Work Comp Talk Podcast
Work Comp Talk Podcast
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Top Red Flags Claims Adjusters Look for in California Workers' Compensation
☎️ Need help with your Workers' Comp? Call our team 800-606-6999.
Schedule your free, confidential consultation here:
pacificworkers.co/book-your-appointment/
In this episode #96 of Work Comp Talk, host Carmen welcomes Bilal back to discuss important red flags in the California Workers' Compensation system that claims adjusters look for.
The discussion underscores the importance of promptly and accurately reporting injuries, maintaining detailed records, and being fully transparent with doctors to protect one’s credibility. Through the lens of a hypothetical worker named Maria, Carmen and Bilal illustrate how even minor inconsistencies can significantly affect the outcome of a claim.
They explore key scenarios, such as delays in reporting injuries, the absence of witnesses, and the potential fallout from engaging in activities that contradict injury claims-particularly when shared on social media. Additionally, they highlight the risks of failing to report injuries before termination, which can result in claims being denied entirely.
Practical advice includes keeping thorough documentation, being honest about one’s condition, and ensuring all forms are completed accurately. By addressing these common pitfalls, Carmen and Bilal provide injured workers with essential insights to navigate their claims effectively and safeguard their benefits.
The hosts aim to provide injured workers with the knowledge to manage their claims effectively and avoid pitfalls that could jeopardize their benefits.
🌐 Sponsor:
This episode is sponsored by Pacific Workers, Northern California’s leading law firm for injured workers.
🔔 Subscribe to Work Comp Talk Podcast for more insights on navigating the California's workers' compensation system and stay updated on our latest episodes! Don't forget to follow us on our other UA-cam Channel Pacific Workers as well for additional tips and resources.
#WorkersCompensation #WorkCompTips #InjuryClaims #WorkplaceInjuries #CaliforniaWorkersComp #ReportInjuries #CredibilityMatters #ClaimRedFlags #AvoidMistakes #SocialMediaWarning #WorkersRights #CompensationTips #WorkCompHelp
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🎥 Chapters-
00:00 Introduction to Work Comp Talk
00:32 Reintroducing Bilal and Podcast Series Update
01:26 Understanding Red Flags in Workers' Comp
02:01 Maria's Story: A Hypothetical Case
04:08 Importance of Reporting and Documentation
06:29 Inconsistencies and Their Impact
16:20 Post-Termination Claims and Red Flags
18:35 Social Media and Surveillance Concerns
24:40 Conclusion and Final Thoughts
**********************************************************
This video is for educational purposes and does not constitute legal advice. There is no attorney-client relationship formed through interactions with this video. While examples may be given, Prior Results do not guarantee a similar outcome.
For proper legal advice and analysis of your case, call to set up a free consultation at 800-606-6999. This is attorney advertising. Pacific Workers, The Lawyers of Injured Workers, 333 Hegenberger Rd, Suite 751, Oakland, CA. 94621.
Переглядів: 558

