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re: Is workers comp difficult to deal with?

Posted on 5/15/26 at 9:14 pm to
Posted by shoelessjoe
Member since Jul 2006
11402 posts
Posted on 5/15/26 at 9:14 pm to
quote:

Was her paycheck for the previous week of work?


It was for the past two weeks which she only worked like : days out of the two weeks.
Posted by DarkDrifter
Louisiana
Member since Aug 2011
5715 posts
Posted on 5/15/26 at 9:14 pm to
quote:

She is salary but I was of the understanding that workers comp pays not the place of employment


Correct. It’s a temporary disability policy. Pays medical expenses incurred as well as covering payroll. Generally it’s about 2/3 regular payroll.

quote:

Could the employment be trying to keep it hush hush to not file a claim?


Possibly, but if she hasn’t been to a Dr as of yet they are trying to see how bad said claim is. Unfortunately this is a horrible way to handle it. Company should have immediately notified their agent and that agent should have notified the Comp company that way it releases the employer and puts it in the Comp company hands.
This post was edited on 5/15/26 at 9:16 pm
Posted by stuckintexas
Austin & DFW
Member since Sep 2009
3179 posts
Posted on 5/15/26 at 9:15 pm to
quote:

the workers comp notification hurts the business so I’m wondering if they are doing this to keep things quiet

Maybe. I've paid things out of pocket for employees to keep from getting dinged for something relatively minor.
Posted by shoelessjoe
Member since Jul 2006
11402 posts
Posted on 5/15/26 at 9:15 pm to
quote:

Possibly, but if she hasn’t been to a Dr as of yet they are trying to see how bad said claim is. Unfortunately this is a horrible way to handle it. Company should have immediately notified their agent and that agent should have notified the Comp company that way it releases the employer and puts it in the Comp company hands.


I think they did but to me you don’t make a payment,
Posted by shoelessjoe
Member since Jul 2006
11402 posts
Posted on 5/15/26 at 9:17 pm to
quote:

Maybe. I've paid things out of pocket for employees to keep from getting dinged for something relatively minor.


Who is to say it’s minor. It’s a back injury. My wife just got back to full strength before this happened
Posted by Proximo
Member since Aug 2011
24141 posts
Posted on 5/15/26 at 9:17 pm to
I’m a lawyer and handle these claims all the time. Yes it can be complicated, should probably talk to a WC lawyer to go through all of the facts and get an informed understanding

not legal advice but it behooves claimants to be careful about who they select as their choice of physician
This post was edited on 5/15/26 at 9:37 pm
Posted by DarkDrifter
Louisiana
Member since Aug 2011
5715 posts
Posted on 5/15/26 at 9:17 pm to
quote:

Maybe. I've paid things out of pocket for employees to keep from getting dinged for something relatively minor.


As someone who does this on a daily basis I hope you have them sign a release of future injuries
Posted by eyeofthetiger2121
Member since Sep 2021
98 posts
Posted on 5/15/26 at 9:20 pm to
If she went to a medical facility right after the injury and told them, it’s documented. Should be fine if a future lawsuit would ensue. Taking the right steps.
Posted by DarkDrifter
Louisiana
Member since Aug 2011
5715 posts
Posted on 5/15/26 at 9:20 pm to
quote:

I think they did but to me you don’t make a payment,


Is it possibly owed payroll prior to injury?
Posted by shoelessjoe
Member since Jul 2006
11402 posts
Posted on 5/15/26 at 9:23 pm to
quote:

Is it possibly owed payroll prior to injury?


No she worked only 3 days she did get. Message from employer to rest assured they would take care of her but to what point. They tell you this after giving you a paycheck hoping that it will all ok then to just not dealing with you because you didn’t follow the rules. Just nervous to what could happen if not done right. She just wants to get better so she can report back to work. Not trying to get over anyone.
Posted by stuckintexas
Austin & DFW
Member since Sep 2009
3179 posts
Posted on 5/15/26 at 9:25 pm to
quote:

Who is to say it’s minor

For one, I said relatively minor. Two, you don't have to act like needing a couple of stitches on a construction site is the same as blowing out your back or falling off a ladder.

quote:

My wife just got back to full strength before this happened

Back to full strength from what? Are you saying she had an underlying or existing condition that could be the actual cause, not a work-related injury?
Posted by Proximo
Member since Aug 2011
24141 posts
Posted on 5/15/26 at 9:25 pm to
quote:

No she worked only 3 days

Then it’s potentially wages in lieu of TTD in wc
Posted by shoelessjoe
Member since Jul 2006
11402 posts
Posted on 5/15/26 at 9:26 pm to
quote:

What did she turn in on her time sheet? Did she take PTO


Her time worked and no pto
Posted by DarkDrifter
Louisiana
Member since Aug 2011
5715 posts
Posted on 5/15/26 at 9:27 pm to
quote:

No she worked only 3 days she did get. Message from employer to rest assured they would take care of her but to what point


Gotcha, definitely document everything to the T..

She work in a office setting?
Posted by Dixie2023
Member since Mar 2023
5218 posts
Posted on 5/15/26 at 9:28 pm to
It’s doubtful they are trying to hide anything. She got paid bc she’s salary vs hourly and not on leave per se? I fell at work getting out of the elevator bc I didn’t see the elevator floor was off a little and tripped. Work sent me a WC claim no. and card immediately even though I said I was fine and never used it. They finally left me alone. They are covering themselves with WC not hiding from it. Yes you are overthinking.
Posted by shutterspeed
MS Gulf Coast
Member since May 2007
72436 posts
Posted on 5/15/26 at 9:30 pm to
quote:

Who is to say it’s minor. It’s a back injury. My wife just got back to full strength before this happened


Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
30466 posts
Posted on 5/15/26 at 9:30 pm to
quote:

Should be fine if a future lawsuit would ensue.


The choice of the word lawsuit in that sentence makes my skin itch. There is at least one other person in this thread who knows why.
Posted by shoelessjoe
Member since Jul 2006
11402 posts
Posted on 5/15/26 at 9:31 pm to
[u]Back to full strength from what? Are you saying she had an underlying or existing condition that could be the actual cause, not a work-related injury?[/u
Pulled muscle and released from doctor. This was totally different injury
Posted by boosiebadazz
Member since Feb 2008
85624 posts
Posted on 5/15/26 at 9:32 pm to
I’m going to try and give you some info without straying into legal advice. In Louisiana, the obligation to pay medical and indemnity (the weekly check) is imparted to the employer. Most buy insurance to transfer those obligations and that risk.

I say that to say, her employer paying her regular wages instead of the comp rate is not necessarily a red flag.

Also, medical billing in this country is fricking retarded. If this happened in the last month and you’ve not received a bill, don’t worry. If you have, submit it to her employer.

The other guy is correct in that her choice of physician is important. It’s a back injury and you mentioned she “just got right” before the injury. That’s a minefield legally speaking.

Most lawyers who do this type of work offer free consultations.

It’s probably worth your time to call one and go sit down with them.
This post was edited on 5/15/26 at 9:37 pm
Posted by shoelessjoe
Member since Jul 2006
11402 posts
Posted on 5/15/26 at 9:33 pm to
quote:

She work in a office setting?


No travels.
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