5 months ago i knocked 2 front teeth out at work. an honest accident. bungie strap that is used for holding down loads on trucks and trailers broke and hit me in the mouth. filed a workers comp claim and now they are trying not to pay.
2007-10-26 09:25:44 · 6 answers · asked by duck 1 in Business & Finance ➔ Insurance
If you are a self insured o/o with your own w/c insurance, you need to contact your agent asap...should of done it immediately.
If you are a company driver, your company should be standing behind you on this one driver. The injury is clearly work related. Turn the matter over to the carrier to take care of.
Did you notify your company immediately of the injury? Did you do what they told you to do? Did the dentist file the right paperwork with w/c company?
If you notified your carrier or agent right away and did what they said to do, ie: go to an emergency dentist, wait til you got to the yard to see a company dentist etc. Then there should not be this problem.
If your dentist did file the right paperwork and didn't get paid from w/c, did you already pay him out of pocket or using other dental insurance? If you paid this out of pocket or with your other insurance, it might be that w/c thinks the dentist is double billing.
From having a couple of workmans comp injuries in my driving career, one being of 17 total months off duty due to a wreck that I had to fight w/c tooth and nail over, I would suggest that you contact a w/c specialist attorney and see what he has to say. Most will do initial consultations for free.
BTW, I pulled flats for 6 years...stand a little to the side and do not pull down so tight...it only compromises the integrity of the tarp strap. ;-)
2007-10-26 11:53:12 · answer #1 · answered by ladygodiva1953 4 · 0⤊ 0⤋
Ug, dental claims are particularly tough with workers comp, because it's darned hard to find a dentist willing to work with the comp rates.
If the notice and the claim went in in a timely manner (within 3 days), and you saw the dentist right away, then what's the issue? Either they are denying the claim, or they're paying the dental rate. So, which are they telling you?
2007-10-26 17:30:52 · answer #2 · answered by Anonymous 7 · 0⤊ 0⤋
I'm sorry that that happened to you. Worker's compensation claims seem to be difficult to prove and companies may try to get out of paying the injured employee even though they were hurt while working. My friend was clearly injured at work and they've given her such a hard time so she had to get a worker's comp lawyer. They seem to take cases that they feel will garner some type of compensation. Perhaps you can find such a lawyer in the yellow pages of your county phonebook under 'lawyer' and then 'worker's comp' and talk to a couple of different ones who offer free consultations.
2007-10-26 17:30:43 · answer #3 · answered by jannsody 7 · 0⤊ 0⤋
What are they not paying?? You should have dental bills paid and if you missed any time from work over the waiting period, some temporary compensation. If you are getting billed from any medical provider, send them to your adjuster. If your medical provider does not know you have a work comp claim, they will bill you and your adjuster will not know unless you tell them. Otherwise, there is no pain and suffering payment at all for work comp.
2007-10-27 16:23:46 · answer #4 · answered by Don Drapers woman 6 · 0⤊ 0⤋
That's strange. A few years ago, I tripped and broke a shoulder at work.
I had absolutely no trouble at all.I just told the provider who I worked for, and that it was a WC case.
Did your dr submit the bill to the WC Carrier? Unless they see a bill, your claim is goingnowhere. Also, why do YOU have to file a claim? That's up to the provider.
2007-10-26 17:29:14 · answer #5 · answered by TedEx 7 · 0⤊ 0⤋
The reason it is a hassle because if it was easy, everyone would be filing claims. Keep following up with them
2007-10-26 16:40:03 · answer #6 · answered by hirebookkeeper 6 · 2⤊ 0⤋