Відео

Ep 95 - Can I Choose My Own Doctor for Workers' Comp in California?
Переглядів 22021 день тому
☎️ Need help with your Workers' Comp? Call our team 800-606-6999. Schedule your free, confidential consultation here: pacificworkers.co/book-your-appointment/ In episode #95 of Work Comp Talk, Carmen Ramirez sits down with Workers’ Comp Attorney David Mojica to discuss if you can choose your own doctor within the California's Workers' Compensation System. This is one of the most asked questions...
Ep 94 - What Every Firefighter Should Know About Workers' Comp?
Переглядів 177Місяць тому
Ep 94 - What Every Firefighter Should Know About Workers' Comp?
Ep 93 - Why did the CA Workers Compensation Deny My Case?
Переглядів 316Місяць тому
Ep 93 - Why did the CA Workers Compensation Deny My Case?
Ep 92 - Permanent Disability in Workers' Comp: Ratings, Benefits and Challenges!
Переглядів 1,3 тис.Місяць тому
Ep 92 - Permanent Disability in Workers' Comp: Ratings, Benefits and Challenges!
Ep 91 - Best of Work Comp Talk: Settlements, Trials, and More (Part 7)
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Ep 91 - Best of Work Comp Talk: Settlements, Trials, and More (Part 7)
Ep 90 - Best of Work Comp Talk: Secrets to Winning Your Case (Part 6)
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Ep 89 - Best of Work Comp Talk: Secrets to Winning Your Case (Part 5)
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Ep 89 - Best of Work Comp Talk: Secrets to Winning Your Case (Part 5)
Ep 88 - Best of Work Comp Talk: Secrets to Winning Your Case (Part 4)
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Ep 87 - Best of Work Comp Talk: Secrets to Winning Your Case (Part 3)
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Ep 86 - Best of Work Comp Talk - Part 2
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Ep 85 - Best of Work Comp Talk part 1
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Ep 81 - Will a New US President Change Workers' Comp?
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Ep 80 - Celebrating a Decade: The Journey of Pacific Workers
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Ep 77- Who Pays for Workers' Comp Benefits?
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Ep 77- Who Pays for Workers' Comp Benefits?
Ep 76 - What is the Workers' Compensation Appeals Board?
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Ep 75 - Can You Appeal Denied Claims in Workers' Comp?
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2024 Webinar : California Workers' Comp Made Simple
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Ep 73 - It’s 2024 Tax Time! Is Workers' Comp Taxable?
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Ep 72 - Why does Workers' Comp Take So Long?
Переглядів 1,2 тис.8 місяців тому
Ep 72 - Why does Workers' Comp Take So Long?
Ep 71 - 2024 CA Workers' Comp Tips: Expert Advice for Employee Rights!
Переглядів 1,4 тис.10 місяців тому
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Ep 70 - What the CA Workers' Compensation Covers in 2024!
Переглядів 4,8 тис.10 місяців тому
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Ep 69 - What is NOT Covered in Workers Comp?
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Ep 69 - What is NOT Covered in Workers Comp?
Ep 68 - Should You Accept a Workers' Comp Settlement Offer?
Переглядів 3,8 тис.Рік тому
Ep 68 - Should You Accept a Workers' Comp Settlement Offer?

КОМЕНТАРІ

  • @jahjahsavewi6185
    @jahjahsavewi6185 3 дні тому

    10 yrs on work Comp ask for a knee replacement in 2017 now getting it in 2024 and IME said nothing wrong with my back mild L1-2 bulging mild L2-3 facet injury L4-L5 minor degenerative changes what's with this minor/mild BS no sex and pain all the time after falling downstairs WORK COMP hates me!!!

  • @PalmiraGonzalez-x4h
    @PalmiraGonzalez-x4h 3 дні тому

    I’ve been on my Workmen’s Comp. case for almost 4 years and I’m not giving up. I refuse to let them beat me.

  • @bluenation6624
    @bluenation6624 7 днів тому

    What do they cover than if no wages. Mosy of it it gets lost fro. Waiting

  • @Dgokuman
    @Dgokuman 7 днів тому

    I would not hire this guy.

  • @billt8504
    @billt8504 7 днів тому

    Would you hire this guy as your attorney? Iron Maiden t-shirt is not giving me warm fuzzies...

  • @mi02ke11
    @mi02ke11 8 днів тому

    Please do a video: police officer heart work comp case moved to the east coast. Cannot find a doctor I like. Upset I cannot just use my original medicare and choose any doctor. How about switching to a medicare advantage plan and not have to deal with worker's Comp.

  • @hatecovid182
    @hatecovid182 9 днів тому

    Thats abit dumb? If you cant afford a surgery how are you gonna afford an attorney to help with workerscomp

  • @Jaguar7444
    @Jaguar7444 10 днів тому

    Is he little drunk?

