How Does The Workers’ Comp Claims Process Work?

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If you have suffered an injury on the job or contracted an occupational illness from exposure to toxins at work, you may be entitled to receive workers’ compensation benefits. Recovering from a work-related injury can be an arduous process. The Massachusetts workers’ comp system is intended to provide workers with benefits in a timely manner.

The process for filing a claim, however, is complex. Having an experienced workers’ compensation lawyer in your corner during this difficult time can allow you to focus on your recovery. The attorneys at the Law Office of Colonna & Doyle in Lynnfield, Massachusetts, are staunch advocates who can help you navigate the process and obtain the maximum benefits you deserve.

Steps To Obtain The Workers’ Comp Benefits You Deserve

The first steps you need to take after a workplace accident are to inform your employer of your injury and seek medical attention to start your recovery process. It is preferable that you notify your employer in writing, when possible. Massachusetts law expects your employer to notify the Department of Industrial Accidents and the insurance company of your injury.

Your employer has seven days to initiate the workers’ comp claims process after a worker has missed five partial or full days of work due to a workplace injury. If your employer is reluctant (or refuses) to file your claim with the DIA, we can help you to protect your rights. You are entitled to file the claim directly, and we can guide you through the process to ensure that your claim is properly filed.

Once a claim is filed with the DIA, your employer’s workers’ compensation insurance provider has 14 days to accept your claim and issue a check, or to notify you by certified mail that your claim has been denied. The denial must explain the reason for rejecting your claim, a statement outlining the insurance company’s intentions to contest your claim and explain your right to challenge the denial with the DIA.

We guide injured workers through the arduous process of filing a claim with the DIA to challenge wrongly denied claims. The DIA uses a three-step process to resolve disputed claims, which includes:

  • Conciliation: A conciliator with the DIA meets with the attorney for the insurance company and your workers’ compensation lawyer to determine whether the parties can reach a voluntary settlement to resolve the disputed claim.
  • Conference: If conciliation fails, the matter is scheduled for a conference before a DIA administrative law judge. Our lawyers and the attorneys for the insurance provider submit evidence and make legal arguments at the conference for consideration. The judge will issue an order following the conference. If the judge orders the insurance company to pay you workers’ compensation benefits, the order will require the insurance company to also pay your attorney’s fees.
  • Hearing: Either party can request a formal hearing within 14 days of the conference order asking the judge to reconsider his or her decision. Additional evidence, including witness testimony and cross-examination are available in the formal hearing.

We are staunch advocates for the rights of injured workers. We will help you pursue your claim to ensure that no mistakes are made during the complicated claims process. To arrange a consultation with an experienced workers’ compensation lawyer in Massachusetts, send us an email or call 781-667-2658.

See Our Dedication To Legal Excellence In Action

View Our Case Results:

Workers’ Compensation And Third Party Claim Injury: Rotator Cuff Tear.

Combined settlement $247,218.78

Car Accident Injury: Disc Herniation
Settlement $99,000.00

Automobile Accident Injury: exacerbation of a preexisting heart condition
Settlement $50,000.00

Slip and Fall Accident Injury: left humeral shaft fracture
Settlement $85,000.00

Worker’s Compensation Injury: Emotional Distress
$150,000.00

Slip & Fall Accident
$150,000.00

Industrial Accident, Third Party Settlement and Social Security Disability Claim
$45,000.00 – Workers’ Compensation Settlement

Industrial Accident
$98,712.90

Industrial Accident and Third Party Claim
$150,000.00 – Workers’ Compensation Settlement
$100,000.00 – Third Party Settlement

Slip & Fall Defective Steps
$325,000.00

Work Related Injury
$117,000.00

Pharmaceutical Error: Improperly mixed medication, 4 month old baby
$2,000,000.00

Liquor Liability: Dram Shop
$1,500,000.00

Wrongful Death: Automobile Accident
$1,300,000.00

Out of State: Motorcycle Crash resulting in Amputation
$600,000.00

Medical Malpractice Claim
$500,000.00

Social Host Liability: Dram Shop: Automobile Accident
$255,000.00

Motor Vehicle Accident: Truck Accident on Route 93
$200,000.00

Motor Vehicle Accident: Spinal Fusion
$215,000.00

Wrongful Death: Pedestrian (decedent) dropped off by a bus in a non-designated area
$163,000.00

Industrial Accident / Workers’ Compensation
$160,000.00

Industrial Accident / Workers’ Compensation
$145,000.00

Motor Vehicle Accident: Torn Rotator Cuff
$110,000.00

Car Accident in Malden, Massachusetts
$75,000.00

Slip and Fall: Due to a defect or want of repair in a parking lot
$65,000.00

Scalia v. Liberty Mutual Insurance Company

Our Clients Talk About Us

“I want to thank you all very much for your cooperation in this matter and for your professional service. I am very satisfied with your work.”

AB

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Law Office of Colonna & Doyle 
26 Main Street
3rd Floor
Lynnfield, MA 01940
Phone781-667-2658
Fax781-245-1148
Lynnfield Law Office Map

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