Workers' Comp Overview

Understanding Workers' Compensation in Pasadena

The no-fault insurance program benefits employees who suffer work-related injuries or illnesses, providing medical treatment, disability benefits, and lost wage coverage to eligible workers. However, California workers' compensation laws are complex and challenging to navigate. Working with a workers' comp attorney in Pasadena can make the process easier and get you the compensation you deserve.

What Are California Workers' Compensation Laws?

Overall, the California Workers' Compensation system is an important safety net for employees who are injured or become ill due to their jobs. It provides them the financial support to recover and return to work while protecting employers from personal injury lawsuits and other legal actions.

California Workers’ Compensation is a no-fault system, meaning employees are entitled to compensation regardless of who caused the injury or illness. Even if the employee's negligence caused the injury, they are still eligible for benefits; if the employer's negligence caused the injury, the employee remains qualified. The system is funded by employers, who are legally required to carry workers' compensation insurance and provide a safe work environment. They must also post information about workers' compensation in a visible location in the workplace. When they fail, they must report work-related injuries or illnesses to their insurance carrier within a specified period. California Workers' Compensation covers most employees in California, including full-time, part-time, and seasonal workers. It also covers both legal and illegal workers.

However, there are some exceptions to workers' compensation coverage:

  • Workers' compensation does not cover Independent contractors
  • Business owners, partners, and sole proprietors are not automatically covered, but they can choose to include themselves in their coverage

Failure to provide coverage can result in the following:

  • Legal penalties
  • Fines
  • Criminal charges
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How Can I File a Workers' Compensation Claim?

Employees must report the injury to their employer as soon as possible. It is also essential to seek medical attention for the injury and inform the medical provider that it is work-related. Once the injury has been reported to the employer, they should file a workers' compensation claim with the California Division of Workers' Compensation, either online, by mail, or in person at a local DWC office. The claim should include the following:

  • The employee's personal information
  • The date and location of the injury
  • A description and proof of any medical treatment received

After the application has been filed, the case will be assigned to a workers' compensation judge who will schedule a hearing. The employee should be prepared to present evidence and testimony to support their claim at this hearing.

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What to Do if Your Workers' Compensation Claim in Pasadena Is Denied

There are several reasons why a workers' compensation claim may be denied. Some of the most common reasons include the following:

  • Someone did not report the injury promptly
  • The injury did not occur while the worker was on the job
  • The injury was caused by the worker's misconduct or use of drugs/alcohol
  • The employer disputes that the injury happened on the job
  • The worker did not receive medical treatment for the injury

If your claim is denied, it can be a frustrating and stressful experience. However, you can appeal the decision to the Workers' Compensation Appeals Board and potentially receive the benefits you are entitled to. You can do this by applying for adjudication of the claim with the DWC. The application should include the reason for the appeal and any supporting documentation. However, you only have one year from the injury date to appeal. After you file the claim form, a hearing will be scheduled. At the hearing, you will have the opportunity to present evidence and argue your case. Having all relevant medical records and documentation to support your claim is essential.

You can continue to appeal the decision to higher workers' compensation system levels, including the Workers' Compensation Appeals Board and the California Court of Appeals.

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Why Choose the Pasadena Workers' Comp Lawyers at Fiore Legal?

Workplace injuries can have serious, life-altering consequences, and navigating the workers’ compensation process is often stressful and confusing. Our team of workers' compensation attorneys in Pasadena approaches each case with focus, urgency, and personalized attention, guiding you through every step—from understanding your rights to handling complex claims and insurance negotiations. Unlike larger firms that may treat clients like numbers, or smaller offices without the resources to take on insurers, we provide hands-on support backed by the experience and dedication needed to secure the benefits you deserve. We fight tirelessly to protect your recovery and your future.

Our commitment to excellence has been recognized through honors such as:

  • Million Dollar Advocates Forum
  • Top 100 Lawyers in America
  • Top 10 Personal Injury Lawyers
  • Super Lawyers selections
  • Top Mediator, P.I. Hub ADR Program (Los Angeles Superior Court)

If you’ve been injured on the job in Pasadena, contact us today to schedule a consultation and learn how our personal injury attorneys in Pasadena can help you pursue the workers’ compensation benefits you’re entitled to.

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