Articles Banner

The Workers’ Compensation Process in Pennsylvania

Workers in Philadelphia can sustain work-related injuries or illnesses that leave them unable to perform their jobs. These situations may be short-term, long-term or even permanent. Employees in any industry or job type can experience these situations and therefore it is important that all Pennsylvania residents learn about the state’s process of filing Workers’ Compensation claims.

What is Workers’ Compensation?

Workers’ compensation is a form of government assistance that is available to people rendered unable to work due to injuries or illnesses associated with their workplaces. The program is run by the Pennsylvania Department of Labor and Industry and offers four different benefit types based upon the situation. These different benefits include:

  • Benefits to compensate for lost wages
  • Payments for medical needs and treatment
  • Compensation for death
  • Payments related to disfigurement of loss of body part use

Many factors can affect these four benefits. They can be classified as permanent partial disability benefits or temporary total benefits. The criteria for each of these types of benefits is different and the length of time that payments will be approved is also different. People who are able to resume working to some degree after an incident but who earn less money than they did before can still be eligible for benefits.

How to get medical care

When medical care is needed for an illness or injury related to a workplace incident or situation, Workers’ Compensation can help. It is important to understand that for any claim paid directly through the state’s program, the employee is able to select the provider.

For any claim paid directly by the employer, however, a special process for seeking care is in force. Employers can post preferred provider lists at the places of employment and employees must then utilize those providers for at least the first 90 days of treatment. There can be options for receiving second opinions if an initial provider recommends invasive surgeries or other treatments.

The claims process

The Workers’ Compensation process can be cumbersome and a claim approval is not always guaranteed. All forms must be completed in full without missing data. Even the slightest misstep can affect a claim outcome. Denied claims can be appealed to the Workers’ Compensation Appeals Board. The Commonwealth Court also hears cases beyond that if necessary.

Work with an attorney

Because of the challenging process, it is advised to work with an attorney when seeking Pennsylvania Workers’ Compensation benefits. The professional knowledge and experience of the Philadelphia Workers’ Compensation lawyers at the law offices of Jeffrey S. Gross can help people receive the assistance they need. Call 215-512-1500 or contact us online today.