THE IDAHO WORKERS
COMPENSATION LAWYERS

See if you have a case.

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idaho work comp claims at a glance

Report the Injury

The injured employee should immediately report the incident to his or her employer.

Written Record

Reporting will help to verify the accident later because a written record of injury will be made.

Medical Attention

It is also important that the employee seek medical attention as soon as possible. This lays the groundwork for the claim.

Accident Report

Next, the employer must fill out an accident report. The employer is required to complete the First Report of Injury or Illness form, as required by the Idaho Industrial Commission, and send it to the insurance company.

Insurance Process

The insurance company will speak to the attending physician to determine whether to honor the claim and how to value it. This can be time-consuming and difficult, especially since the adjuster may not understand the extent of the injuries or the seriousness of the situation.

Acquire Legal Counsel

After filing your accident report, immediately acquiring legal counsel is key. Call Litster Frost Injury Lawyers today for a free consultation!

* While these are not the only steps, these are very important.

WHAT IF YOUR CLAIM IS DENIED?

01

Denial of workers compensation claims is not an uncommon occurrence.

When this happens, your counsel can question the insurance agency to find out where the errors were. Armed with this information, we begin building your case. During this process, we will act as the intermediary to ensure no loopholes are present that could result in denial of benefits.

Claim denials introduce a lot of paperwork.

Gathering witnesses, speaking with medical professionals, and finding a way to absorb any additional expenses are tasks that all fall on your attorney. Securing documentation to prove your innocence is the first priority. Once all documentation has been gathered, we will appeal your claim, which will then go into review.

02

There are two types of benefits afforded by workers compensation.

Temporary: Temporary disability is when a professional deems that the employee is injured but has the potential to fully heal and return to work.

Permanent: Someone with a permanent disability will be diagnosed by a medical professional who advises that the employee can no longer work in their previous capacity due to the accident. It is the doctor’s opinion that there is no chance of complete rehabilitation. You never want to fully trust medical professionals who were recommended to you by the insurance company of your employer.

03

04

Why do insurance companies deny claims?

From the misspelling of a name to something more technical, workers compensation claims can be tied up for a very long time.

Make sure you are putting yourself in the right position to get your claim approved. Making small mistakes can hold up your claim for months, and fighting with an employer who is trying to deny you benefits can take even longer.

What happens After the Claims Process?

01

Once the claim is under review again, we work to come to an agreement with the insurance company.

Again, they are not in business to represent you—they represent the best interests of your employer. We start negotiations, making sure all variables are considered, such as pain, suffering, loss of income, loss of work, and other elements that paint the complete picture of how much devastation your injury has caused.

Each day, workers compensation claims are filed and denied.

Don’t put you or your family at risk by being negligent. Time is of the essence when filing a claim.
02

The longer you wait, the greater your chances of being denied, especially if you are seeking medical attention.

Most claim windows expire 60 days after the injury. If you do not file your claim within that time period, you will forego your chances.

03

04

We fight to get you interim payments to offset your income during this time.

Most people do not realize that having adequate legal representation is the only way to ensure a complete and thorough settlement that is fair and unbiased.

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LUMP SUM SETTLEMENT?

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LUMP SUM
SETTLEMENTS

An attorney can help determine whether the settlement will cover your condition. Remember, your injuries could worsen over the years, but a lump sum settlement closes your case for good.

 

Types of lump sum settlements include:

 

– DCS – settles a denied claim. The denial is made final, and you forfeit your right to future payments.


– CDA – settles an accepted claim. While you give up other benefits, you retain the right to medical treatment and preferred worker benefits.