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Is a Lawyer Required for Every Workers Comp Claim?

The overall purpose of the workers compensation laws in Pennsylvania is to provide a means to ensure workers are fairly compensated for the expenses associated with workplace injury, without identifying blame for an accident. As such, many workers can obtain immediate medical attention after an injury at work as soon as the employer is notified of the accident. It is common for a worker who requires basic medical attention for relatively minor injuries to receive full care without ever completing a claim form or paying a bill.

Unfortunately, not all workplace injuries are straightforward. Many involve serious injuries that require extensive time away from work. When injuries are significant to severe-or in cases where claims are not considered valid-injury victims need the help of a Pennsylvania workers comp lawyer.

When a lawyer may be needed

The following are just a few examples of cases when an injured worker may need experienced legal assistance to help with a claim:

Denied claims. Your employer or the insurance company may deny your claim if they believe it to be invalid. In fact, state law does define claims to be invalid under certain situations-such as if they believe your injury was intentionally self-inflicted, or you were engaged in illegal activities (use of illegal drugs is a common allegation). Although the burden of proof is on the parties making these allegations, you need an experienced workers comp attorney to ensure your rights are protected.

Reduced claims. While the fact of your accident may not be denied, your employer or the insurance company may only approve a portion of the expenses cited in your claim. Skilled workers comp lawyers can help you collect the evidence required to prove the full value of your claim and either negotiate a fair settlement or appeal the decision.

Occupational injuries and illnesses. Not all workplace injuries are the result of a specific accident. Many employees-from office workers with repetitive stress injuries to laboratory workers exposed to toxic chemicals-develop their conditions over time. State workers comp law provides a complex set of schedules that identify covered conditions. You typically need a skilled attorney to navigate the rules and develop a case that proves your claims to be valid under the law.

The bottom line is that anyone experiencing problems with a claim or uncertain of how to proceed should seek advice from an attorney specifically experienced in Pennsylvania state law. In many cases, an initial consultation is free, after which many attorneys operate on a contingency fee basis. You pay no legal fees unless you receive compensation for your case.

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