Illinois Work Comp, Your IME May Be Rigged

By Mike Helfand on Posted in Benefits

I am a part of a group chat that hundreds of Illinois injury lawyers from across all fields are a part of. It is really helpful as we share information, discuss cases and how to best win them and generally work toward helping clients.

As part of this group chat, there was a conversation about who is the biggest hired gun IME. A lot of names were said, but there were three in particular that were heavily discussed.

If you are not aware, IME stands for independent medical examination. It gives the insurance company/employer the right to send you to a one time exam with a doctor of their choosing. That doctor is not there to give you medical treatment. They are there to offer an opinion as to what your injury is, is it work related and what future treatment and time off work you need if any.

For an overview of IME’s, here is everything we have written about it. Illinois IME Overview

In theory, this doctor should just give an honest opinion. Doctors are supposed to “do no harm” according to their oath. In reality, it is a big business for many of them. Some make more than seven figures every year from these exams.

Who Is The Worst IME Doctor In Illinois?

Most of the doctors who do IME’s are orthopedics. That makes sense because most work injuries involve treatment by orthopedic doctors. There is one in particular who was described in a bunch of colorful ways by various lawyers on this chat, including:

  • “He is a Whore with a capital W. Worst one around.”
  • “He does around 200 of these exams every year. I have seen around 75 reports from him and they all read the same. Only one time did he agree with the treating doctor.”
  • “I’m convinced he uses AI to generate these reports. They are so similar and have common mistakes associated with AI like messing up the actual surgery date.”

There were a bunch of other interesting comments to say the least.

The most relevant is that he pretty much never agrees with the treating doctor. If you ever have an injury and go for a second opinion, you will find that doctors tend to agree with each other’s findings over 90% of the time. That is because the treating doctor usually gets it right. And those doctors are only motivated to help you. IME doctors are motivated by their pocketbook. If they hurt hundreds of people along the way, they have their yacht and multiple homes to make them feel better.

So Am I Screwed If I Get Sent To One Of These Doctors?

The good news is that not only do lawyers know who the hired gun IME doctors are, but so do the Arbitrators who make rulings on Illinois workers’ compensation cases. They are not dummies and even ones that tend to lean toward favoring the insurance company do not usually give any credibility to these bad faith physicians.

The bad news is that an IME like this could be used to deny your benefits. It can take 3-6 months before you can get a trial hearing because your attorney has to take a deposition of your treating doctor and the IME. So it is certainly possible that your claim will be wrongly denied for a bit before you get a ruling in your favor.

And that is why insurance companies continue to use these doctors. They know that they have no credibility, but it gives them cover to act badly and put pressure on you. Their hope is that you will be financially desperate and need to settle your case too soon or forgo medical treatment that you need.

It is why having an attorney file the case BEFORE the IME is so important. We can be prepared to strike back quickly so any delay has minimal effect on your life. We also often have pre-trials before the Arbitrator if we know they are aware of how bad the IME doctor is so they can make clear to the defense attorney and insurance company that they are fighting a losing battle.

A good lawyer can also prepare you for the IME, including properly documenting what happened which will aid in taking that doctor’s deposition.

____________________________________________________________________________________________

If you have any questions or concerns about an IME or want a free case review, please call us any time at 312-346-5578. We have a state wide network of great lawyers and would love to help you.

Work Comp – Do You Need A Lawyer When The Insurance Company Is Working With You?

By Mike Helfand on Posted in Tips if Injured

This post comes from a recent live chat that I had with an injured worker. He had been injured on the job a few months prior and posed this question to me:

Should I even consider a lawyer if my employers insurance is working with me at the moment?

It is a common question we get and certainly one that goes through the minds of a lot of injured workers. My usual response is to ask what is your injury? If it is a relatively minor injury and your care will be over soon, you probably do not need a lawyer. On the other hand, if it is a bigger injury that is going to require medical treatment for a month or more, it is always at least worth a discussion.

It is always free to talk to an Illinois workers’ compensation attorney. It’s also confidential and no commitment. If you ever want a free consult with an experienced, just contact us any time.

In this case, the worker had a major leg injury that already required surgery. What I told him was that even when it seems like the insurance company is trying to do everything right, they are always looking for ways to deny, delay or minimize your care.

What Do Illinois Workers Comp Insurance Companies Do To Fight Your Case?

