Is Your Workers’ Compensation Claim Managed by Gallagher Bassett?

If you’ve recently been injured on the job, navigating the complexities of a workers’ compensation claim in Virginia can be overwhelming, especially if your claim is being managed by Gallagher Bassett. As a major third-party administrator (TPA) for workers’ compensation claims, Gallagher Bassett’s involvement means you’re dealing with a company that prioritizes reducing costs for their clients—employers and insurance companies.

At The Law Offices of Mark T. Hurt, we’re here to guide you through the process, ensuring you and your family are fairly compensated for your injury. If you or a loved one was injured at work and Gallagher Bassett was assigned to your claim, we invite you to call our offices to schedule a free consultation.

What is a Third-Party Administrator (“TPA”)?

TPAs administer claims on behalf of the other companies and insurance providers. As an example, if a worker is injured, the worker’s employer (or the insurance provider) may hire a TPA such as Gallagher Bassett to administer the claim, which will involve matters concerning compensability, the duration over which benefits should be paid, the medical treatment to be provided, and similar matters. 

What Is Gallagher Bassett’s Role in Virginia Workers’ Compensation Claims?

Managing a workers’ compensation claim involves a range of responsibilities, from initial injury assessment to the final settlement. Gallagher Bassett’s typical responsibilities in Virginia workers’ compensation matters, include: 

• Investigating Claims.
• Determining Compensability.
• Authorizing Treatment.
• Managing Medical Providers.
• Adjusting Claims.
• Negotiating Settlements.
• Legal Coordination.
• Regulatory Compliance.
• Coordinating Return to Work. 

Gallagher Bassett is Not on the Side of Injured Workers

They are paid by employers and insurance companies not only to manage workers’ compensation claims, but also to minimize cost payouts.  They can be expected to only authorize the benefits and treatment that are undisputable.

In many injury cases, the benefits, medical treatment, and return to work matters are in dispute.  The company paying for these matters will have a vested interest in denying or minimizing payments, minimizing or discontinuing medical treatment as soon as possible, and having employees return to work quickly (often before they are physically able to do so).

In short, Gallagher Bassett can be expected to always take the position favorable to the employer.

This is where we help. 

If you have been injured at work and your claim is being administered by Gallagher Bassett, you should understand that this company will have a vested interest in doing whatever they can to deny or minimize your benefits.

This is their job. They are not being paid to look out for your interests, even when you deserve continued benefits and medical treatment.

Reach out to us for a free consultation and learn how we can help ensure that you get the compensation and medical treatment to which you are entitled.

In the interim, please read the following information for additional steps that you should take concerning your workers’ compensation claim and how we can help you.  

What Should I Do If I Was Injured at Work and My Employer Hires Gallagher Bassett? 

If you were injured at work and your employer uses Gallagher Bassett to manage workers’ compensation claims, it’s essential to take steps to protect your rights and ensure that you receive the appropriate benefits, including:

• Report Your Injury Promptly. Inform your supervisor or human resources department about your injury as soon as possible. Virginia law requires that you report your injury within 30 days, but doing so immediately can prevent delays in receiving benefits.

• Seek Medical Attention. Seek medical treatment for your injury. Your health is a priority, and prompt medical attention also provides documentation of your injury and its severity, which is crucial for your claim.

• Document Everything. Document all details related to your injury, including the date, time, how the injury occurred, and any witnesses. Also, keep records of all medical treatments, expenses, and any communication with your employer or Gallagher Bassett.

• Understand Your Rights. Familiarize yourself with Virginia’s workers’ compensation laws and the benefits you’re entitled to receive. This may include medical treatment, wage replacement benefits, and compensation for permanent disabilities. As experienced workers’ compensation lawyers, we can evaluate the facts of your case and explain the compensation to which you may be entitled. 

• Be Cautious in Communications. When discussing your claim with Gallagher Bassett, be truthful but cautious. Understand that the information you provide can affect your claim. It’s often advisable to have legal representation before discussing the specifics of your case or agreeing to any settlements.

• Avoid Discussing Your Injury on Social Media. Social media posts about your injury can be used against you during the claims process. It’s best to keep details off public platforms.

• Consider Legal Representation. Consider consulting with a workers’ compensation attorney experienced in dealing with Gallagher Bassett and similar TPAs. We can advocate on your behalf, help navigate the claims process, ensure your rights are protected, and work to secure the full benefits you deserve. 

