NC Workers Comp Secrets – You were sent to a doctor for a reason

After you file your Workers Compensation claim in North Carolina, the insurance carrier has several choices – they can either deny your claim (in which case we strongly recommend that you contact a workers comp lawyer immediately), or they will accept liability for your claim.

If the insurance company accepts liability for your claim, then they have the option to direct your medical care.  That means that they can and will tell you which doctors to see for your injuries and medical treatment.  The insurance companies have been doing this for a long time, and they know which doctors will work with them to get you to back to work quickly (even if that is not what is right for you) and which ones will listen carefully when you tell them that you don’t think you can do your job.  Does the insurance company want you to see a good doctor?  Of course.  But the insurance company also wants you to see a doctor that will take their side in most disputes, and will try to get you back to work as soon as possible.

So the question remains, what to do if you disagree with the opinion of the doctor that the insurance company selected? In certain situations, (such as if you have been released to work but don’t feel like you can still do your job), you are entitled to seek a second opinion from a doctor of your own choosing.  In addition, if you receive a “permanent partial disability” rating, but you are not satisfied with your rating, then you may seek a second opinion under NC Statute 97-27(b).

The bottom line here is that if you are told something by your insurance company or adjuster – take it with a grain of salt.  Many adjusters will tell you that you have to go to their doctor and are not entitled to a second opinion.  This is simply not true.  If you have questions about your rights, than seek out a workers compensation attorney that can answer your questions.

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    2 Responses to NC Workers Comp Secrets – You were sent to a doctor for a reason
    1. Donna
      June 9, 2011 | 5:35 pm

      I injured my back in March of 2010, since then I have reinjured twice at work. It was a strain that would not heal, as a result my back is weak and I keep re injuring it. a couple of days ago I re injured at work. I went to ER and was written out of work for 3 days, the ins. company was not happy with the instructions(to return as tolerated) so they sent me to urgent care a day later, I told the Dr. that I did not feel like I could preform my duties any longer due to my back being so weak and in pain, she told me she was not allowed to write me out of work. I cannot continue to do this particular job because I am going to continue to damage my back. If I resign will they have to offer settlement?

      • Jim Hart
        August 8, 2011 | 10:58 am

        You should probably speak to a Worker’s Comp lawyer before you decide what to do. Sorry I can’t give you more information than that.

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    NC Workers Comp Secrets – You were sent to a doctor for a reason

    After you file your Workers Compensation claim in North Carolina, the insurance carrier has several choices – they can either deny your claim (in which case we strongly recommend that you contact a workers comp lawyer immediately), or they will accept liability for your claim.

    If the insurance company accepts liability for your claim, then they have the option to direct your medical care.  That means that they can and will tell you which doctors to see for your injuries and medical treatment.  The insurance companies have been doing this for a long time, and they know which doctors will work with them to get you to back to work quickly (even if that is not what is right for you) and which ones will listen carefully when you tell them that you don’t think you can do your job.  Does the insurance company want you to see a good doctor?  Of course.  But the insurance company also wants you to see a doctor that will take their side in most disputes, and will try to get you back to work as soon as possible.

    So the question remains, what to do if you disagree with the opinion of the doctor that the insurance company selected? In certain situations, (such as if you have been released to work but don’t feel like you can still do your job), you are entitled to seek a second opinion from a doctor of your own choosing.  In addition, if you receive a “permanent partial disability” rating, but you are not satisfied with your rating, then you may seek a second opinion under NC Statute 97-27(b).

    The bottom line here is that if you are told something by your insurance company or adjuster – take it with a grain of salt.  Many adjusters will tell you that you have to go to their doctor and are not entitled to a second opinion.  This is simply not true.  If you have questions about your rights, than seek out a workers compensation attorney that can answer your questions.

    Be Sociable, Share!
      2 Responses to NC Workers Comp Secrets – You were sent to a doctor for a reason
      1. Donna
        June 9, 2011 | 5:35 pm

        I injured my back in March of 2010, since then I have reinjured twice at work. It was a strain that would not heal, as a result my back is weak and I keep re injuring it. a couple of days ago I re injured at work. I went to ER and was written out of work for 3 days, the ins. company was not happy with the instructions(to return as tolerated) so they sent me to urgent care a day later, I told the Dr. that I did not feel like I could preform my duties any longer due to my back being so weak and in pain, she told me she was not allowed to write me out of work. I cannot continue to do this particular job because I am going to continue to damage my back. If I resign will they have to offer settlement?

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