How to File a Workers' Compensation Claim in Roma Texas

If you’ve suffered job-related injuries in Texas, you may be able to seek benefits through the workers’ compensation system. Texas is the only state that doesn’t require employers to provide workers’ compensation. However, the Texas Department of Insurance (TDI) reports that roughly four out of five private-sector employees work for employers who opt for the state-regulated insurance.

The South Texas attorneys at Carabin Shaw can work on your behalf to ensure a smooth and effective workers’ compensation process, starting with the filing of your claim. Your lawyer provides expert advice for maximizing benefits and advocates for your best interests, especially when an insurance carrier denies the care you need.

The Division of Workers’ Compensation (DWC) regulates workers’ compensation insurance, also known as “workman’s comp,” in the state of Texas.

- This system provides the following types of benefits if the insurance carrier determines you’re eligible:

• Medical benefits for work-related treatment costs
• Wage replacement ranging from temporary to lifetime benefits, depending on the severity of injury
• Coverage of funeral and burial expenses if you’ve lost a loved on to a work accident
• Death benefits that replace wages lost for surviving family members

A workman’s comp attorney in Roma, Texas, can provide more detail about these benefits, including whether you’re likely to receive them for your specific circumstances.

In Texas, you should report your injury or illness within 30 days of becoming aware of it. Otherwise, you risk insurance denials for coverage that’s essential for your recovery. In addition, there’s a one-year deadline for filing a claim with the DWC.

When you prepare the DWC form, you should be ready to supply the following information:

• Through description of your injury or illness
• Witnesses to the injury
• Body parts affected
• The exposure date and discovery date for an occupational disease
• Doctor information

Your attorney, who should be familiar with how to file a workers’ compensation claim in Texas, can help you adhere to deadlines and provide clear, complete details.

Unfortunately, the Centers for Disease Control have found that workers’ compensation insurance covered medical costs for fewer than half of all self-reported work injuries in Texas. A Roma, TX, workplace accident lawyer may considerably improve your chances of winning a dispute with a workers’ comp insurer.

The dispute process can involve multiple stages and take significant time. For example, resolving a dispute about the benefits you’re awarded could involve the following steps:

• Talking with a trusted legal team, such as our team at Carabin Shaw
• Attending a benefit review conference (BRC) with your lawyer, an insurance representative, and a DWC officer
• Moving forward with a case hearing if agreement isn’t achieved in the BRC
• Appealing an unfavorable case hearing decision with a formal appeals panel
• Seeking judicial review in a court of law

Workers’ compensation cases are rarely straightforward. No matter what it takes, Carabin Shaw’s client reviews show our legal team’s dedication to acting in your best interest.

As there’s evidence to show that Texas workers are losing more major workers’ compensation dispute cases than ever, the help of an attorney is even more invaluable. Furthermore, the team at Carabin Shaw can help you take appropriate action if your Texas employer offers unregulated private insurance or no workers’ comp at all.

Our staff members are available every day at all times of day, and they can offer support in Spanish or English. We offer a completely free case review and initial consultation to help you begin securing vital resources for your continued health and livelihood. To get started, call the toll-free number 800-862-1260.

For more information:

• CDC: Morbidity and Mortality Weekly Report July 30, 2010
• Texas Department of Insurance: Employer Participation in the Texas Workers’ Compensation System, 2022 Estimates
• The Texas Tribune: Hurting for Work