A Step-by-Step Guide to Workers’ Compensation Benefits: Making the Process Easy for Injured Workers 

02 Oct, 2024 Claire Muselman

                               
HR Homeroom

This article showcases how easy it can be to explain the benefits process to an injured human who has sustained an injury at work and will receive some indemnity benefits. The goal is to be clear, check for understanding, and bring the person along with your thought pattern. Suppose you can articulate this in a transparent manner that is understood upfront. In that case, the claim will go much easier, and the injured person can leave your conversation feeling a sense of understanding and peace about how their benefits will now be paid during this disruption to their life. Enjoy! 

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It is natural to feel overwhelmed when you are injured at work. You have a lot on your mind—your health, your recovery, your bills—and the last thing you need is confusion about your workers' compensation benefits. But understanding what you are qualified for should not add to your stress. It should be simple, straightforward, and easy to grasp. This guide will break down the benefits you are eligible for under workers' compensation, explain how we calculate your wages, and show you how to make this process as smooth as possible. 

First, let's talk about the basics. Workers' compensation is a system designed to help you when you get injured on the job. It covers your medical expenses, helps replace part of your lost wages, and provides other benefits while you recover. The goal is to support you so you can focus on getting better without worrying about how to pay your bills. But to make the most of your benefits, it is important to understand what you qualify for and how the process works. 

One of the first things we do is calculate your wages to determine how much you'll receive in benefits. This calculation can seem complicated, but it does not have to be. We start by looking at your average weekly wage before you were injured. This amount is usually calculated by taking your earnings over a set period of time—often 26 weeks (depending on the state)—before your injury and dividing that by the number of weeks. We want to make sure this calculation is accurate because it directly affects how much you will receive in benefits. We will ask you if the wages we have used look right to you. If something seems off, let us know so we can correct it. It is important that you feel confident that this calculation reflects your true earnings. 

Once we have calculated your average weekly wage, we use this number to determine your weekly benefit amount. Most states provide workers' compensation benefits that replace about two-thirds of your average weekly wage. This replacement benefit means that if you were making $600 a week before your injury, you would receive about $400 a week in workers' compensation benefits. While this may be less than your regular paycheck, it is meant to help you get by while you recover. We understand this can be a big adjustment, and we are here to help you navigate it. 

We also want to inform you that your employer may still need to contact you for insurance premiums or other employee benefits you will continue to receive while you are on workers' compensation. Since they will not be administering your payroll during this time, benefit deductions that are regularly taken out of your check may still need to be paid. We will want to double-check with your human resources department to see how best to handle this situation and avoid any disruption throughout this process. They may want you to pay them back at a specific time so the benefits continue for you and your family. We will figure this out! 

Another important part of this process is understanding when you will receive your benefits and how you will get paid. We know everyone has different preferences, so we offer options to ensure you are comfortable with how you receive your payments. You can choose to have your benefits paid by electronic funds transfer (EFT) directly into your bank account, by a prepaid debit card, or by a traditional paper check if that's what you prefer. Offering these options is one of the few times we can give you control in the workers' compensation process, and we want to make sure you get paid in the way that works best for you. 

It is important to keep you informed throughout the process. A straightforward way to do this is by letting you know when your check has been issued. We can send you a quick text, email, or make a phone call to let you know that your payment is on its way. This small step can make a big difference in easing your mind and helping you plan your finances. We understand that you are already dealing with a lot, so our goal is to make sure you have one less thing to worry about. 

Understanding your needs and preferences is another critical aspect of making this process easier. For example, we will ask when you are used to being paid by your employer. Suppose you are accustomed to getting paid every Friday. In that case, we will do our best to align your workers' compensation payments with that schedule. This consistency can help you manage your bills and reduce stress. We know that little things like this can make a big difference, and we are committed to making the process as smooth as possible for you. 

Finally, we want to make sure you understand all the benefits to which you qualify. Besides wage replacement, workers' compensation may cover other costs like mileage reimbursement for trips to the doctor, vocational rehabilitation if you need help returning to work, and even death benefits for your family if the unthinkable happens. These benefits are designed to support you and your loved ones during a difficult time. We will explain each of these benefits clearly and check in with you to make sure you understand how to access them. 

We know that dealing with a work injury can be overwhelming, and the last thing you need is confusion about your benefits. That is why we are here to walk you through each step, answer your questions, and make sure you feel supported every step of the way. Our goal is to make this process as easy as possible so you can focus on what matters—your recovery. 

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To anyone explaining the benefits process to an injured worker, workers' compensation is here to help when people need it most. By checking for understanding with an employee about their benefits, communicating how we calculate their wages, and having options for how they can receive their payments, we can help injured workers feel more in control of their situation. By keeping injured workers informed and aligning their payments with the usual schedule they have been accustomed to, we can help make the process easier for people to manage. Please do me a favor: Commit to being upfront, clear, and supportive so our injured humans can focus on getting better and returning to work. After all, these are human beings, and we are here because their well-being matters most.  


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    About The Author

    • Claire Muselman

      Meet Dr. Claire C. Muselman, the Chief Operating Officer at WorkersCompensation.com, where she blends her vast academic insight and professional innovation with a uniquely positive energy. As the President of DCM, Dr. Muselman is renowned for her dynamic approach that reshapes and energizes the workers' compensation industry. Dr. Muselman's academic credentials are as remarkable as her professional achievements. Holding a Doctor of Education in Organizational Leadership from Grand Canyon University, she specializes in employee engagement, human behavior, and the science of leadership. Her diverse background in educational leadership, public policy, political science, and dance epitomizes a multifaceted approach to leadership and learning. At Drake University, Dr. Muselman excels as an Assistant Professor of Practice and Co-Director of the Master of Science in Leadership Program. Her passion for teaching and commitment to innovative pedagogy demonstrate her dedication to cultivating future leaders in management, leadership, and business strategy. In the industry, Dr. Muselman actively contributes as an Ambassador for the Alliance of Women in Workers’ Compensation and plays key roles in organizations such as Kids Chance of Iowa, WorkCompBlitz, and the Claims and Litigation Management Alliance, underscoring her leadership and advocacy in workers’ compensation. A highly sought-after speaker, Dr. Muselman inspires professionals with her engaging talks on leadership, self-development, and risk management. Her philosophy of empathetic and emotionally intelligent leadership is at the heart of her message, encouraging innovation and progressive change in the industry. "Empowerment is key to progress. By nurturing today's professionals with empathy and intelligence, we're crafting tomorrow's leaders." - Dr. Claire C. Muselman

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