I gave this worker some warnings as to what could happen and it turns out the actions work comp takes, even when they seem to be doing everything right, were already happening. In his case this included:

  • A nurse case manager had been assigned to his claim. She was scheduling medical appointments for him based on her schedule so she could attend (that is not allowed by law).
  • She lied and told him that the medical bills will be paid, but only if she is allowed to talk to the doctor to discuss a treatment plan. This is another lie. It is against the law for them to talk to your doctor without your permission and they have to pay 100% of all related and reasonable medical expenses. She was hoping to talk to the doctor to try and find a way to reduce care and time off work. None of this is in the best interests of the patient/worker.
  • They got him to sign a general release form to access all of his medical records including some he doesn’t want them to see that have nothing to do with his injury.

There is more that they can and likely will do include sending him to an IME and conducting surveillance on him. The good news is that the nurse has not interfered enough yet to cause significant harm. The first thing any experienced Illinois work comp attorney would do would be to make clear she can not attend appointments or talk to the doctor other than to request copies of medical records and bills.

This is why it is always smart to talk to an attorney early on. It is our job to protect you. You do not know what you do not know. In 29 years of doing this, I have never met an insurance person whose primary goal was to do what is best for the injured worker. In fact their whole business model is based on limiting what they pay.

But If I Get A Lawyer, Won’t It Cost Me Money?

This is the other question we get a lot. The answer is it costs nothing to hire a lawyer. We do not take a penny from the medical bills or from the money you are already getting for being off work due to the work injury.

An Illinois work comp attorney works for free and does whatever they can to make sure a case does not go sideways. When you are all better, we can get you a settlement and that fee is capped at 20% of what is recovered for you.

The key thing to know is that insurance companies do not usually offer voluntary settlements without a lawyer and if they do, they will lop off more than 20% right away. In other words, you will end up with more money in your pocket with an attorney than without.

More importantly, getting a lawyer early on prevents problems from happening or at least gives you a chance to get ahead of them. It also means you no longer have to talk to the insurance company and can focus on your health and recovery.

If you would like to discuss a case, our state wide network of top Illinois work comp lawyers is here for you whenever you want.

Absolutely Gross Illinois Workers’ Compensation Claim Denial

By Mike Helfand on Posted in Do I Have a Case?

We are experienced Illinois work comp attorneys who would love to help you with your case. Please contact us an time for a free case review. We cover all of Illinois.

It’s the job of an attorney to take the emotion out of a legal situation. We are trained from law school to look at things objectively so we can make calm, rationale decisions or recommendations for our clients.

Lawyers are also, believe it or not, human. And if your lawyer does not have any human emotions, it can be a bad thing.

I bring this up because I recently talked to the family of an injured worker whose case was so wrongly and illegally denied that it made my blood boil. My emotion didn’t change my recommendations, but I was still really ticked off about this.

With the caveat that insurance companies wrongly deny Illinois workers’ compensation claims all of the time, there are some that are so gross and so far beyond acceptable behavior that it needs to be called out.

In this case, a worker was carrying a jug of water at the grocery store he works at. While walking he got bumped into and it fell and splashed all over the floor. He got up to try and clean it up, took a few steps and slipped on the wet floor, badly injuring his leg. This was all caught on camera.

He inquired about workers’ compensation and was told that he was not eligible for it because the company did nothing wrong. Now that is blatantly not what the law is. Illinois workers’ comp is a no fault law so he does not need to prove negligence on the company.

This type of denial is really bad on its own, but when you learn about the injured worker, that is what will really make you mad.

The worker in question is a high functioning autistic man. He can work and communicate, but is not able to live independently. He also is kind, sweet and very trusting. In this case, his parents have guardianship over them and were smart and caring enough to reach out on his behalf because what the insurance company said did not seem right.

In the end the only harm will be a slight delay in getting medical bills paid as well as compensation for lost time benefits. But it could have been so much worse. Every day people fall for insurance company lies about whether or not they have a case.

In this case I truly believe they thought they could take advantage of an autistic person. Their goals are no different than when they wrongly deny someone not on the spectrum, but the thinking is. This case is so clearly a case. It’s caught on camera! But they knew they had a kind and trusting injured worker and rolled the dice that he would not learn the law or have someone looking out for him.