  • @davidramirez-xv2sn
    @davidramirez-xv2sn 10 днів тому

    So for instance you guys brought up going to the gym. My doctor has given me no no restrictions but I am totally and temporarily disabled but he is telling me I should go to the gym and exercise that I need to build my strength back up so that I can go back to work. That's a problem if that's what he's telling me to do cuz it's not in writing he just tells me

  • @davidramirez-xv2sn
    @davidramirez-xv2sn 10 днів тому

    It seems as though you guys never get back. I respond to questions we ask so we like your videos. They're very helpful but then we have questions and nobody answers them. Sometimes we answer each other, but we want to hear the perspective of the law firm. It would be really nice

  • @Penaamairani
    @Penaamairani 10 днів тому

    Please do a video on work comp and federal employees 🙏🏻

  • @davidramirez-xv2sn
    @davidramirez-xv2sn 10 днів тому

    For instance I'm on workers comp. I've been on workers comp for 7 months. I fell from 10 ft high. I have PTSD from the fall. My workers comp doctor keeps requesting behavioral health and they keep denying it. I need help. So I finally went to my own doctor and he's authorizing behavioral health. I got to get help. It's serious and they're not taking it serious

  • @garyrice764
    @garyrice764 11 днів тому

    This needs to change! I'm currently dealing with a WC insurance company that didn't pay me for a month, denied surgery at 1st, then denied physical therapy at 1st and is now withholding my check for no apparent reason. These pukes need to be held accountable!

  • @ravenblood1954
    @ravenblood1954 12 днів тому

    Instructions unclear. The attorney got me

  • @yonkokaido6955
    @yonkokaido6955 12 днів тому

    Even if you don't actually need an attorney, get an attorney.

  • @yonkokaido6955
    @yonkokaido6955 12 днів тому

    Even if you don't actually need an attorney, get an attorney.

  • @carloslino4580
    @carloslino4580 13 днів тому

    Bilal you soooo smart is like you being a lawyer for 50 years

  • @benalexender3046
    @benalexender3046 14 днів тому

    What happens if I accepted a new job offer online and signed the job contract online, but I have not physically started working yet? Does this count against me in my workers' compensation case? I’m under pressure because I have no other source of income, no EDD assistance from the government, and most of my savings are gone. On top of that, the workers' compensation insurance carrier denied my case, and I’m still waiting for the state-appointed QME doctor to evaluate me.

  • @Becki545
    @Becki545 14 днів тому

    you guys are full of shit

  • @Cockatiels805
    @Cockatiels805 14 днів тому

    What are the reasons I might need a re evaluation? N is it a good idea to proceed with the revaluation?

  • @Jamestucker-o2k
    @Jamestucker-o2k 14 днів тому

    Nightmare in California, don't get hurt.

  • @carloslino4580
    @carloslino4580 16 днів тому

    This guy is soooo smart iam spechlessss

  • @Taylormayd02
    @Taylormayd02 23 дні тому

    Am I the only one loving the fact she is using swear words? I love her genuine questions and approach to this educational video.

  • @davidramirez-xv2sn
    @davidramirez-xv2sn 26 днів тому

    Okay so I was recently denied treatment for psych therapy. I recently got the letters in the mail for what they did approve which was today and I'm looking for the denial and I do not see it but yet I know they denied it cuz they emailed it to me. I told my attorney they denied it. She said they need to be notified. Do I need to request this form?

  • @davidramirez-xv2sn
    @davidramirez-xv2sn 26 днів тому

    Okay so I got a question. I was recently denied psych treatment from my injury from falling from 10 ft high which I'm suffering from PSD which the doctor understands and ordered. I should be getting this form along with my attorney or what happens next? Or should I request this form cuz I want to appeal it. This is a real thing that I'm suffering with. I can't even drive. I'm scared of driving over the mountain cuz I think I'm going to fall again

  • @kevinwedman2452
    @kevinwedman2452 Місяць тому

    15%? More like 40%

  • @waynestiles440
    @waynestiles440 Місяць тому

    You need a lawyer cause you ain’t no lawyer. You need a lawyer.

