Do All Workers Comp Cases End in a Settlement?

In Florida, more than 77% of workers comp cases from 2011 to 2020 ended in a settlement. This figure does not necessarily reflect the workers’ comp settlement statistics for the entire country. But in general, more than half of workers comp cases do end in a settlement.

Whether the injured workers received a “fair settlement”, however, is another matter.

As you know, getting injured on the job entitles you to workers’ compensation benefits. Depending on the state, those benefits are generally paid by a private insurance provider. If they approve your claim, you’ll receive a settlement offer. You can usually choose whether to receive it as a lump sum or in structured payments.

While it can be tempting to agree to a workers’ comp settlement, you need to make sure you’re not getting the short end of the stick. Insurance companies are not exactly known for their generosity. So expect that they’ll pay you the lowest possible amount they can get away with.

This is why hiring an experienced workers comp attorney will be a great help. They know the law and they’ve handled hundreds if not thousands of workers comp cases like yours. As such, they can help you get the workers’ comp settlement amount that you deserve.

As an employee, it’s also important that you know how workers comp works. Your employer and insurance provider will usually tell you that all workers comp cases end in a settlement in an effort to convince you to accept the settlement amount they’re offering. But that’s not the case at all. You can always challenge that amount if you feel that you’re being shortchanged. Being familiar with the workers’ comp settlement process will give you an edge when things come to that.

A man with a broken arm filling out a workers compensation application.

The Workers Comp Settlement Process

Workers’ compensation is implemented on a state level. As such, workers’ comp laws tend to vary per state. But if you have a work-related injury, you’ll surely be eligible for workers’ comp benefits. In some states, it doesn’t matter whose fault the injury was as long as it happened at the workplace.

Certain businesses are also required to provide workers comp coverage to their employers too. If you’re from a high-risk industry like construction, then all the more reason your employer needs to get you a workers comp policy. In some states, you can get this from private insurance companies. While some places have state-funded workers compensation programs.

When you get injured, the first thing you need to do is report it to your employer. If you have workers comp insurance, your employer will then report it to your insurance provider. Make sure to report your injury immediately. Some states only give you up to 30 days to file a claim after you got injured or had known about your injury. Otherwise, you won’t get any benefits.

After you’ve filed a claim, the insurance company will evaluate your case. They’ll check your supporting documents and may even conduct an in-person investigation. If your state implements a no-fault policy, all you need to prove is that you’re really injured and your injury is work-related.

When they’re satisfied that your claim is legit, they’ll compute your settlement amount. If you agree with their offer, you’ll receive benefits according to your agreement. Otherwise, you can take your case to court.

If they deny your claim, you can also take it to court. The judge will decide if you should get benefits or not and if you do, how much you’ll get.

How Much Workers Comp Settlement Should You Receive?

There’s really no standard amount when it comes to workers comp settlement. There are a lot of factors that affect how much you’ll receive. This includes:

  • Your state. Workers’ comp laws and rates vary per state. Some states pay up to 80% in lost wages compensation while in others, you can only receive up to 60%.
  • Your injury. The severity of your injury and how it affected your earning capacity also determines how much you’ll receive. In general, the worse your injury is, the bigger the settlement you’ll receive.
  • Necessary Medical Procedures. In most states, the insurance provider will have to pay for all medical costs and expenses. So if you need surgery or multiple surgeries, you’ll receive funds to pay for such making your settlement a lot higher.

What Happens If You Accept a Settlement?

Accepting a workers’ comp settlement means that you’re absolving your employer and insurance provider of any future obligations that may arise. This means that you won’t be able to get any more benefits from them no matter how long your injury may last or any medical procedures that you might need.

But in some states, you cannot waive your rights to medical benefits. So even if you’ve already accepted a settlement, your insurance provider will still have to pay for any medical expenses that may arise.

If you’re not sure about your state’s workers comp laws, make sure to consult a workers comp attorney before accepting a settlement.

VICTOR MALCA LAW – A TRUSTED NAME IN FLORIDA

Victor Malca Law has over 25 years of litigation experience, we are the most trusted workers’ compensation lawyers in Florida. Our area of expertise is in representing injured workers on compensation benefit cases and disabled individuals claim social security disability benefits.

Our unwavering advocacy for employee rights and privileges are also recognized by our peers. Book a free consultation today.

Judy Ponio is a writer for Victor Malca LawAbout The Author

Judy Ponio is a writer for Victor Malca Law P.A. and enjoys helping people with questions about social security, workers compensation, and other serious matters involving people’s livelihood. She is not an attorney and her writing should not be considered legal advice.

Leave a comment