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What Is the Workers’ Compensation Claims Process in California?

  • Published: September 10, 2022

In the event that a worker is injured during the course of their workday, they are entitled to file for workers’ compensation benefits. However, the process of doing so can be complicated and take time to resolve. In California, workers’ compensation claims follow a certain procedure in order to streamline the process and determine appropriate benefits as efficiently as possible. Understanding what this process entails can help you navigate it in a way that is most beneficial to you and your needs. 

If you have been injured while on the job in California and are filing for workers’ compensation benefits, it is important that you know what steps you need to take and what information you need to gather before moving forward with the claim process. Learn more about how the claims process works in California by partnering with KCNS Law Group.

What Is the Workers’ Compensation Process?

The workers’ compensation process in California is designed to help employees who are injured on the job. If you are injured at work, you will need to file a claim with your employer. Your employer will then file an application with the state’s workers’ compensation program. If your claim is approved, you will receive compensation for medical bills or wages lost from missing work from the program. If your claim is denied, you can appeal the decision or hire a compensation attorney to help you. Here are the steps you need to take: 

1. Report Your Injury

If you suffer a workplace injury, you should immediately notify your employer in writing and seek medical attention if necessary. You may also want to contact a compensation attorney to discuss your legal options and whether you are entitled to workers’ compensation benefits.

2. File a Claim

If you are injured at work, you will need to file a claim form with your employer. Your employer will then provide you with medical treatment and compensation benefits as required by the labor code. Your treating physician will determine if you have a disability and whether or not you are eligible for disability benefits as well.

3. Manage Insurance Company Documents

If you are injured in an accident and need medical treatment, the insurance company will send you a document called a “medical authorization” to give to your doctor. This authorizes the doctor to provide treatment and bill the insurance company. 

Furthermore, if you have a disability caused by the accident, the insurance company will send you a document called a “disability authorization” to give to your employer, which authorizes your employer to provide income protection benefits and bill the insurance company. If the insurance company denies your claim, they will send you a denial letter explaining why they have denied your claim.

What If I Have a Dispute With The Insurance Company? 

If you have a dispute with your insurance company, you may be able to file a claim with the Department of Insurance. The Department of Insurance can help you resolve problems with your insurance company, including issues related to disability or medical treatment they may not want to provide ample coverage for. You may also want to consult an attorney if you feel your rights have been violated in any way during the process.

Get Help Filing Your Workers’ Comp Claim

Filing any insurance claim can be difficult, especially when trying to recover from injuries. Fortunately, you can get help filing your claim by partnering with us at KCNS Law Group. Getting legal help doesn’t have to be difficult or take a lot of time, and we will be with you every step of the way through the process. 

All you have to do is contact us online or at (818) 937-9255. We can assess your case and help you organize your claim.

KCNS Law Group LLP

Our client-based approach is concentrated on our commitment to providing individual and strategic representation tailored to our client’s specific needs.

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