Entitled To

Indiana’s workers’ compensation system offers more than just coverage for medical bills. Depending on your situation, you might also qualify for wage replacement, vocational rehabilitation, or disability benefits.

Many injured workers miss out on what they deserve because they don’t know all their options.

If you’re not sure what you’re entitled to, it’s a good idea to speak with an attorney.

Why Timing Matters

Moment in Your ClaimRisk of WaitingWhy Early Legal Help Matters
Right after the injuryRecorded statements or offhand comments to adjusters can be used against you laterAn attorney can prepare you before you speak with the insurance company
Filing your initial claimSmall paperwork errors can delay or jeopardize your benefitsAn attorney makes sure the claim is filed correctly the first time
During medical treatmentInsurers may push you toward their preferred doctors or downplay your injuryAn attorney can help protect your right to proper, ongoing care
Before a settlement offerEarly offers may not reflect the full extent of your injury or future needsAn attorney can review the offer before you sign anything away
After a denialAppeal deadlines are strict, and missing one can end your caseAn attorney can file the appeal correctly and on time

The Bottom Line

Not every workplace injury needs a lawyer.

But once your claim gets denied, your injury becomes serious, you’re pressured into a settlement, your employer retaliates, or a third party may share the blame, it’s time to hire a workers’ compensation attorney.

At Sarkisian Sarkisian & Associates, we’ve spent decades helping injured workers throughout Portage, Valparaiso, and Northwest Indiana get the benefits they’re entitled to, on a contingency basis, with no upfront cost, and you don’t pay unless we recover for you.

A free consultation costs nothing and can tell you exactly where you stand.

Call 219-248-2890 to talk to our team today.