I don’t get how people that do things like this sleep at night or justify their actions. You are actively trying to harm people. It does beyond “it’s just business” and is truly disgusting.

The One Thing You Must Do Before You Settle A Work Comp Case

By Mike Helfand on Posted in Benefits

We notice various trends in handling Illinois workers’ compensation cases since 1997. A lot of those have to do with how insurance companies are fighting cases. They recycle through various dirty tricks in order to try and deny or delay benefits.

Some trends though have nothing to do with the insurance company. And one of those has popped up a lot lately. And it leads me to telling you that there is one thing you have to do before you ever consider settling an Illinois workers’ compensation case. And it sounds so simple, but this problem keeps coming up.

What To Do Before You Settle Your Illinois Work Comp Claim

The one thing you must do before you settle is call EVERY medical provider who was a part of your case and make sure that your bill was paid. It quite honestly is something that either your attorney’s office should handle or should coordinate with you.

I say this, because six times in the last two months we have received calls from people who have settled their Illinois work comp cases and been paid, but now have gotten a bill in the mail from their work comp case. Oddly enough three of them were people who had the same firm.

In the most recent one there was a very large ambulance bill that was not taken care of. I am kind of surprised that her law firm didn’t figure that one out and make sure it was paid.

The Danger Of Unpaid Bills

The problem is that often these bills pop up a year or two after a case is closed. While some of that is a reflection of how bad health care and medical billing is in this country. But it can also create some other problems:

  1. You can’t stop collection efforts against you because your work comp case is no longer active. It’s actually illegal for bill collectors to go after you in Illinois when your case is active.
  2. Because of that you will likely feel pressure to pay this bill out of pocket.
  3. You have to count on your old attorney to solve this problem for you. But they won’t get paid to do this so you have to hope they are willing to do the right thing.

On your settlement contract there is a box that states the employer has/hasn’t paid all medical bills. If it says they have, then it’s arguable that they are responsible for paying the bill that popped up out of nowhere. Unfortunately that problem is not typically solved with a phone call and requires an attorney willing to do the work.

If the settlement contract says they have not paid all of the medical bills, then you are stuck with it. If it’s $50 it probably won’t matter. But if it’s for thousands of dollars, that can be a big deal and is likely something you would have wanted taken care of BEFORE you agreed to settle.

Ultimately nobody cares more about you than you. So before you settle you should reach out to every medical provider and get an itemized copy of your bill and make sure nothing is owed. It is also a good idea to keep a journal of all of your medical care so you can keep track of all of the providers. This includes specialists like MRI groups or anesthesiologists that do not bill through the hospital or your doctor.

This isn’t fun work, but it is necessary work. And for whatever reason, a lot of people are getting caught up in it now.

Walgreens Work Comp Claims In Illinois

By Mike Helfand on Posted in Injuries

Walgreens employees work in a variety of roles that keep stores running smoothly. Cashiers, pharmacy technicians, pharmacists, stockers, shift leads, and managers all perform duties that can expose them to workplace injuries. Because most Walgreens jobs involve standing, lifting, repetitive tasks, and interacting with the public, workers’ compensation claims in the state of Illinois are common. They have had thousands of cases filed against them over the years at the Illinois Workers’ Compensation Commission.

Slip and fall accidents are a frequent cause of injury for Walgreens employees. Spills in aisles, recently mopped floors, cluttered stock areas, and wet entryways can create dangerous conditions. Employees may also be injured while working outside the store, such as taking out trash, receiving deliveries, or clearing snow and ice near entrances. Falls can result in injuries to the head, back, knees, shoulders, and wrists.

Many Walgreens workers are hurt while lifting or moving merchandise. Stocking shelves, unloading deliveries, and moving heavy boxes can strain the back, neck, and shoulders. Even lifting items that do not seem particularly heavy can cause injury when done over and over again or in awkward positions. Reaching overhead or bending for long periods can also contribute to injuries to muscles, bones, joints, etc. over time.

Repetitive motion injuries to the hands and other upper body parts are another common issue. Cashiers and pharmacy employees often perform the same hand and arm movements throughout the day, including scanning items, typing, counting medications, and handling prescriptions. Over time, this can lead to wrist, hand, elbow, or shoulder problems that may require medical care and time off work.

