Kevin Kampschror, Esq.
If you are injured at work, you will have to deal directly with an insurance
company through an adjuster. However, if you retain an attorney, you will
never have to deal with adjuster unless there are extremely extenuating
circumstances as your attorney will be the contact point for you. Either
way, you may encounter an adjuster attempting to use the medical degree
or the medical training that they do not have. The final outcome of this
is that you may not get the treatment you need and are entitled to, and
you may be leaving thousands of dollars on the table.
Being represented by an attorney is very important for this very reason.
You may not know that the doctor is ordering testing such as EMGs or MRIs,
only to have the adjuster make an arbitrary decision to deny the treatment,
citing whatever reason they see fit on their determination letter. Alarmingly,
this does not only happen when there are competing doctor’s opinions
on what the treatment should entail under the claim. In fact, there could
be a consensus amongst multiple doctors that you require certain treatment
and the adjuster still has the power to deny the treatment. The only remedy
the injured worker has is to file an appeal, wait to go to court, and
then wait for a decision (that the insurer will then have thirty-three
(33) days to comply with).
Does that sound unfair? It is.
To speak with a Las Vegas workers' compensation attorney about your
contact us today.