Navigating the Workers’ Compensation Process
Remember, you must report an injury or illness within 30 days if you want to have it covered by Workers’ Comp – this includes a diagnosis of cancer or any of the other items covered by our presumptive law. This is an absolute!
Remember, you DO NOT have to go to Concentra for your Workers' Compensation care. You only have to go to a doctor that accepts Workers' Compensation.
Work with your doctor to make sure your condition is properly documented as an injury or illness that is job related.
Many legitimate claims will be initially denied by the 3rd party administrator that handles the claims - in hopes that you won’t challenge it. This is when the real “process” begins.
If denied, contact either of Local 440's Workers' Compensation contacts:
Scott Streater -- 817-994-1595 cell; firstname.lastname@example.org, or
Skyler Ainesworth -- 817-313-7841 cell; email@example.com.
Let us know so we can help you evaluate the need to appeal your denial. A good resource is the TDI website. Go to www.tdi.state.tx.us/wc/index .html then click on Info for Injured Employees. The FAQ section is very helpful.
Once an appeal is filed you will be assigned an ombudsman. The ombudsman assigned by the state will assist you in challenging the denial. Let us know if you get a Benefit Review Conference set up and we can assist you in preparation.
If you are denied coverage, and your injury or illness requires immediate attention, go ahead and handle it through your insurance. If you eventually prevail through the Workers’ Compensation process, you can then seek to recover out of pocket costs and sick leave used.