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

What Is My Workers’ Comp Case Worth?

Many people considering a workers' compensation claim want to know "How much is my case worth?"

It's a complex question, and can sometimes depend on who's holding the calculator. Here are three primary factors that will affect how much you're paid.

Click here to get a free professional opinion on how much your workers' comp case may be worth. No strings attached.

3 Factors That Can Determine Your Workers' Comp Benefits

Three key elements go into determining the value of a workers' comp case:

  1. Impairment rating
  2. Indemnity benefits
  3. Future medical treatment

1. Impairment Rating

Once you have reached what is known as Maximum Medical Improvement (when you've healed as much as possible) but you're still not the same as you were before your injury, your doctor should assign an impairment rating to the part of the body that was injured.

An impairment rating is worth a certain amount depending on your compensation rate at your job and the part of the body that was injured. Your compensation rate is 2/3 of your average weekly wage for the 52 weeks prior to your injury. The part of the body that was injured and the rating is significant in this formula because the North Carolina Industrial Commission has determined that specific body parts are worth a certain number of weeks of your compensation rate.

For example:

Spine = 300 weeks
Leg = 200 weeks
Arm = 240 weeks

Let's say you injured your left arm at work and your authorized treating physician has assigned a 10% impairment rating to that left arm. Your compensation rate is $350, based on the following formula:

10% of 240 weeks = 24 weeks
24 weeks x $350 salary = $8,400
You would be entitled to $8,400 for that rating

Unfortunately, that means if you have low wages, and therefore a low compensation rate, your impairment rating will not be worth as much as another employee with a large compensation rate. Based on the above scenario, if your compensation rate is $100, that same 10% rating would only equal $2,400.

That's why making sure your compensation rate is calculated accurately is extremely important. We've found additional money for lots of clients by looking more closely at their compensation rate and sometimes finding that overtime pay or additional work days had not been factored into their compensation rate.*

We can help you try to get a second opinion on your impairment rating.

2. Indemnity Benefits - or Temporary Total Disability (TTD)

Another factor taken into consideration when determining the value of your workers' comp case is how much the insurance company may have to end up paying in indemnity benefits (disability benefits). Indemnity benefits are the weekly payments the workers' comp insurance company makes to you when your authorized treating physician has written you out of work or has assigned work restrictions your employer cannot accommodate. This is also known as Temporary Total Disability (TTD) benefits.

Our firm has been representing injured workers for a long time. And one of the many things we've seen is that insurance companies don't want to have to write these checks to you for any longer than they have to.

Many factors affect how long you may be entitled to these checks. Whether they continue to pay you TTD or try to settle your case is a numbers game to them to try to ensure they pay you as little as possible. Here are some of the factors they consider when deciding how much and how long to pay you.

Date of Your Work Injury Affects TTD Benefits

  • If you were injured on or after 6/24/11, you can receive a maximum of 500 weeks of TTD.
  • If you were injured prior to 6/24/11, you could potentially receive TTD for the rest of your life.

Work Restrictions a Factor in Workers' Comp Settlement Amount

We may be able to help you maximize your indemnity benefits by working to prevent you from returning to work in a job that is outside of your work restrictions.

If you have temporary light duty restrictions with minimal medical treatment, and are expected to be able to go back to your regular job performing the same duties as before your injury, the insurance company may be less likely to pay a large sum to settle your case. However, if you have permanent restrictions that prevent you from returning to your pre-injury employment or other work, the insurance company may have more incentive to settle your case as soon as possible, rather than potentially paying you years of TTD.

While we cannot tell your treating physician what restrictions to assign you, we can try to make sure your doctors are aware of what your job entails and fight on your behalf to get reasonable restrictions - or a second opinion from another doctor.

As is the case with impairment ratings, your compensation rate plays a big factor in determining how much money the insurance company may have to pay you for being out of work.

Salary a Factor in Workers' Comp Settlement Amount

If you have a compensation rate of $350, the insurance company knows that if they have to pay you for being out of work for a year they'll spend $18,200. However, if your compensation rate is only $100, even if you are out of work for a year, the insurance company only has to pay you $5,200. They may be more likely to settle earlier on if it they believe it might cost them more to continue paying you TTD.

Pain and Suffering NOT a Factor in Workers' Comp Cases

Many of our workers' comp clients are surprised to find out that pain and suffering are not taken into account in workers' comp. No matter how much frustration and suffering your work injury has caused.

3. Future Medical Treatment

Your claim will also be more valuable if your authorized medical physician recommends significant medical treatment for your workers' comp injury than if there are few or no medical recommendations.

If you have a shoulder injury, for example, and your physician recommends a rotator cuff repair surgery, the insurance company may be more inclined to pay you more to settle your claim quickly so they don't have to pay for that surgery. On the other hand, if you have a shoulder injury and your physician says you only need some physical therapy, the insurance company may likely be more motivated to simply pay for your physical therapy instead of paying you more to settle your claim.

As you can see, there are many nuances in workers' compensation law. Thousands and thousands of legal pages have been written to explain these nuances. It can take an experienced workers' comp attorney to understand and interpret these laws to help you try to maximize these factors to your advantage.

We can help you try to ensure your physician knows the full extent of your injuries. And we can help monitor your progress with the doctor and the insurance company. 

A good workers' comp attorney can do more than that! They can help you try to get a second opinion on your impairment rating if the first rating is too low, based on your injury. They may be able to help you maximize your indemnity benefits by working to prevent you from returning to work in a job that is outside of your work restrictions. And while they cannot tell your treating physician what restrictions to assign you, they can make sure your doctors are aware of what your job entails and fight on your behalf to get reasonable restrictions - or a second opinion from another doctor.

Choosing a Workers' Comp Lawyer

You're reading this blog for a reason. Are you getting the run-around from your insurance company? Are you confused by the rating and compensation process (you're not alone)? Is your insurance company trying to force you to settle? Are they withholding checks?

If you're struggling with your workers' comp situation and you think you may need an attorney, download this booklet: How to Choose a Lawyer for Your Workers' Compensation Claim. We think you'll find it valuable - particularly the interview questions to ask attorneys, which we made into its own separate printable.

If you follow the tips in this booklet, we believe you'll find a good attorney for your case. Of course, we believe our attorneys embody the qualifications and ideals you should seek when looking for a workers' compensation attorney. Six of our attorneys are North Carolina Board Certified Specialists in Workers' Compensation Law. (Very few attorneys in in North Carolina can make that claim.) We're committed to helping you understand your options and arming you with the knowledge you need to make an informed decision that's right for you.

Get a FREE Case Evaluation From Our North Carolina Workers' Comp Attorneys

Contact us anytime or give us a call at 1-866-900-7078 if you have questions or concerns about your workers' comp case. We're available to you 24/7.

 

* Each case is unique and must be evaluated on its own merits. The outcome of a particular case cannot be predicated upon a lawyer's or a law firm's past results.

 

Susan “Ali” Overby joined the Law Offices of James Scott Farrin’s workers’ compensation department in 2015.

She received her J.D. from Campbell University School of Law, where she attended on a partial merit scholarship. Prior to her law degree, she completed the Paralegal Program at Meredith College and received a Bachelor of Arts from the University of Virginia, where she double majored in English and Psychology and was a dean’s list scholar.

Ms. Overby worked for over six years as a personal injury and workers’ compensation paralegal, and now she practices law focusing exclusively on workers’ compensation cases. She enjoys being a resource for injured workers

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