Walgreens employees also interact with the public on a daily basis. Most interactions are routine, but employees may occasionally encounter angry, frustrated, or unstable customers. In some cases, these situations can become physical and result in injuries that are covered by workers’ compensation. There are a lot of crazy people out there. We have seen situations where workers have been physically attacked or have PTSD after being robbed at gun point. These are all cases we can help with.

No matter the cause of the work injury, it is important for Walgreens employees to get medical attention as soon as possible. It’s important for your health and helps show that the injury is work-related. Plus, injuries that seem minor at first can become more serious if they are ignored. You also need to report it to a supervisor within 45 days of it happening, but the sooner the better.

A workers’ compensation attorney can help injured Walgreens employees through the Illinois workers comp claims process. Walgreens is a “self insured” company which means that they pay the benefits directly. They work with a company called Sedgwick to process the claims. You can Google Sedgwick and see a bunch of nightmare stories from how they treat injured workers. They are not there to look out for you, but to try and minimize the costs to Walgreens. They make a lot of money doing that.

Having an attorney who is experienced dealing with Sedgwick can level the playing field and protect you. You can focus on getting better. The attorney can take care of the paperwork, the communication with the insurance company, and getting you a fair settlement to cover your medical expenses, time off work, and future medical care. There is no fee to hire an experienced Illinois workers’ compensation lawyer. They only get paid if they win. Almost every case is entitled to a settlement and having a lawyer will help you get the most money possible, even after their 20% fee.

For a recommendation to a reputable Illinois workers compensation lawyer who has handled tons of cases for injured workers against Walgreens and Sedgwick, contact us today at (312) 346-5578 or fill out our contact form.

____________________________________________________________________________________________

Things To Look Out For In Illinois Workers’ Compensation Claims

Here are five things that every injured worker needs to be aware of:

  1. Do not give a recorded statement – Sedgwick will ask for one, but you do not have to do that and should not. It can only be used against you.
  2. Beware the nurse case manager – In some cases, they will assign a nurse case manager to monitor your case. They make it seem like they are on your side, but they are not. They work for the insurance company and will try to get your benefits limited or cut off.
  3. You usually can choose your own doctor and do not need health insurance to do so – Workers comp pays for 100% of your medical expenses related to the injury. Beware your employer or the insurance company telling you who you have to treat with. Find a doctor that is looking out for you.
  4. If your injury is going to be a bigger one, the insurance company will likely send you to an IME or independent medical exam – These are hired gun doctors that are there to help the insurance company. You need to be prepared for this exam ahead of time so you do not make mistakes that will harm your case.
  5. Having a pre-existing condition does not take away your rights to work comp benefits in Illinois – This is a common reason insurance companies like Sedgwick wrongly deny cases.

Having a strong attorney in your corner can protect you from all of these shenanigans. Please do not hesitate to contact us if you have any questions or need help. We will give you the same free legal guidance that we would give to a family member or friend.

This Is How Little Some Doctors And Lawyers Think Of You

By Mike Helfand on Posted in Tips if Injured

Lawyers are regular people, just like you. We like to have fun. We have favorite sports teams. We have hobbies and families. We also deal with the annoyances of life like everyone else, including getting spam emails and calls from telemarketers.

The phone call I get the most as it pertains to my business goes something like this. Actually it goes exactly like this:

Hi Michael. I am calling from Dr.’s office. We work with attorneys just like you to take care of injured workers. The reason I am calling is we would like to invite you to lunch at a fish house so the doctor can give a presentation on our services and we can discuss providing treatment for your clients. We would also like to discuss using your services for our patients that do not have legal representation but require it. Please RSVP at …

That is from a voicemail I received recently. I get that type of phone call at least once a week.

If you can not see what is happening, doctors want to buy attorneys an expensive lunch. In exchange for that, they want us to send our clients to them, and, in some cases, also offer to send their patients to us.

Now there are certainly times when an injured worker comes to us and needs to be pointed to a good orthopedic doctor, pain specialist, or other medical provider. There is nothing wrong with that. When we or anyone we know are asked, we typically give a couple of names for them to reach out to to try and get an appointment.

What we would never ever do is insist that our clients seek treatment with a specific doctor. And rest assured this is what many of these doctors are doing with a select group of law firms. These are people who care about their pocket books way more than they would ever care about your health.