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      100% you need a lawyer to help you navigate the workers' comp system.

  • @Brendakye2468
    @Brendakye2468 Місяць тому

    "let's go to Starbucks. Don't worry, you don't need a lawyer"

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Thank you for you comment, thought everyone might find happiness at Starbuck, you can't find the right help for you workers' comp claim. :)

  • @SiskoSvK
    @SiskoSvK Місяць тому

    Of course a car salesman says you need a new car. Duh! It's not like DEFENDING YOURSELF not an option...

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Believe it or not, people will not realize that they are being played by other parties in the workers' comp system. Thanks for your comment.

  • @Analysemarie
    @Analysemarie Місяць тому

    Does this include being injured by a patient, especially if you kept warning the company you worked for that that patient was threatening employees?

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Hi Analysemarie, thank you for the comment. Yes of course this includes being injured by a patient. We are sorry this happened to you. If you want to talk more and get some questions answered, please feel free to chat with us pacificworkers.com or you can schedule an appointment at a time that works best for you. Here is the link pacificworkers.co/book-your-appointment

  • @6000ftMike
    @6000ftMike Місяць тому

    Thank you for sharing. Would you have a conversation to share about Workman Compensation and Long Covid.

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Hi, thank you for the comment. I will definitely add this topic in our upcoming episodes.

  • @gastoncruz4885
    @gastoncruz4885 Місяць тому

    Tell Carmen I said hello 👋

  • @mikesylvia7052
    @mikesylvia7052 Місяць тому

    Hi , I’ve had two surgeries elbow and rotator cuff the same time.I’ve collected Workmen’s Comp. checks for a little more than a year I had my final doctors visit and all I am working without restriction it’s been six months will they offer me a settlement

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Have you seen a QME yet? Normally your Primary Doctor (PTP) will say that you are MMI at some point. This means that you have leveled off medically. Given what you describe it doesn't seem like you would be discharged from care without future medical. When you are MMI, you are typically assessed permanent disability for functional limitations. You can have permanent disability and return to work without restrictions. Once you have leveled off, the adjuster may offer a settlement based on your PTP, but usually you can do better with the right Qualified Medical Evaluation (QME). Sometimes the PTP will write a good report for you, but we can't tell without seeing it. We would be happy to take a look at your case and give you a better answer with specifics. You can schedule a call at a time that works best for you, here is the link pacificworkers.co/book-your-appointment. You can also call the team at 800 606 6999.

  • @notionlesss
    @notionlesss Місяць тому

    CLT

  • @benalexender3046
    @benalexender3046 Місяць тому

    Thanks

  • @qgnw
    @qgnw Місяць тому

    Somebody else in control of your health/life.😮

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      You can change it though, with the right people on your side.

  • @pauldoddy9714
    @pauldoddy9714 Місяць тому

    What happens when you have reached MMI and had an IME do you reach a settlement?

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      When you are MMI you are given "ratings" of permanent disability, permanent work restrictions, and future medical (provided the doctors feel you need it). If you have permanent disability and your work cannot offer you permanent modified work, then you are also entitled to a supplemental job displacement voucher, which is a reimbursement for education/job training. Once you are MMI for all body parts, you are in a position to settle your case. There are two types of settlements that may be offered, Stipulated Award (usually means periodic payments of permanent disability with open medical care) or Compromise & Release (Usually this is a lump sum payment to close your entire case including closing medical). The value and which option you choose depends on what is going on with your case.

  • @bigrigsmog
    @bigrigsmog Місяць тому

    Do use guys have a good psychiatrist on the npn list?

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Each employer/insurance company can have a different MPN. Sometimes there is overlap in providers, sometimes there isn't. So in addition to the location, we would need to know which MPN it is to make a recommendation. We would be happy to take a look at your case and give you a better answer with specifics. You can schedule a call at a time that works best for you, here is the link pacificworkers.co/book-your-appointment. You can also call the team at 800 606 6999.

