Workers’ Comp Adjuster Won’t Return My Calls, Now What?

Workers' Comp Adjuster Won't Return My Calls, Now What?

Michigan lawyer explains what to do when you realize “my workers’ comp adjuster won’t return my calls” and how to get help.

Getting hurt on-the-job is a nightmare for many of the people who contact our office. They live paycheck-to-paycheck and missing even one week’s pay can mean financial disaster. Workers’ comp is supposed to be a safety net that pays lost wages and covers medical treatment regardless of fault.

Nothing is more frustrating than when a workers’ comp adjuster won’t return your calls. Try not to take it personally and realize that claims adjusters are people too. Sometimes they get busy and phone calls don’t always get returned quickly. It only becomes a problem when wage loss checks go missing or medical treatment is not promptly authorized.

What should you do when you realize “my workers’ comp adjuster won’t return my calls?” Here are some practical tips that we give our clients.

Send documents to the workers’ comp adjuster by certified mail

A common excuse we hear when clients tell us “my workers’ comp adjuster won’t return my calls” is that they did not receive documentation and cannot approve lost wages or medical treatment. Items like paystubs, work restrictions, medical records, and unpaid bills are suddenly missing from the file. We recommend sending these items by certified mail return receipt requested to ensure there is proof of mailing and delivery. It is also possible to seek penalties if workers’ comp benefits are not paid within 30 days.

Ask for a Notice of Dispute

Insurance companies are not permitted to stop payment of workers’ comp benefits without filing a formal Notice of Dispute (Form WC-107) with the State of Michigan. It should include a written explanation for nonpayment. Asking for this information will let the insurance company know that you understand legal rights. Watch out for excuses like “pending investigation” and “waiting on IME report.” These are warning signs the insurance company is looking to stop payment of workers’ comp benefits.

Hire a lawyer who can take control of the workers’ comp claim

The best advise we can give if you are realizing “my workers’ comp adjuster won’t return my calls” is to hire a lawyer who can take control of the situation. Our experience shows that minor issues can be resolved when a lawyer gets involved. The lawyer does not have to make his or her presence known until a problem occurs. All communication is confidential and there is no fee to monitor a claim. Many of our clients feel a great sense of relief when they no longer have to speak directly to the adjuster.

File an Application for Mediation or Hearing

Want to get the adjuster’s attention quickly? File an Application for Mediation or Hearing (Form WC-104A). This starts a lawsuit against the insurance company for unpaid wage loss and/or medical bills. The insurance company will hire a lawyer to defend the action. We do not recommend starting a case unless you have an experienced lawyer on your side.

Michigan Workers Comp Lawyers never charges a fee to evaluate a potential case. Our law firm has represented injured and disabled workers exclusively for more than 35 years. Call (844) 316-8033 for a free consultation today.

Related information:

Independent medical examination for workers’ compensation: what you need to know

Workers\' Comp Adjuster Won\'t Return My Calls, Now What?
Injured On The Job: A Guide to Michigan Workers Compensation Law Injured On
The Job
A Guide to Michigan Workers Compensation Law Free Book
Free Consultation
During Covid-19, We’re Still Here For you, Working For You | Read More Here |