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PoindexterOglethorpe

(25,906 posts)
1. Do you mean a workman's comp meaning you were injured on the job?
Fri Jan 18, 2019, 02:08 AM
Jan 2019

I've had one or two such claims in the distant past, and can't recall very much, other than I got paid for the time I was out on workman's comp. I believe such programs are state programs, so you might want to do a bit more research, or at least give us a bit more information about your situation.

xmas74

(29,676 posts)
2. I work for my state for a program that receives
Fri Jan 18, 2019, 02:12 AM
Jan 2019

Upwards of 75% federal funding.

Slip and fall,snapped ankle. Received ER care with a splint,was told I would need ortho to decide if I needed a boot,a cast ir surgery. I've contacted HR who referred me to work comp. My case manager hasn't returned any calls. It has been a week since the accident.

Hamlette

(15,412 posts)
11. I did workers' comp for 10 years
Fri Jan 18, 2019, 02:42 AM
Jan 2019

on all three sides: working for inured workers, government agency, and insurance company. Most states have a state run workers' comp insurance co. that insures workers, or the state is self insured. If you can't get an answer from the union lawyer or case manager, call the state agency that handles disputes. Usually called Labor commission but may be different.

tosh

(4,424 posts)
3. I'm a small biz employer and
Fri Jan 18, 2019, 02:15 AM
Jan 2019

we pay a private insurance co. For workers comp. it is regulated by your state and administered through private insurance company. You should have NO glitches.

Edited to add: just saw your reply above but still, I think you you won’t hit any snags.

xmas74

(29,676 posts)
4. I would have thought I would have an answer
Fri Jan 18, 2019, 02:18 AM
Jan 2019

From them. I've been in a temporary splint for a week and the only pain med is otc Tylenol. It is still very swollen and painful.

I am worried since I work for state government.

 

Wellstone ruled

(34,661 posts)
5. Be prepared for the worst and hope for the best.
Fri Jan 18, 2019, 02:18 AM
Jan 2019

Depending on which State your Claim is in,so many variables. Many of the very Conservative States are anti Work Relate Injury Claims,meaning the Dollars applied to the Claim are very small or have a very small total Cap on Medical and Loss Wage limits.

Worse Case scenerio you are most likely will have to fine a Attorney who is well versed in your States Worker Comp laws.

What ever you do,do not get yourself sideways with your Employer or your immediate Supervisor. Watch what you say and good luck.

 

Wellstone ruled

(34,661 posts)
7. Great to here.
Fri Jan 18, 2019, 02:34 AM
Jan 2019

Good luck and protect your back side.

Been down that road,had to retire five years early due to a Onsight injury caused by a Management F-- up. Make damn sure your claim is fully activated by your Employer. Supervisor's love to dumb down the Injury or Pigeon hole the whole damn claim. Comp Insurance Carriers love it when there is a error with the claim. Especially if you are headed for any major Surgery or if it involves any type of Orthopedic and rehabilitation .

What ever you do,be very cautious as to what you say and whom you say it to. As someone who was a Shop Stew and Board Member,think I have over the years seen it and heard it. Seen the Games played on high buck claims. Document document and document.

Hopefully you do not get tangled with a Corporate Paid Hack for Medical treatment.

xmas74

(29,676 posts)
16. As of this morning I plan to let my attorney
Fri Jan 18, 2019, 03:04 AM
Jan 2019

Handle any further inquiries and will cooperate when advised.

 

Wellstone ruled

(34,661 posts)
18. Thanks for the feedback.
Fri Jan 18, 2019, 12:42 PM
Jan 2019

You are one of the few how has gone in the right direction. Wish you the best. And good luck with your treatments and recovery.

Rollo

(2,559 posts)
8. I have had to use work comp a couple of times
Fri Jan 18, 2019, 02:34 AM
Jan 2019

Usually, at least in my experience, you have to go first to the medical provider specified in the workmans' compensation agreement. However it is possible in advance to specify some other provider as the first service. This is in California and I don't know how it applies to Missouri.

I have heard complaints about some workman's comp providers, so it may be in your best interest to specify a doctor or medical service of your choice to provide workman's comp care. Also, the medical providers want to know right away if it's an at-work injury so they know who to bill - the workman's comp agency or your medical insurance. Since you work for the state this all should be fairly well documented and accessible.

If you are kept off the job for more than a few days because of your on-the-job injury, you may be eligible for disability pay, which means you wouldn't have to burn through your vacation leave or go unpaid for the duration. Again, in my experience, disability pay is fairly good - about 70% of your regular earnings, tax free (since it's insurance money).

Again, I'm in California so your situation may well be different. I wouldn't worry about the federal shutdown, though, at least not at this point.

Rollo

(2,559 posts)
9. It may also be possible in your state to have your care transferred from the workman's comp hack...
Fri Jan 18, 2019, 02:36 AM
Jan 2019

... to a physician or clinic of your choice.

marylandblue

(12,344 posts)
10. Even though your program is federally funded, you are state employee
Fri Jan 18, 2019, 02:39 AM
Jan 2019

So your workers comp claim should be paid out of state funds not federal funds. Your case manager's job is partly to save the state money. They may be dragging their feet hoping you'll get frustrated and go away.

xmas74

(29,676 posts)
13. That could be.
Fri Jan 18, 2019, 02:46 AM
Jan 2019

HR stated that I cannot return to work without the ortho evaluation and that they will only support modified work if in a boot.

marylandblue

(12,344 posts)
14. Then that's a serious injury so legally your case is strong.
Fri Jan 18, 2019, 02:53 AM
Jan 2019

The case manager should really be helping you get the evaluation so you can return to work.

xmas74

(29,676 posts)
15. I tried to call in during the storm last week
Fri Jan 18, 2019, 03:02 AM
Jan 2019

Was informed it would be an automatic write up w possible suspension-everyone told the same thing. I drove to work, slipped and fell on a half inch of ice in an untreated lot with no lighting to see where you are walking. I called the supervisor,who stayed home and was told to wait for relief. It took 12 hours for relief to arrive. I was told to report to the ER, where x ray confirmed the fracture. I was also informed there might be a smaller "hairline" in my foot but everything was too swollen to tell and it might show when the swelling subsides.

I was given a temporary splint and a prescription. I called and asked where to fill the script and was informed that only work comp can give consent and to take Tylenol until they give consent to fill it.

marylandblue

(12,344 posts)
17. Sorry you are going through all that, it's really not right.
Fri Jan 18, 2019, 03:22 AM
Jan 2019

I hope your union attorney can straighten it out. The union has probably dealt with this a lot.

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