Why Do You Need for a Workers’ Compensation Attorney

Workers' Compensation

In the realm of labor rights, workers’ compensation claims play a pivotal role. However, these claims aren’t always as straightforward as they seem. Complex scenarios, serious injuries, and disagreements with employers or insurance providers can often necessitate the need for a workers’ compensation attorney.

This guide aims to delve into the intricacies of hiring a workers’ compensation lawyer, explaining when you might need one, the pros and cons of doing so, and what to expect from the process.

Deciphering Workers’ Compensation

In most jurisdictions, including New York, employers are obliged to procure workers’ compensation insurance. This insurance serves as a safety net, shielding both employers and employees from the financial aftermath of job-related injuries or illnesses. It is a financial buffer that covers medical expenses and a portion of lost wages from work-related injuries or diseases.

The Gamut of Workers’ Compensation Benefits

Workers’ compensation insurance typically covers a range of expenses. These can include:

  1. All present and future medical expenses related to a work-related injury or illness,
  2. Lost wages, typically calculated as two-thirds of the worker’s average weekly salary up to a maximum limit,
  3. Transportation costs associated with medical appointments and treatments.

In the unfortunate event of a work-related fatality, the deceased employee’s family members may be entitled to workers’ compensation benefits.

When is Hiring a Workers’ Compensation Lawyer Necessary?

The decision to hire a workers’ compensation lawyer hinges on the specific circumstances surrounding your claim. While minor injuries that require minimal time off work may not necessitate legal assistance, complex situations often do. Here are a few instances where hiring a workers’ compensation lawyer might be beneficial:

  • Your claim has been rejected or disputed by your employer.
  • Your employer is delaying the payout of your benefits.
  • The settlement offer does not cover all your medical bills or lost income.
  • The injury results in partial or total permanent disability.
  • There’s a lack of strong medical evidence supporting your injury.
  • The injury was the result of your employer’s serious misconduct or third-party negligence.
  • You intend to apply for or are receiving Social Security Disability Insurance (SSDI) benefits.
  • You’ve been offered a settlement, but you’re uncertain whether to accept it.

Pros and Cons of Hiring a Workers’ Compensation Lawyer


  • Proper Filing of Paperwork: A workers’ compensation lawyer ensures that all necessary paperwork is filled out correctly and submitted in a timely manner. This can be crucial, as clerical errors and missed deadlines are among the top reasons why workers’ comp claims are denied.
  • Better Chance of Higher Settlement: Hiring a skilled lawyer can enhance your likelihood of receiving all the benefits you are entitled to and for the longest time period possible.
  • Equal Representation: Your attorney can represent you in negotiations with your employer’s insurance company, ensuring that your interests are protected.
  • Access to Additional Resources: Hiring a lawyer gives you access to resources that you might not have otherwise, such as their network of medical experts.
  • Peace of Mind: With a lawyer handling your claim, you can focus on your recovery rather than navigating the complexities of the workers’ compensation system.


  • Lengthy and Complex Process: Engaging in legal proceedings can often consume a significant amount of time. If one desires a prompt resolution, it may not be advisable to enlist the services of a lawyer.
  • Success is Not Guaranteed: While a specialist lawyer can improve your chances of acceptance and a higher settlement, these outcomes are not always guaranteed.
  • Potential Strain in Employer Relationship: Involvement of an attorney might strain your relationship with your employer.

Understanding the Role of a Workers’ Compensation Lawyer

A workers’ compensation lawyer works to ensure that an injured employee receives all the benefits they are entitled to for as long as needed. Some of the primary duties of these legal professionals include:

  • Gathering medical records and evidence.
  • Conducting discovery.
  • Drafting briefs, pleadings, and other documents.
  • Conducting depositions of medical experts and other parties.
  • Negotiating settlements.

Workers’ Compensation Lawyer Fees

The fee structure for workers’ compensation lawyers varies by state, but fees are generally capped between 10% and 20% of the total settlement amount. These lawyers typically operate on a “contingency fee” basis, meaning they only get paid if they win the case.

How Do Workers’ Compensation Settlements Work?

Following a job-related injury, employers must report the incident to their insurance provider, initiating the workers’ compensation claims process. If the payout from the insurer is deemed insufficient by the worker, settlement negotiations can begin. This is where a workers’ compensation lawyer can be instrumental in helping clients receive the benefits they deserve.

In Conclusion

Navigating the world of workers’ compensation can be daunting, particularly when dealing with a serious injury or complex claim. A skilled workers’ compensation attorney can offer invaluable assistance, helping you understand your rights, guiding you through the process, and advocating on your behalf. However, it’s crucial to weigh the pros and cons before deciding to hire an attorney. Remember, the ultimate goal is to ensure you receive the appropriate benefits and support during your recovery.


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