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Filed under Maximizing your settlement, Miscellaneous information by
I have been classified Catostrophic by GBWC and am totally disabled. Everyone concerned has no objections. My insurance Co. has said that they may want to settle. Medicare setaside has already benn set. What should I be looking for in a settlement. Is there an amount that I should be looking for . I am 55 and will not be able to work again. My claim is covered by the SITF. , but my Ins. Co. is in rehab. Thanks I look forward to your answers.
–James
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I was injured in a car accident in Dec. 2004 while on the job. Workers comp accepted responsibility and paid my medical and PT expenses. Extensive injuries included broken femur, broken (upper) arm, fractured liver (which required surgery for continued bleeding), broken ribs, punctured lung, etc. Spent 24 days in ICU. After several months recovery at home, Dr. declared me at 7% disability, and worker's comp paid several months worth of benefits based on that rating. Now it is 2 years later and while I am able to work, I still have little strength in my arm, and I walk with a limp (and occasionally my leg gives way and I nearly fall). Some days are pretty painful, although I manage to hold down a full-time job. One year ago, they asked if I wanted to settle (not naming a figure) and I declined. Nothing else has been mentioned. Can you give me a vague figure for settlement for these type injuries and also will my time run out for settlement?
Jodi Ginsberg replies: I look at a number of factors when creating a demand for settlement. There are two "big picture" concepts that apply:
1) the best time to settle is when there is maximum uncertainty in your case. Perhaps you are facing surgery, which would mean unknown medical costs and unknown lost wage benefits payable. Perhaps your doctor is proposing conservative treatment in the form of several months of physical therapy after which possible surgery. As your lawyer, I can make the argument that the insurance company's potential financial exposure might be XYZ dollars. If your doctor has released you back to work or if your doctor has already performed surgery and you are participaing in an uneventful rehabilitation, there is less uncertainty and less reason for the insurance company to value the case at a high number.
2) insurance companies look at their potential financial exposure when deciding how much to offer you in settlement. They don't care who you are or what you did. They are only concerned about money. If we can convince them that they may be on the hook for hundreds of thousands of dollars, they will offer substantially more than they would if they calculate their exposure at a few thousand dollars.
Here, my biggest concern has to do with the age of your case. First, you may have a statute of limitations problem. Second, you would have to link your current problems back to an accident that happened two years ago, despite your return to work. The insurance company will argue that any current problems may have to do with your post-December, 2004 work (or perhaps non-work) activity.
Returning to work, as you may have guessed, can create issues with settling a case.
They have already paid you PPD (permanent partial disability) so you would need another doctor to give you a higher PPD rating that what you already have.
I think that your case has some settlement value, but perhaps not as much as it would have had in 2005. If you want to call me to discuss, please feel free to do so.
Technorati Tags: workers compensation settlement, ppd rating, ttd benefits, georgia worker compensation
More on What is Two Year Old Case Worth in Settlement if I Have Returned to Work?
Filed under Georgia Workers' Compensation, Maximizing your settlement, Settlements by
I was in Savannah, GA. attending a seminar at my employer's request. On Thursday, 9/21/06, I slipped in the bathtub and suffered a spiral fracture of the fifth metatarsal bone in my left foot. As a result of that injury, I had to undergo a four-hour surgery on 10/11/06 to repair the fracture. I have not been able to return to work due to doctor's orders. Last Friday I got a phone call from my supervisor who told me I was being terminated. Jodi Ginsberg responds: I am happy to speak with you about your case; your injury; rights to benefits; specialized medical care; potential lump sum settlment and reason for termination. I am curious why your employer called you to terminate you. Is it due to the time missed from your injury? Are you on TTD (temporary total disability) benefits while on the no work status? If so and there is no reason to fire you other than injury then this termination may actually help your case. If you are being terminated because of an on-the-job injury, you may be gaining additional leverage to obtain more weeks of TTD benefits, and perhaps a larger lump sum settlement. Assuming that your doctor releases you to either light duty or full duty work, the question becomes whether your employer has a job for you. If you have been terminated, this question is more difficult to answer and you can use this uncertainty to argue for a larger settlement. In addition, when you settle, your claims under the Americans With Disabilities Act might be part of the negotiations. As in any workers' compensation case, timing and leverage are all important. Knowing when to push for settlement and knowing how to use the circumstances of termination for the benefit of our clients are part of what workers' compensation lawyers like me do on a day to day basis.
Technorati Tags: employee terminated after suffering on-the-job injury, workers compensation settlements
More on I Was Terminated After Reporting My Workers Comp Injury – Will That Hurt My Case?
Filed under Georgia Workers' Compensation, Maximizing your settlement, Winning Strategies by
I am frequently called upon by my clients to explain the difference between settling their workers' comp cases and agreeing to a "no-liability" stipulation.
If the insurance company has paid benefits, paid for medical care and accepted the on-the-job injury claim as compensible, then the only type of settlement permitted is a standard settlement.
Yesterday, I settled a very intense closed head injury case for almost $200,000. In looking back over this case, it strikes me that there are several important lessons here for anyone pursuing Georgia workers' comp benefits.
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