I know getting clients is not easy, especially if you are starting a new business. It takes a lot of work. Some of these doctors and lawyers might actually be good at what they do. But if they are insisting that you work with a certain firm/practice, that is them looking out for them and not for you. To me that is a huge red flag and an indicator that there will be other times they won’t look out for you.

I know that a lot of law firms engage in these relationships because we get a lot of calls from injured workers when things have gone bad. Some of these doctors and physical therapists are trying so hard to build up a new practice that they will do two things:

  1. Over treat their patients so they can bill a lot.
  2. Stop treating their patients once work comp insurance denies the case.

In one case we got contacted on, we reviewed the medical records of an injured worker whose benefits got cut off after a year of “treatment.” Almost every exam note looked the same. It would rate her pain on a scale of 1-10 and make treatment recommendations for physical therapy that they provided in house.

The week before work comp denied the case, the doctor wrote that the patient’s pain was an 8 and they need six more weeks of therapy. Once the worker’s case was denied, the doctor wrote a note that they did not need any more care and could go back to work even though they had only done one additional week of therapy. This case was too much of a mess to get involved with.

That example seems extreme, but we see stuff like this all of the time. If you are hurt at work, you need an honest, independent physician in your corner. This is especially true if it’s a bigger injury that will drag on for a while. Some advice is:

  1. Don’t treat with the company doctor. They will look out for the company.
  2. Do seek out an orthopedic doctor or someone specialized in treating your type of injury. A family practice doctor or chiropractor is not the right choice for treatment beyond 1-2 visits. If you have a good family doctor, they likely can refer you to a specialist.

This is the recipe for success in any Illinois workers’ compensation claim. That and getting medical care right away and having a strong lawyer who will fight for what is best for you.

Her Work Comp Lawyer Quit and Nobody Told Her!

By Mike Helfand on Posted in Tips if Injured

I love that after almost 30 years of being an attorney, I can still be shocked by stories of people that contact me. Here is one I was told recently by a woman injured on the job in Chicago, shared with her permission.

I hired an attorney almost a year ago after tearing my rotator cuff on the job. I got assigned to an attorney who has over ten years of experience so I thought I was given a good lawyer. My benefits got cut off after an IME over four months ago and I’ve been calling every week to see what is going on. The only number I had was the direct line for my lawyer and I kept leaving him messages with no response. I read your post where you recommended that if your lawyer is not calling back to call the main number so I did that. I learned that my attorney quit over three months ago and my case has not been re-assigned yet. What should I do?

Oh man, that is awful. Really nice woman with a big injury and her benefits appear to be wrongly denied. As far as what she should do, of course she should switch lawyers.

The bigger story is how could this happen?

The answer is that she hired a firm that has a lot of turnover among their lawyers and staff. They advertise a lot and take on thousands of cases. Many of the attorneys are either poorly trained or overwhelmed with cases. It is the type of firm where many of the clients are unhappy because they do not always do the work to service them when things go wrong.

In this case, they lost a lawyer who had a couple hundred cases assigned to him most likely. Each and every one of those cases needs to be reviewed and re-assigned to another lawyer. They already are not doing the best job on contested cases. So for the woman who reached out to me, she needed a new lawyer who would be willing to investigate her case but also deal with the hundreds of cases they are already handling on their own.

Alternatively, the firm could hire a new lawyer to take over the case, but they also would be taking over 300 or so other cases. You can’t just get up to speed on all of those cases that quickly, especially if the old attorney did not do a good job of documenting the file.

When files are not properly documented

The biggest issue here is that the file is not likely documented properly. When that happens, a new attorney will not know about:

  • Your initial interview with the lawyer.
  • Things you shared via email.
  • Things discussed on phone calls and texts.

Some of these things can be re-created, but it takes a person who cares about their clients to do so and spend the time to really know the case. A good attorney can be more than up to speed within a few days, but you actually have to be willing to put the work in.

This firm is a huge red flag. They can get good results for their clients and surely do on many cases. But it’s also the type of firm where I and other lawyers are constantly getting calls from their unhappy clients. Most stories are not this extreme, but have to do with bad customer service or attorneys who do not seem to care. So while they can get a good result for you, they also are more likely than most to cause problems with your case that should not happen.

