Workers' Compensation vs. Third-Party Claim: Here's What You Need to Know

May 2, 2024

Workers' Compensation vs. Third-Party Claim: Here's What You Need to Know

Workplace injuries are devastating, not only do they cause physical pain, emotional distress, but they result in lost wages as well.

Fortunately, the legal system offers two options to recover compensation for these losses: workers' compensation and third-party claims.

Recent news articles have shed light on the increasing number of accidents on worksites, which makes it extremely crucial to consult the construction accident attorneys at Galine, Frye, Fitting & Frangos. The legal experts here have a combined experience of over 75 years, making them the ideal choice for legal representation. And on top of that, the law firm has won millions in settlements for those who were injured due to the negligence or malicious acts of others.

a man who had a worklace accident
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Key Takeaways on Workers’ Compensation and Third-Party Claims

  1. Workers' Compensation Safety Net: Regardless of fault, workers' compensation offers benefits for work-related injuries, covering medical expenses and lost wages.
  2. Limited Coverage: While workers' compensation provides a safety net, it only covers a portion of lost wages, typically around two-thirds of your average weekly pay.
  3. No Punitive Damages: Workers' compensation claims do not allow for punitive damages, which are intended to punish the at-fault party.
  4. Third-Party Claims for Comprehensive Compensation: Third-party claims involve parties other than employers or co-workers and may offer broader compensation, including non-economic damages and total lost wages.
  5. Challenges of Third-Party Claims: Pursuing third-party claims requires proving fault and navigating complex legal processes, including the burden of proof and potentially lengthy legal proceedings.
  6. Decision Making: Choosing between workers' compensation and third-party claims depends on case specifics; workers' compensation provides a guaranteed benefit, while third-party claims offer potential for more comprehensive compensation.
  7. Legal Guidance: Consulting experienced attorneys in workers' compensation and personal injury law is crucial for understanding rights, navigating the claims process, and maximising compensation.

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Workers' compensation: What is it? 

Workers' compensation is a system of mandatory insurance that most employers must carry. It provides a safety net for employees who suffer work-related injuries or illnesses, regardless of fault. This means that even if you caused your accident, you are still entitled to benefits under workers' compensation.

With worker’s compensation, you get the following: 

  • Medical expenses: Workers' compensation covers the cost of necessary medical treatment, including doctor visits, surgery, rehabilitation, and medication, and it must be calculated accurately. 
  • Lost wages: Workers' compensation replaces a portion of lost wages while you recover from your injury. The specific percentage and duration of benefits vary by state.

But, you need to note two things here: 

  • Limited coverage: Workers' compensation only covers a portion of your lost wages, typically around two-thirds of your average weekly pay.
  • No punitive damages: Punitive damages, meant to punish the at-fault party, are not available in workers' compensation claims.

And, what are third-party claims? 

A third-party claim arises when a party other than your employer or a co-worker is responsible for your work injury. This could be a property owner, a manufacturer of faulty equipment, or another driver involved in a work-related car accident.

Potential recoveries in a third-party claim:

  • Non-economic damages: In addition to medical expenses and lost wages, you may be able to recover compensation for pain and suffering, emotional distress, and loss of enjoyment of life.
  • Total lost wages: Unlike workers' compensation, a third-party claim can recover all your lost wages, not just a portion.

Challenges of third-party claims:

  • Burden of proof: You have the burden of proof to prove that the third party's negligence caused your injury. This often requires witness testimony, expert reports, and other evidence.
  • Legal process: Third-party claims can involve complex legal proceedings, and it's advisable to consult an attorney to navigate them.
A person getting injured
Image source

Making the right choice: Workers' compensation vs. Third-Party claim

The decision to pursue a workers' compensation claim or a third-party claim depends on the specific circumstances of your case. Workers' compensation provides a guaranteed benefit, regardless of fault, but it has limitations. Third-party claims offer the potential for more comprehensive compensation but require proving fault and navigating a potentially complex legal process.

Understanding the differences between workers' compensation and third-party claims can help you make informed decisions about seeking compensation after a work-related injury.

Conclusion

A work injury can disrupt your life and finances. Fortunately, the legal system offers options to recover compensation for your losses. Workers' compensation provides a guaranteed safety net, while third-party claims can offer a more comprehensive recovery, depending on the situation.

Remember, there's no one-size-fits-all answer. The best course of action depends on the specifics of your case. Consulting an attorney experienced in workers' compensation and personal injury law is vital. They can evaluate your situation, explain your rights, and guide you through the claims process to ensure you receive the maximum compensation. Don't hesitate to seek legal guidance – your well-being is paramount.