WC Terminology
The injured worker is deemed to be “as healthy as he is going to get.
What is Maximum Medical Improvement/MMI?
It’s a no-fault system.
What is Workers compensation?
What is not covered under WC?
Injuries received by a fight that an employee started
Lost income recovery - total disability.
What is Temporary Total Disability (TTD)?
You are entitled to workers' compensation and are prohibited from suing Alsco.
Can I Sue My Employer?
A third party is a person or entity that contributed in some way to the workplace injury or illness.
What is subrogation?
An employee retains/hires a lawyer.
When can negotiations on a settlement can begin?
Emotional injuries that are not accompanied by a physical workplace trauma.
What is an uncovered loss?
To function in his or her chosen work, but not at full capacity.
What are Permanent Partial Disability (PPD) benefits?
Subpoenas and interrogatories.
What are forms of discovery?
The loss or use of a normal body function as a result of the injury.
What is an impairment rating?
Both sides can’t agree on a settlement amount.
What is a mediation?
Damages for injury-related costs, including pain and suffering.
What are personal injury claims?
Compensation for lifetime disability benefits.
What are Permanent Total Disability (PTD) benefits?
Medical past may complicate current claim.
What are pre-existing conditions?
Evaluation when we disagree with a doctor’s rating of an injured worker.
What is an independent medical examination or IME?
Determine the type of settlement.
What is a lump sum settlement (structured), a clincher, STIP or a C&R?
Denied reason for WC
What are injuries sustained due to being intoxicated in the workplace.
Benefits to the spouse or dependents if a worker dies.
What are survivor benefits?
Identify suspicious inconsistencies or irregularities.
What is a potential fraudulent claim?
Statute of limitations could be one to three years.
How long does an employee have to file a claim?
Legal Opinion on difficult legal issues and denied claims.
What are workers' compensation hearings?
Accepted claims qualify for benefits.
What are medical, rehabilitative care expenses, and compensation for lost wages.
Gainful employment to a job compatible with the work restrictions assigned, with pay as close as possible to the pre-injury wages.
What are vocational rehabilitation benefits?
Knowledge of appeal procedures and legal defense strategies.
How to defend a denied claim?