March 12, 2024 | Workers' compensation

Being injured at work can be devastating. It can disrupt your life and your finances. Fortunately, workers compensation provides injured workers with a financial cushion during this difficult period. However, navigating the workers’ compensation system in Omaha isn’t as easy as many workers believe it to be. One of the biggest challenges injured workers face is accessing the medical treatment they need, when they need it. In this article, we discuss why the healthcare providers designated by your employer may not be the best choice and how an experienced workers comp attorney can help.

The Pitfalls of Employer-Assigned Doctors and Case Nurses in Workers’ Compensation Cases

The workers’ compensation system can be quite complex. Injured workers often have to navigate not only the complex legal proceedings but also a complex medical care system. In an effort to streamline the process, healthcare providers are designated by employers. However, this arrangement isn’t always in the best interests of the injured workers.

1. There are conflicts of interest

One of the biggest problems with going to employer-assigned healthcare providers is the potential for conflicts of interest. The healthcare providers are selected and paid by the employer of their insurance company. This means that their loyalty may be divided between the employer’s best interests and the well-being of the patient. The conflict may lead to the healthcare provider being biased in their provision of medical assessments and recommendations for treatment. They may prioritize recommending cost-saving measures over the health of the injured worker.

2. You may not receive the quality of care you require

Employers and insurance companies control the selection of healthcare providers. There is a risk that the healthcare providers selected may not have the expertise or specialization required to address the specific injuries or the condition suffered by the injured worker. In addition to this, the healthcare providers may not provide the standard of care required to ensure the injured worker’s full recovery.

3. There may be lack of trust and other barriers to communication

Trust and open communication between the injured worker and the healthcare provider are essential for ensuring effective treatment and optimum recovery. However, when workers are assigned doctors and case nurses by their employers, there may be a lack of trust. Barriers to communication and honest dialogue from either side can arise. Workers may fear disclosing certain symptoms or concerns regarding their injuries due to fear or lack of trust. Healthcare providers may withhold information or underreport symptoms due to coercion by employers or insurance companies. Injured works receive inadequate treatment as a result.

4. Workers will be provided with limited advocacy and support

When navigating a workers’ compensation case, it is vital that the worker’s well-being is prioritized. This may not be the case with employer-assigned healthcare providers. Doctors and case nurses may primarily work to serve the interests of the employer. For example, they may monitor the injured worker’s progress and ensure compliance with return-to-work schedules rather than advocating for the worker’s rights and ensuring they receive the necessary support and accommodations.

5. Poor or lack of understanding of the legal implications

Employers may not select healthcare providers that fully understand the legal complexities of workers’ compensation laws and regulations. This lack of expertise can result in incomplete or inaccurate documentation of the workers’ injuries. This in turn will weaken the injured worker’s case if disputes arise over the extent o-f their injuries or their entitlement to benefits.

Work with an Experienced Workers’ Compensation Attorney and Protect Your Rights and Interests

Navigating the complexities of workers’ compensation cases can be daunting. It can be even harder when you can’t access the appropriate medical care. Fortunately, you can work with an experienced workers’ compensation attorney to get the care you need.

An experienced workers’ compensation attorney will:

1. Give you access to a network of trusted healthcare providers

Experienced attorneys often have access to extensive networks of trusted medical professionals.  They can connect you with healthcare providers that can meet your needs and that will prioritize your well-being over the interests of your employer or their insurance provider.

2. Advocate for comprehensive treatment

An experienced workers’ compensation attorney will advocate for your best interests. They will ensure you receive comprehensive medical treatment to address all aspects of your injuries. This includes diagnostic tests, specialist treatment, physical therapy and any other necessary intervention.

3. Protect you from retaliation

One of the reasons injured workers hesitate to seek independent medical care is because they fear negative repercussions or retaliation from their employers.  Your attorney will provide you with guidance and protection throughout the process. They will safeguard your rights and ensure you are not treated unfairly for seeking the medical care you need.

Have you been injured at work? Contact High & Younes for representation by an experienced attorney and get the care and compensation you deserve.

High & Younes – Workers Comp Attorneys Omaha