The two questions we, as worker’s compensation attorneys, are probably asked most often are “How much is my case worth?” and “What does worker’s comp pay for?”
The first question depends very much on the specifics of each individual case, and there is no easy rule or formula to give an answer.
With the second question, we can be more helpful. Any serious workplace injury that is due to negligence by your employer or your coworkers will be covered under state worker’s compensation laws. Every business with at least one employee is required to participate in the worker’s compensation system, either by purchasing insurance or by setting aside funds to “self-insure” in case of an employee accident. The program exists to make sure that workers get a recovery after a work-related accident without having to sue their employers; indeed, the worker’s compensation program makes it impossible for you to file a personal injury lawsuit against your employer.
Three categories of recovery
Worker’s compensation benefits fall broadly into three categories. After your serious workplace injury, your employer’s comp insurance manager should pay you benefits for one or more of these areas:
Medical treatment. Emergency medical care in response to your accident on the job is just one part of this. Any legitimate medical expenses that arise because of your work-related injury should be reimbursed by worker’s compensation. This may include medical tests and imaging, physical therapy, prosthetic devices, nursing care, and even short-term hospital stays. By law, your employer has the right to select a doctor for your care, and she must approve all treatments that worker’s comp will pay for.
Temporary total disability (TTD). This phrase refers to the period of time that you are unable to work; again, your fitness to work is decided by your employer’s chose physician. While you are temporarily disabled, worker’s compensation will pay a portion of your lost wages—generally about two-thirds your average wage, capped by a maximum set by your state legislature. When the company’s doctor says that you are well enough to return to work, these benefits stop.
Permanent disability or impairment. What happens if medical science cannot make you as well as you were before the injury? When the company’s doctor decides you have improved as much as you ever will from medical care, she will indicate a less-than-perfect recovery as a permanent disability or permanent impairment. She will also note in your medical records that you have a total disability or impairment if you are unable to perform any work at all, or a partial disability or impairment if you can do some work within new physical limits.
The missing recovery category
You might have noticed that there is no compensation for pain and suffering. That lack is one of the chief ways that worker’s compensation benefits differ from a lawsuit recovery. Worker’s comp gives you money only for medical care and disability, not for other losses. But, of course, you do not have the option to file a personal injury lawsuit against your employer if you were hurt at work.
So why do I need a lawyer?
If you are happy with the benefits that the worker’s comp insurance manager offers you, and if you trust the care and medical advice you’re getting from the company’s doctor, then you don’t need a lawyer. We wish you a speedy recovery.
Unfortunately, companies too often try to cut expenses by denying worker’s compensation benefits to injured employees, or by ending those benefits early, or by ordering them back to work before they have healed, or by denying them compensation for a permanent disability. Never forget that the company’s doctor can be in error when she evaluates you. In a situation like that, it is vital to have an experienced worker’s comp lawyer at your side to demand you’re given the benefits you deserve.
Our worker’s compensation attorneys practice in Delaware, New Jersey, Pennsylvania, and West Virginia, and we are thoroughly versed in the latest changes in worker’s compensation law. We want to work with you. We don’t get any payment unless we can secure a verdict or settlement for you, so we will do our best to make the company’s insurance administrator give you the compensation your case deserves.
Use our online form or call us toll-free at 1-800-COMPNEWS (1-800-266-7639) to get a free, no-obligation review of your case. When you talk with us, ask for your FREE copy of “The Book on Comp,” a DVD and book presentation pack.





