Workers’ Compensation, It's More Complicated Than You Think
Are you curious about workers’ compensation? About its procedure and implementation? Then, you’re in luck as I bring to you a comprehensive guide developed by some of the top Kingston, PA, Work CompLawyers. In this guide we’ll be going over the general governmental structure used to determine workers’ compensation benefits, and what to do if you’re unsatisfied with the results.
Then General Workers’ Compensation Structure
Like all governmental programs, the implementation
of the Workers’ Compensation Act is controlled by appropriate governmental
departments. Although full of bureaucratic red tape, these departments are essential
for giving structure to workers' compensation procedures.
The Workers’
Compensation Board
Despite being mandated by Washington, each state is
given a significant and equal amount of jurisdiction over the implementation of
the Act within its borders. This jurisdiction is exercised by the state’
Workers’ Compensation Board, which is a department solely responsible for
dealing with workers’ compensation claims and disputes. The Board is also
responsible for determining if an employee gets their dues or not.
Workers’
Compensation Appeal Board
Not all of the decisions made by the Board are
accepted; in fact, very few are and that’s where the Workers’ Compensation
Appeal Board comes in. A subdivision, the Appellate Board is responsible for
handling disputes and modifications in the Board’s decision. The decision made
by the Appellate Board supersedes the main Borad’s results, and is superseded
by the Court of the Commonwealth.
Workers’
Compensation Court and Judges
The Workers’ Compensation Court is a part of the
Appellate Board, and is presided over by a Workers’ Compensation Judge. While
part of the general judiciary, the Workers’ Compensation Court and Judge do not
hold the same authority as their Commonwealth counterparts. Nevertheless, both
play a vital role within the structure and process of the Appellate Court.
Workers’ Compensation Process And Results
Board Process
And Results
The Workers’ Compensation Board uses the following
process to determine the validity of a workers’ compensation claim.
- An application is received and processed on
behalf of the injured employee.
- The Board requests the employee submit all the
necessary documents, like medical report and employment record, by a
certain date.
- The employer is informed of the petition and
requested to submit their understanding of the situation and give
sufficient details in case they intend to refuse the claim.
- A decision is made after reviewing arguments
from both sides.
While the Board is the main body responsible for
handling workers’ compensation claims, many of the top Kingston, PA, workers’
comp lawyers hold that it doesn’t have that much authority.
Appeal
Procedure and Results
The Appellate Board incorporates both self and
judicial review in its decision making process.
- The Appellate Board receives an application
from the appellant and orders a Workers’ Compensation Court Hearing.
- The Compensation Court convenes as general
courts do - albeit with some procedural differences.
- A Workers’ Compensation Judge hears arguments
from both sides and gives a verdict based on his knowledge of the law.
- The Appellate Board reviews the original
verdict and the Compensation Judge’s verdict, and gives its decision.
- In case modifications are requested to an
already accepted decision the Workers’ Compensation Court may be bypassed.
Regarding the appeals procedure, the Appellate
Board is the main decision making authority, while the Court’s verdict, in
layman terms, is only a suggestion.
Last Call
In case either of the parties is unsatisfied with
the Appellate Board’s decision, they can take their grievances to the
Commonwealth’s court. Unlike the verdict of a Workers’ Compensation Court, the
verdict of a Commonwealth’s court is absolute in its authority. However, it
should be noted that it’s incredibly difficult to get a case approved by a
conventional court. To avoid suffering through the hassle of unfavorable
decisions, it’s recommended to seek proper legal representation as soon as the
initial application process.
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