Clarification For These Claims Offered By A Workers Compensation Attorney In Burlington, VT

by | Aug 29, 2016 | Law Services

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In Vermont, all employers possess worker’s compensation to fulfill their legal obligations to their workers. The insurance pays medical costs and provides economic benefits during the worker’s recovery. However, some workers won’t receive these benefits due to eligibility requirements. A Workers Compensation Attorney in Burlington VT fights for workers who were entitled to benefits and were denied.

Was Proper Protocol Followed?

The employer must follow proper protocol when filing a worker’s compensation claim. The employee must acquire medical care within a thirty day period for their injuries. Next, the doctor is required to submit the medical report to the insurer in no more than ten days. Once the documents are received a claim’s adjuster is assigned to the claim.

The claim’s adjuster reviews the insurance claim. They determine if the injury meets the requirements according to the policy’s terms. If it meets the eligibility requirements, the claim’s adjuster processes the claim and provides these benefits to the worker. If they are denied, the adjuster provides a notification defining the exact reason.

Why was the Claim Denied?

The attorney reviews the denial notification and determines if the injury did qualify under the policy’s terms. If the worker’s injury qualified them for the benefits, the attorney files a motion through the court. The worker attends a hearing in which they present their case to a judge directly. The court schedules the hearing and notifies the worker through their attorney.

Decisions Made at the End of the Hearing

The judge provides a more objective decision based on all evidence presented. They need a thorough copy of the worker’s compensation policy, the medical records, and all correspondence between the worker and the insurance company. The judge evaluates the documents and listens to the testimony of both sides. They render a final judgment on the claim.

In Vermont, all employers must purchase worker’s compensation insurance when they hire workers. The policy covers any on-the-job accidents and offers monetary benefits for the worker. The benefits are up to sixty percent of their wages. However, some workers are denied these benefits. Employees that were denied should hire a Workers Compensation Attorney in Burlington VT by visiting Website URL today.