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When addressing workplace injuries, many individuals suffer due to the repetitive nature of their tasks, leading to the development of repetitive movement injuries. Our office specializes in handling workplace orthopedic injuries, encompassing conditions affecting the ankle, foot, knee, hip, elbow, arm, hand, wrist, shoulder, and back/spine. Returning to work at full capacity after an orthopedic injury can be challenging, and the expertise of a Los Angeles workplace orthopedic injury lawyer becomes invaluable in navigating benefit claims or appealing denials by insurance carriers.

Specific injuries, categorized as acute injuries or sudden traumas, result abruptly from a one-time incident and are prevalent in orthopedic cases. Our firm has successfully managed numerous specific injury cases involving external forces like stress, strain, lifting, carrying, squatting, reaching, falls, and collisions. Such injuries may include broken bones, muscle pulls, sprains, strains, fractures, dislocations, crush injuries, partial and complete muscle tears, ligament tears, herniated discs, nerve injuries, concussions, heart attacks, strokes, amputations, and complications from motor vehicle accidents or falls.

Experiencing a single accident can significantly impact your ability to work and function normally, necessitating consultation with a lawyer for filing a claim.

Proof for Job-Related Orthopedic Injuries

The aftermath of being injured is inherently stressful, compounded by the responsibility of proving the work-related nature of the injury. A seasoned Los Angeles workplace orthopedic injury attorney plays a crucial role in assisting you with the paperwork required for claim filing, managing communication with the carrier, and navigating the complexities inherent in such claims.

Medical reports from doctors, while focused on treatment, may lack the essential details and information required for insurance companies. For a robust workers' compensation claim, a "Medical-Legal" report is often indispensable. These reports delve into detailed legal issues regulated by law, including the percentage of work-related injury, potential pre-existing causes, the capacity to return to work, and the level of disability caused by the accident.

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Claim Denials and Reasons

Insurance carriers evaluate and decide on claim acceptance or denial, with a 90-day limit for denial from the notice of injury. Many initially denied claims are eventually found compensable, and claimants can appeal denials before a workers' compensation Appeals Board judge. Common reasons for claim denials include:

  • Repetitive Injuries (Wear-and-tear injuries, cumulative trauma injuries): Despite being frequently denied, evidence can be gathered to secure acceptance and initiate benefits.
  • Psychiatric injuries: Initial denials are common, given the complexity of these claims, but proper evidence can reverse decisions.
  • Lack of medical reports: Timely acquisition of medical-legal evidence within the 90-day window is crucial to counter premature denials.
  • Missing the deadline for filing a claim: Prompt reporting and filing are critical for a successful workers' compensation claim.

Discrepancies about whether the injury occurred due to the job: Expertise from a workers' compensation attorney is vital to meet specific legal requirements and secure claim acceptance.

Keys to Success

After a work-related injury, consulting with an attorney becomes essential to navigate complex workers' compensation laws. Promptly notifying your employer, seeking medical treatment, and filing a claim, if necessary, are steps that should be taken. Workers' compensation experts excel in presenting arguments and collecting evidence for a robust claim. Insurance companies often focus on denial, making the role of workers' compensation attorneys crucial in obtaining expert medical opinions to support the validity of a claim.

If a claim is denied, appealing the decision requires an experienced Los Angeles workplace orthopedic injury attorney. Our lead counsel, with over 40 years of proven courtroom experience, has been dedicated to safeguarding the rights of injured workers since 1972.

For those injured at work seeking discussions on workers' compensation benefits, a free consultation can be arranged by calling our office or contacting us online.

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