This is one reason why the attorneys in our state wide network are selective about the cases they take on and do not overwhelm themselves or anyone in their firm with too many cases. They also do a great job of creating a paper trail so anyone can look at the file and know what is happening with the case.

A firm having a great documentation system is really important. It is not only relevant in case a lawyer leaves the firm, but important many other times. This includes when your lawyer is on vacation, when your lawyer needs someone to cover for them in court or when you call the firm and your lawyer is not there but you have questions that need to be answered ASAP.

This all reminds me of when I was a young lawyer back in the late 1990’s. I was in the courtroom of an Arbitrator waiting for my case to be called and was watching two attorneys discuss a case. The lawyer for the injured worker was covering for an attorney in their firm. Back then almost everything was done on paper. So this attorney, who was woefully unprepared, was shuffling through papers to try to learn basic case facts. It was pathetic.

Now every firm I know of uses an electronic documenting system, but that still requires a lawyer or staff member to actually enter in what happens on a phone call, interview, etc. Sadly these firms that overwhelm their workers with cases are not always on top of this. They might even have a firm policy about how things should be done, but it still requires someone to actually do it.

These are things you could not possibly know as a client when you hire them. That said, it is why when you start to notice bad customer service, you do not let it drag on. The only mistake this injured worker made was waiting more than three months to search further as to why her attorney was not getting back to her. Unfortunately her health and her work comp claim suffered in the meantime.

When Your Illinois Work Comp Bill Goes To Collections

By Mike Helfand on Posted in Benefits

An injured Illinois worker called me recently in a panic. He was hoping to purchase a home, but had a big medical bill on his credit report. It was from a work injury he had about a year prior. This was affecting his ability to get a loan. Beyond that, the bill had gone to collections and he was being threatened with a lawsuit.

His freaking out was understandable. He had been injured at work and nobody disputes that he was/is entitled to work comp benefits. His time off work was paid as was most of his medical care. In fact, he was still in physical therapy. For whatever reason, the insurance company had not paid this one rather large bill from an ER he went to and it was impacting his life.

I actually loved this call because it is a rare thing when you can not only tell your potential client that you can solve their problem, but that you can do it rather quickly.

Illinois Law On Collections In Illinois Workers’ Compensation Cases

Under Illinois law, there is incredible protection for injured workers from bill collectors. If you are hurt on the job, you can prevent ANY collection efforts or negative credit reporting from happening by formally filing your case with the Illinois Workers’ Compensation Commission.

This process is called an application for adjustment of claim. It is the official filing with the State and also prevents you from having any statute of limitations concerns.

Once this paperwork is filed, we can send a copy to any creditor and the law requires them to stop any collection efforts as long as the case is active. If they fail to do so, they could face significant financial penalties. I have never seen a case where this was a problem.

The goal of course is to get the bill paid. That is also something we can take care of. The insurance company will respond to an attorney, and if they do not and failed to pay the bill with good reason, they too can face significant financial penalties that would go in your pocket.

The Importance Of Being Goal Focused

As lawyers, one thing we often ask clients or potential clients is what is your goal? In a case like this one, it is easy to get wrapped up in how frustrating the experience has been. Our job is to focus on the solution. And there is such an easy solution and a likely quick one that there is no need to stress.

This is one reason why you hire an attorney in the first place. We know the law, including things like this one that nobody really ever talks about. It is one way we can protect you and really help your case run smoothly.

If you would like a free consultation about your claim, we would love to talk to you. Contact us any time at 312-346-5578 for a free case review anywhere in Illinois.

Paying For A Work Comp Attorney When You Live Paycheck To Paycheck

By Mike Helfand on Posted in Tips if Injured

The economy is generally a mess for those not in the billionaire class. There are various estimates on how many people live paycheck to paycheck, but I have seen multiple reports that the number is as high as 67%. In other words, 2/3 of Americans are a work injury away from financial disaster.

I have been in those shoes before. It is stressful. The last thing you think about is spending on things that you can not afford.

Due to this, it is no surprise that when people call us for a free consultation about their Illinois work injury, and we suggest that they file a case with a lawyer, that some people say something like, “I can’t afford an attorney right now because I live paycheck to paycheck.”

While that is a legitimate concern for areas of law like divorce, traffic, civil lawsuits, etc., it is not at all an issue for hiring an Illinois attorney for a workers’ compensation claim.

