Tips for Filing a Successful Workers’ Compensation Claim

successfully file workers comp claim after injury
Winstein, Kavensky & Cunningham Blog September 20, 2024

Tips for Filing a Successful Workers’ Compensation Claim

Navigating the workers’ compensation claims system can be overwhelming, especially when recovering from a work-related injury. Whether you’re in Iowa or Illinois, ensuring that you file a successful workers’ comp claim is crucial to securing the benefits you need to cover medical expenses and lost wages. 

However, the process can be complex, and even a small mistake can lead to a denial of your work injury claim. That’s why it’s essential to understand the steps involved and to know when to seek professional assistance. 

At Winstein, Kavensky & Cunningham, our experienced Quad Cities workers’ compensation lawyers are dedicated to helping your injury claim get accepted. With that in mind, here are 10 essential tips to help you file a successful workers’ comp claim.

1. Report the Injury Promptly for a Successful Workers’ Comp Claim

One of the first steps in filing a successful workers’ comp claim is reporting your injury as soon as it happens. In Iowa, you must notify your employer within 90 days of the injury; in Illinois, the deadline is 45 days. Failing to report within these time frames can jeopardize your ability to receive compensation. Make sure to inform your supervisor or HR department in writing to have a record of the notification.

2. Seek Medical Attention Immediately

Seeking prompt medical care is crucial for your health and the success of your claim. In Illinois, you have the right to choose your doctor. However, in Illinois, if your employer has a Preferred Provider Program (PPP), you may need to select a doctor from the approved list. 

In Iowa, your employer has the right to direct care. However, under specific circumstances, you have the right to seek a second opinion from a doctor or care provider of your choosing. 

Regardless, be sure to inform the medical provider that your injury is work-related so they can document it accordingly. Detailed and accurate medical records are key to a successful workers’ comp claim.

3. Keep Detailed Records for a Successful Workers’ Comp Claim

Whether you choose to hire a workers’ compensation attorney or file a claim on your own, maintaining proper records is an essential step towards filing a successful workers’ comp claim. Further, having all relevant documentation organized and easily accessible can help avoid delays and disputes in your claim. 

Here are examples of records and documents that you should keep copies of throughout your claims process:

  • Medical records and bills
  • Communication with your employer and insurance company
  • Reports from your doctor
  • Documentation of lost wages

4. Understand Statutes of Limitations

The statute of limitations for filing a petition for unpaid disability benefits differs between Iowa and Illinois. In Iowa, a worker must file a Workers’ Compensation Division (WCD) petition within two years of the date of injury if no disability benefits have been paid. The Illinois timeline to file a petition is three years. However, the timeline may be extended if you’ve received any workers’ compensation benefits.

Conversely, missing these deadlines can result in a loss of benefits, so it’s essential to act quickly.

5. Complete and File the Necessary Forms

Iowa and Illinois require you to fill out specific forms to initiate your claim. In Iowa, you’ll need to complete the “First Report of Injury or Illness” form; in Illinois, the “Application for Adjustment of Claim” is necessary. Ensuring you fill out these forms accurately and completely is critical for a successful workers’ comp claim.

If you’re unsure about any part of the process, it may be beneficial to consult with a Winstein, Kavensky & Cunningham workers’ compensation lawyer who is licensed to represent workers’ compensation claims in Iowa or Illinois. They can help ensure that all paperwork is properly completed and submitted on time.

6. Follow Your Doctor’s Orders

Adhering to your doctor’s recommendations and treatment plan is vital for both your recovery and your successful workers’ comp claim. Failing to follow medical advice could give the insurance company grounds to dispute your claim. They could argue that you’re not taking the necessary steps to recover your health, which in turn prevents you from returning to work in a timely manner.

7. Communicate Regularly with Your Employer and Insurer

Clear and consistent communication with your employer and the insurance company is crucial throughout the workplace accident claim process. This includes informing them of any changes in your medical condition or ability to work. Regular updates can help prevent misunderstandings and keep your claim moving forward smoothly.

8. Be Prepared for an Independent Medical Examination (IME)

In some cases, the insurance company may request an Independent Medical Examination (IME) to assess the extent of your injuries. Being prepared for this exam is important, as the results can significantly impact the outcome of your successful workers’ comp claim. Ensure you provide the IME doctor with accurate information about your injury and treatment.

9. Remain Patient and Persistent

The workers’ compensation process can be lengthy and frustrating, but patience and persistence are key. Keep track of all deadlines, stay in communication with your employer and the insurance company, and don’t hesitate to seek legal advice if needed. By staying proactive, you can significantly increase your chances of a successful workers’ comp claim in Iowa or Illinois.

10. Hire an Attorney to Help Ensure a Successful Workers’ Comp Claim

While it’s possible to navigate the workers’ compensation process on your own, hiring an experienced attorney can greatly increase your chances of a successful workers’ comp claim. A Quad Cities work injury attorney can help you understand your rights, gather necessary evidence and documentation, and represent your best interests in any disputes that may arise.

Note that while our law office is located in Rock Island, Illinois, we serve the entirety of the Quad Cities area. This includes Davenport, IA, Bettendorf, IA, LeClaire, IA, Moline, IL, East Moline, IL, and the surrounding counties.

How to File a Successful Workers’ Comp Claim

In summary, filing a successful workers’ comp claim in Iowa or Illinois requires careful attention to detail, prompt action, and thorough documentation. While these tips can guide you through the claims process, the complexities of workers’ compensation law can be challenging to navigate on your own. If you are struggling or simply want to ensure that your claim is handled correctly from the start, seeking legal representation can make all the difference.

At Winstein, Kavensky & Cunningham, our law firm prides itself on providing comprehensive assistance to help our clients. Don’t leave your workers’ compensation claim to chance—contact us today for a free consultation. We’ll review your case, guide you through the filing process, and advocate on your behalf to ensure you achieve a successful workers’ comp claim.

Take action by scheduling a free case consultation. Reach us by phone at (309) 794-1515, via LiveChat, or by filling out our contact form

The information on this blog is for general information purposes only. Nothing herein should be taken as legal advice for any individual case or situation. This information is not intended to create, and receipt or viewing does not constitute an attorney-client relationship.