• Follow Through with Your Claim. Ensure your workers’ compensation claim is filed with the Virginia Workers’ Compensation Commission. Our dedicated team can assist with this process to ensure it’s done correctly and within the required time frames. 

• Stay Engaged with Your Treatment. Follow through with all prescribed medical treatments and attend all appointments. Compliance with your treatment plan not only helps your recovery but also supports your claim.

• Be Mindful of Deadlines. There are strict deadlines for reporting injuries and filing claims in the workers’ compensation system. Missing these deadlines can jeopardize your ability to receive benefits.

Dealing with a workers’ compensation claim managed by Gallagher Bassett can be challenging, but taking these steps can help protect your interests and improve the likelihood of a favorable outcome for your claim. An experienced workers’ compensation attorney can provide invaluable assistance throughout this process.

How Long Do I Have to File a Workers’ Compensation Claim in Virginia?

In Virginia, you generally have two years from the date of the accident to file a workers’ compensation claim with the Virginia Workers’ Compensation Commission. This statute of limitations is crucial because failing to file your claim within this period may result in the loss of your right to receive benefits.

It’s also important to distinguish between notifying your employer and filing a claim with the Commission. While Virginia law requires you to report your injury to your employer within 30 days of the accident, this is separate from the formal process of filing a claim for benefits.

How Can an Experienced Workers’ Compensation Attorney Assist with My Work Injury Claim?

Facing a TPA like Gallagher Bassett alone can be daunting. The Law Offices of Mark T. Hurt can support you at every step, ensuring your rights are protected.

Guidance Through the Claims Process 

• Navigating the System. Workers’ compensation laws and procedures can be complex. As experienced Virginia workers’ comp lawyers, we can guide you through the process, helping you understand your rights and the steps you need to take.

• Filing Your Claim. Our dedicated team can ensure that your claim is filed correctly and within statutory deadlines, which is crucial for its success.

Representation in Disputes 

• Dealing with Denials. If your claim is denied, our tenacious attorneys can represent you in appealing the decision. They know how to challenge denials effectively and present your case persuasively.

• Negotiating Settlements. We can negotiate on your behalf to ensure that any settlement offer adequately compensates you for your injuries and losses. Having decades of work injury experience, we understand the value of claims and can fight for fair compensation.

Legal Expertise and Advice

• Understanding Your Entitlements. Our workers’ compensation lawyers can explain the benefits you’re entitled to under workers’ compensation, such as medical treatment, wage replacement, and compensation for any permanent disability.

• Advising on Legal Rights. We can advise you on your legal rights and any potential third-party claims you may have in addition to your workers’ compensation claim.

Advocacy and Support 

• Acting as Your Advocate. Having an attorney means you have someone on your side, advocating for your best interests, especially against employers or insurance companies that may seek to minimize your benefits.

• Support Through Recovery. As Virginia workers’ compensation lawyer, we can handle the legal and administrative burdens of a claim, allowing you to focus on your recovery.

Maximizing Your Claim 

• Maximizing Benefits. An experienced attorney knows how to build a strong case to maximize your benefits and compensation. This includes gathering medical evidence, working with experts, and presenting a compelling case to the commission or court.

Representation in Hearings 

• Hearing Representation. If your case goes to a hearing, having an attorney represent you is critical. As tenacious litigators, we can present evidence, cross-examine witnesses, and argue on your behalf to secure the benefits you deserve.

Protecting Against Retaliation 

• Safeguarding Your Job. Our dedicated team can also provide protection against any form of retaliation from your employer for filing a workers’ compensation claim, ensuring your rights are protected throughout the process.

Choosing to work with an experienced workers’ compensation attorney can significantly impact the outcome of your claim, ensuring you receive the full benefits you’re entitled to while allowing you to concentrate on your recovery.

Schedule A Free Consultation with An Experienced Virginia Workers’ Compensation Claim Attorney. 

At The Law Offices of Mark T. Hurt, we understand the stress and uncertainty that come with a workplace injury. We advocate for our clients’ rights and ensure that each claim is handled fairly, regardless of who manages it. With our legal support, you can focus on your recovery while we handle the complexities of your workers’ compensation claim.

If you’re dealing with a workers’ compensation claim managed by Gallagher Bassett, contact us today for a free consultation. We’re ready to help you secure the benefits and compensation you rightfully deserve.