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Contact the Law Offices of James Scott Farrin 1-866-900-7078

My Workers’ Comp Adjuster Won’t Return Calls or Authorize Medical Treatment. What Should I Do?

I cannot begin to tell you how many times I've gotten a call from an injured worker who needed a lawyer because the insurance company adjuster would not return phone calls or simply seemed to stop all forms of communication.

Not only is this offensive, but it's just plain rude.

There's one story in our free booklet, Insurance Companies (and others) Behaving Badly about an insurance adjuster who waited months before responding to an injured worker. When we got involved and reached the adjuster, she made light of the fact that she had ignored our client, and said she would make a decision in two weeks. Two weeks?*

In workers' comp, we trade stories like this all the time. In our experience, some adjusters will sit on cases just to keep our clients waiting, hoping to wear them out. Unfortunately, this type of "avoid and delay" approach does wear some people out until they just give up. And that's why some insurance companies do it.

Here at our firm, we know their approach. We'll fight that approach.

These injured workers are usually people in need of medical treatment or disability payments. Payments they may be entitled to. Payments that may make a huge difference between deciding to pay their rent or pay their utilities, or even whether to buy food in some cases. Or payments that may mean the difference in continuing to get the medical care they need.

Injured workers can too often experience unnecessary pain and financial hardships just because some adjusters ignoring their pleas for help!

What to Do If an Insurance Adjuster Won't Return Your Calls

My professional observation over the 23+ years I've been an attorney is that insurance companies do not hire enough adjusters to manage the number of cases they have.

Sadly, the reason they don't, in my opinion, is likely related to money. Most insurance companies are for-profit businesses. The less people they hire, the less money they have to spend. And as we've seen day in and day out, it seems that some insurance companies hope that the injured workers will just give up and go away. Many of them do go away. But this type of treatment is not fair or appropriate under our workers compensation laws.

If you find yourself in a situation in which the adjuster won't return your calls, here's what I suggest.

  • Sometimes, it's simply a function of the "squeaky wheel gets the grease." Call the adjuster often and leave messages every day reminding them that you need medical treatment in order to return to work, or that you need your disability check so that you can pay your bills.
  • Call the adjuster's supervisor as frequently as you feel you need to. While frustrating, we have found that this approach often works.
  • If you need follow-up medical care, try calling the doctor's office that the carrier sent you to and ask them to schedule an appointment and ask that they get approval from the adjuster.
  • In other words, be a pest.

But if you don't want to go through all that rigmarole, or if you don't have the time to follow up every day with letters and phone calls, hire an experienced workers' comp attorney from the start.

North Carolina Workers' Comp Lawyers Can Help You...

  • Communicate with the adjuster and others
  • Try to get your payments started, or continued in some cases
  • Keep your case moving along
  • Try to negotiate a higher settlement than you may be able to on your own
  • Try to obtain medical benefits the insurance company is denying
  • Fight for a measure of job security if, for example, the insurance company forces you to go back to a made up job, which may be disguised as "light duty," "modified duty," or "restrictive" employment. (These jobs are sometimes eliminated later.)
  • Give you added peace of mind knowing you have someone who is championing your rights

And many other things, depending on your situation. Think you can't afford legal help? Think again. Most workers' comp attorneys work on a contingency fee basis set by the state of North Carolina. The standard fee is 25%, and it usually comes out of any payments your attorney helps you collect from the insurance company. This 25% set rate affords you the peace of mind of not having to worry about a particular lawyer or law firm being "too expensive." And it allows you to choose a law firm you feel is best suited for your situation - without having to worry about fees.

Get a FREE Case Evaluation from North Carolina Workers' Comp Attorneys

If you feel you're getting the run-around, or that your insurance company may not have your best interests at heart, contact us or call 1-866-900-7078.

Let one of our workers' comp attorneys  - six of whom are North Carolina Board Certified Specialists in workers' compensation law - evaluate your situation for free.

* This is a specific example of an experience we had with an insurance company and adjuster. This does not necessarily represent any industry as a whole. The description of events are based upon the recollections of individual staff members.

Brian Clemmons joined the Law Offices of James Scott Farrin in 2010.

Mr. Clemmons received his J.D. from the University of North Carolina School of Law. He received his B.A. in History from the University of North Carolina at Chapel Hill. He’s spoken at numerous continuing legal education courses and has more than 23 years of experience in a variety of practice areas, including: personal injury, Workers' Compensation and Social Security Disability. He also has a great deal of experience as a defense attorney for insurance firms, so he has seen personal injury law from both sides of the table.

Mr. Clemmons believes that honest communication is key to a successful case.

Contact Information

Raleigh Law Office

5848-100 Faringdon Place
Raleigh, NC 27609
Phone: 919-834-1184
Toll Free: 1-866-900-7078

Durham Law Office

280 South Mangum Street, Suite 400
Durham, NC 27701
Phone: 919-688-4991
Fax: 800-716-7881

Fayetteville Law Office

517 Owen Drive
Fayetteville, NC 28304
Phone: 910-488-0611
Toll Free: 1-866-900-7078

Charlotte Law Office

1001 Morehead Square Drive, Suite 350
Charlotte, NC 28203
Phone: 704-599-1078
Toll Free: 1-866-900-7078

New Bern Law Office

1505 South Glenburnie Rd, Unit P
New Bern, NC 28562
Phone: 252-634-9010
Toll Free: 1-866-780-3422

Greenville Law Office

702 G Cromwell Dr.
Greenville, NC 27858
Phone: 252-355-5205
Toll Free: 1-866-780-3227

Greensboro Law Office

300 N. Greene Street, Suite 850
Greensboro, North Carolina 27401
Phone: 336-665-7072
Toll Free: 1-866-900-7078

Goldsboro Law Office

214 South William Street, Suite 3
Goldsboro, NC 27530
Phone: (919)-731-2581
Toll Free: 1-866-900-7078

Henderson Law Office

514 Dabney Drive, Suite 200
Henderson, NC 27536
Phone: 252-492-4600
Toll Free: 1-866-900-7078

Roanoke Rapids Law Office

709 Julian R. Allsbrook Highway
Roanoke Rapids, NC 27870
Phone: 252-537-9670
Toll Free: 1-866-900-7078

Rocky Mount Law Office

3202 Sunset Avenue, Suite B
Rocky Mount, NC 27804
Phone: 252-937-4730
Toll Free: 1-866-900-7078

Sanford Law Office

703-B South Horner Boulevard
Sanford, NC 27330
Phone: 919-775-1564
Toll Free: 1-866-900-7078

Wilson Law Office

2315 Airport Blvd Suite A
Wilson, North Carolina 27896
Phone: 252-246-9090
Toll Free: 1-866-900-7078

Winston-Salem Law Office

301 N. Main Street, Suite 2409-C
Winston-Salem, NC 27101
Toll Free: 1-866-900-7078