  • @TMH792
    @TMH792 Місяць тому

    I know this isn’t legal advice, just curious? Waiting to hear back from my attorney and I’m not in California. Had my second IME in 10 months judt yesterday and I got an email today my “seasonal job” has ended. So I’m being let go after 11 months. Clearly something happened at that IME, what are some scenarios if you don’t mind throwing a few out there. I know it’s not legal advice and you don’t have the answer, just hypotheticals would be awesome. Thank you!

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      That is a great question. We are a California based company so we can't be sure the laws here are the same where you are. In California work restrictions are the most common reason for being released from your job in connection with a workers comp case. In connction with medical evaluations you are typically given work restrictions. If you are provided work restrictions, employers are obligated to make a good faith effort to accommodate. If they can't, then technically you can be let go. Sometimes, employers will say they can't accommodate work restrictions, without even bothering to try. So in that sense, accommodations can be an unlawful pretext to retaliate against individuals that have filed workers compensation claims. Just something to be aware of. If you feel like your job was mischaracterized as seasonal work, when it really wasn't, you may want to talk to your workers' comp attorney or an employment lawyer to see if there is any funny business going. Good luck with your case!

    • @TMH792
      @TMH792 Місяць тому

      @@WorkCompTalkPodcast Thanks so much! After I posted this I saw it was actually dated the same day. They did make a good faith effort, it’s a physical job and I’ve been taken off of work completely. So I have even said logically it makes sense because I cant do it. Just wasn’t sure legally. Still haven’t heard back from attorney, waiting on the MRI and also my attorney in one of his videos said he’s not an expert on job loss. Although, I know he would know about this. So it does make sense, just kind of funny it was the exact day. Thank again for the response. Thanks for sharing all the info you guys do. Appreciate it!

  • @benalexender3046
    @benalexender3046 Місяць тому

    Thanks

  • @janine9993
    @janine9993 Місяць тому

    State disability allows you to work. Retirement disability allows you to work. Look into it. You have missed spoke.

  • @janine9993
    @janine9993 Місяць тому

    You are allowed to work when on disability.

  • @davidramirez-xv2sn
    @davidramirez-xv2sn Місяць тому

    I did want to let David know there are situations where people are on state disability and still work. We have one at our job The state allows her to work 20 hours a week and they send in a work coach a couple of times a week to help her with her job, hers is not so much a physical disability but a mental and she's been employed with our company over 20 years

  • @Rainprice9204
    @Rainprice9204 Місяць тому

    Why do we accept being the only developed Nation ON EARTH to still retain private Healthcare at the cost of WORSE health outcomes compared to countries with fully socialized medicine? An insurance company may as well be a vampire

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Insurance has both increased the cost of medical care and at the same time reduced access. On top of the normal struggles people go through with private health insurance, workers comp laws largely require preauthorization for medical care requested as well. This adds another layer of complexity for injured workers. It's not fair.

  • @julyol119
    @julyol119 Місяць тому

    How is this legal? The USA are crazy

  • @karenlynch8348
    @karenlynch8348 Місяць тому

    Months is called NEGLECT - CALL 📞 ans BITCH ON THE PHONE

  • @Teladian2
    @Teladian2 Місяць тому

    Health insurance companies need to be disbanned and we need to re-organize them as a national health system.

  • @idalockett155
    @idalockett155 Місяць тому

    I have tried to get ahold of Bilil Carmen where is Bilal??

  • @idalockett155
    @idalockett155 Місяць тому

    I've been trying to get in contact with Bilal he is a ghost

    • @WorkCompTalkPodcast
      @WorkCompTalkPodcast Місяць тому

      Hello, sorry to hear you have had difficulty contacting us, You can schedule a call at a time that works best for you, here is the link pacificworkers.co/book-your-appointment. You can also call the team at 800 606 6999.

  • @JuanGomez_master-tech
    @JuanGomez_master-tech Місяць тому

    Only one comment... It's too bad your law firm is too far away from hear.