Illinois work comp attorneys work on a contingency basis. That means that you pay nothing up front to hire one and they will work for you for free to make sure you get the benefits you deserve. If somehow you lose the case, you owe the attorney nothing. If they win the case, the fee is 20% of your settlement.

There are expenses in work comp cases, although they are not usually very much. Most cases require a lawyer to spend somewhere between $100 and $2,500. Those expenses too should be fronted by your lawyer. In other words, no attorney we know would ask you to pay for the costs associated with bringing your case. And no lawyer we work with on cases would ask to be reimbursed if the case was not successful.

In other words, not having money for a lawyer should not be a concern when it comes to bringing an Illinois workers’ compensation case. And in fact, in almost every case, getting a lawyer will put more money in your pocket and reduce the stress in your life. A good attorney makes sure the case goes smoothly and that the insurance company does not do illegal things like talk to your doctor or otherwise try to interfere with your care.

We also make sure that you are being paid benefits at the right rate and prepare you for efforts to cut you off through tactics like IME’s or surveillance. And of course we make sure that you get the highest settlement possible in the end. Having the right attorney in your corner can often be the difference of tens or hundreds of thousands of dollars in your pocket in the end.

Every case is different of course, but one thing that never changes is that you will never have to worry about cost when hiring a work injury attorney.

If you would like a free case review for injuries anywhere in Illinois, please click on the chat button or call us at 312-346-5578. We promise to give you the same legal guidance we would give to a family member or friend.

How Our Attorney Fee Was Only 12.5%

By Mike Helfand on Posted in Benefits

One of the first questions many injured Illinois workers have is about what hiring an attorney is going to cost them. In fact, many injured workers do not do anything because they do not think they can afford legal help. That is a huge mistake.

The great news is that it costs nothing up front to hire an Illinois workers’ compensation attorney. State law requires work injury attorneys to work on a contingency basis which means that we only get paid if there is a recovery. It also requires that our fees be capped at 20% of what we recover for clients. In almost every case that means 20% of a settlement. So we work for free until the case is resolved. If we settle your case for $50,000, then our fee would be $10,000. If we get you nothing you owe nothing. In just about situation you will net a lot more with an attorney than without, even with our fee.

Twenty percent is really low compared to personal injury or medical malpractice cases where fees are usually 1/3 or more of what is recovered. But every now and then the fee is even lower than 20 percent. In fact, on a case we were involved with recently, the fee ended up at approximately 12.5% of the settlement.

The case involved a person who worked at a chain restaurant. They fell over a bunched up carpet and injured multiple body parts including their back, shoulder, hip, neck and elbow. When they first contacted us, it was just after the accident and it seemed like it would be a smaller case. But as time went on they did not get better. They are an older worker and needed permanent restrictions. The employer could not accommodate those and a job search turned up nothing. The worker was permanently disabled.

The handling attorney negotiated a settlement of $350,000. Because our client was such a low wage earner, her settlement rate was set at the state minimum for the time of her accident which was $605.23.

How our fee was limited to 12.5% of the settlement and not 20 percent

Per the Illinois Workers’ Compensation Act, attorney fees are not always 20 percent of the total settlement. They are capped at 20 percent of seven years of benefits. So in this case it was $605.23 (settlement rate) x 364 weeks (seven years of benefits) divided by five (20%). So on a $350,000 settlement, the fee was just over $44,000 or approximately 12.5%.

After case expenses, the client netted more than $302,000. It was a pretty amazing result as they were a part time worker who only made $344.00 before the injury.

This reduction in attorney fees does not happen in every case or even most cases. It happens on claims where a worker is permanently disabled or receiving a large wage differential payout. If you are in either of those scenarios, you should be talking to your attorney about a cap on their fees.

Sadly, there are some attorneys who try to take the full 20% even when it is not allowed. While we of course would have loved to get $70,000 on this case, $44,000 is still a lot of money and very fair. Most importantly, the client was well taken care of and will be able to survive financially.

If your attorney tries to take more than they are allowed, don’t sign any settlement contract. Tell them you want to talk about their fee with the Arbitrator.

By the way, our client netted a lot more because they also received compensation for future medical care and 100% of that money went to them to manage.

If you have any questions about lawyer fees or anything else related to Illinois work comp law, please contact us any time at 312-346-5578. We help everywhere in Illinois.

LexBlog