Ok just an update. I actually wound up having a little longer PT and time off. I just turned in everything today to the adjuster. I wound up with 15 weeks off work and $4000 out of pocket medical. With my time off we are at $23000 or so. I called an attorney today to just ask what to expect and if I don't get a decent offer I could call them back and discuss them representing me. I actually talked to the attorneys assistant and she told me something that really worries me. She said to expect about $5000, when I said "Oh for pain and suffering?" she said no.TOTAL!! If this is the case I am so screwed along with my wife and kids. I was always under teh impression I will get my lost wages with no problem. She said they don't have to give me that and more than likely won't. I am really worried at this point. I am going to wait and see what is offered, but how can they not give me my lost wages? Please tell me this lady is wrong!! I'm expecting like 30K which is basically a very low pain and suffering amount. I'm really worried now.
Please tell me this lady is wrong!! I'm expecting like 30K which is basically a very low pain and suffering amount. I'm really worried now.
That would worry me too! My inital thought is she said that well, to scare you frankly into signing with them...See what the adjuster says first. I've never heard of anyone not paying loss of wage, assuming of course that everything is in order (ie doc had you off work, and your employer provides the requested information, or you can prove this amount) I think your expectation of settlement is probably a good one, however of course you want to ask for more than you are willing to settle for...remembering if you are attorney rep'd...that 30k becomes about 20k after attorney fees! Let us know and try not to let this worry you unless and until you know there is something to worry about! let us know if we can help you along and please do update us. _________________ Have you been helped by a poster? Do you want to show your appreciation? YOU CAN !! Just simply click on the donate button and send them some coin!
OK I turned everything in and today get a letter from a "claims specialist" who has taken over my case. In the letter it states to fill out medical authorization forms for ANY doctor history for the past 5 years. The only thing I have is a gall bladder surgery a couple of years ago which I have stated. I will drive to the hospital tomorrow and get those records and fax them to the specialist. Other than that I have nothing, not even a doctor vistit. Is this standard procedure (my friend told me that it may get passed on to a specialist because it is a pretty costly claim) hopefully that is correct. I am just worried. Are they trying to find something? Or is this all standard procedure? I'm a little worried and very impatient now.
It's standard, but you don't have to go get the records, just sign the medical information authorization release and the rep will request the information.
It's routine to look into someones history to see if there was a prior injury..just fill out the med auth and send it back...hang in there! _________________ Have you been helped by a poster? Do you want to show your appreciation? YOU CAN !! Just simply click on the donate button and send them some coin!
Ok thank you I feel better. What is a reason though of them handing it off to someone else? Are there levels of adjusters based on size of claim, or difficulty of claim, set.
One more ? as well please. I understand it is routine to look at someones med history. However when the adjuster asked me about that I told her no that there had never been another injury. Then when they go to review the file and make an offer, so I thought, it gets transferred and then he sends the med auth forms. Again, this is nothing for me to worry about?
What is a reason though of them handing it off to someone else? Are there levels of adjusters based on size of claim, or difficulty of claim,
Yep...that's exactly it..or the other person that was handling it quit, got fired, promoted etc.
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However when the adjuster asked me about that I told her no that there had never been another injury. Then when they go to review the file and make an offer, so I thought, it gets transferred and then he sends the med auth forms. Again, this is nothing for me to worry about?
I have a little clearer picture (I think) why it was transferred...Is this the first medical authorization you've got? If so the first adjuster wasn't doing their job, and sounds like they got caught not doing their job...by the time it came to review that claim and get an injury range figured out...there should've been every drop of medical information available on you in that claim file. If there was not that is a problem, and something for that adjuster to worry about but not you...Just telling an adjuster you have had no prior injuries isn't good enough (for anyone). We work in an industry that is 'documenation crazy'. I'd say that first adjuster (if I'm understanding this) just might've lost their job...and if so I'm sure it wasn't just your claim... _________________ Have you been helped by a poster? Do you want to show your appreciation? YOU CAN !! Just simply click on the donate button and send them some coin!
Let us know and try not to let this worry you unless and until you know there is something to worry about! let us know if we can help you along and please do update us.
