Understanding Workers’ Compensation Law in Twin Falls, ID When a Claim Is Denied or Curtailed

by | Aug 16, 2017 | Lawyers

If an individual is not satisfied with the money they received for a workers’ compensation claim, they may want to file a lawsuit against their employer. Many people think about this possibility, but state laws actually prohibit the action except in particular circumstances, such as when someone is working on contract and is not actually an employee. It is important to learn the basics of workers’ compensation law in Twin Falls, ID to understand how the system works.

A System to Benefit Employers and Workers

Workers’ compensation law in Twin Falls, ID was developed to protect both employees and employers. Employers are protected from personal injury lawsuits, and employees can begin receiving prompt payments to cover medical expenses, therapeutic equipment, and lost wages. If everyone who is injured on the job had to file a lawsuit or attempt to negotiate a fair settlement with an insurer, this would be an arduous and time-consuming task. Money might not arrive for months, and there would even be a risk of receiving no compensation at all.

Dissatisfaction with the Process

For what reasons might an employee feel dissatisfied with the outcome of their claim and wish for the ability to file suit? One instance would be when the insurer denies the claim outright because it disputes some aspect of the information. Another would be when the insurer determines that the person should return to work full time and, thus, stops paying benefits. A person who is unhappy about these types of decisions by the insurer may schedule an appointment with an organization such as Gariepy Law Offices.

Supporting the Case

In the matter of claims being denied, sometimes the worker can provide additional information to support the case, and other times there is little or nothing to be done. Someone who was hurt on the job and was found to have been intoxicated will most likely not be successful in appealing the denial. If the claim has been cut short, the individual will need to provide expert evidence that returning to work full-time is not possible or advisable. Statements from additional medical doctors will likely be necessary.

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