Ep.96 Top Red Flags Claims Adjusters Look for in California Workers' Compensation
Release Date: 11/19/2024
Ep. 123 - California Workers’ Comp Payments
Work Comp Talk Podcast
In episode #123 of Work Comp Talk, hosts Carmen Ramirez and attorney Bilal Kassem take a deep dive into how workers’ compensation payments function in California. They explore temporary and permanent disability benefits, explain how wage replacement is calculated, and clarify the rules around maximums and minimums. The hosts also discuss whether workers’ comp payments are taxable, how child support liens may impact settlements, and the differences between compromise & release versus stipulated awards. With their clear and practical approach, provide listeners with...
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Ep. 122 - Workers' Comp Webinar Series Pt. 3, Delays, Denials and FAQ's
Work Comp Talk Podcast
In Episode 122, we share the final (Part 3) of our special webinar series, where hosts Carmen Ramírez and Pacific Workers co-founder Bilal Kassem close with one of the most frustrating topics for injured workers: delays in treatment, paperwork, and real progress. We know how hard it is to navigate a system that often feels confusing, slow, and even unfair. That’s why, in this episode you will learn: What to do when your treatment is delayed by your insurance adjuster What an RFA is, and why timing matters How doctors and medical...
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Ep. 121 - Workers' Comp Webinar Series Pt. 2
Work Comp Talk Podcast
In Episode 121 of Work Comp Talk, the second part of our Special Workers’ Compensation Webinar Series. Carmen and Bilal break down the critical deadlines every injured worker in California needs to know. Missing key timelines can cost you care or benefits. In this episode, we cover the deadlines insurance companies won’t tell you about, and how delays or the wrong doctor can seriously impact your case. We also clear up a major misconception: filing a claim isn’t suing your employer, it’s using the insurance system meant to protect you. Plus, Carmen and Bilal explain how attorney fees...
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Ep. 120 - Workers' Comp Webinar Series Pt. 1
Work Comp Talk Podcast
In Episode #120, host Carmen Ramirez presents Part 1 of our exclusive Workers’ Compensation Webinar Series, held monthly by our sponsor, Pacific Workers. In this live session, Bilal Kassem, co-founder of Pacific Workers, breaks down the most common challenges injured workers face, including claim denials, delayed benefits, and the complexities of navigating the legal process. Learn Bilal's journey from defending insurance companies to representing injured workers, revealing why even the most serious cases are often overlooked, unless you understand the system inside out. This episode is...
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Ep. 119 Win Your Workers’ Comp Appeal with 3 steps
Work Comp Talk Podcast
In Episode 119 of Work Comp Talk, host Carmen Ramirez walks you through three essential steps every injured worker in California should take to build a stronger case before filing an appeal. From securing a second medical opinion and understanding the QME process, to gathering key witness statements and properly documenting employer or insurance company actions, Carmen shares insider tips learned from years of helping injured workers navigate the system. By the end of this episode, you’ll know: How to request a Qualified Medical Evaluator (QME) and why it matters ...
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Ep. 118 Don’t Get Duped by Fake Law Firms! 5 Tips on How To Spot Fake Law Firms!
Work Comp Talk Podcast
In episode #118 of Work Comp Talk, host Carmen Ramirez and Eric Farber, CEO of Pacific Workers, expose the rise of fake legal ads targeting injured workers. Learn how lead-gen companies disguise themselves as law firms, what red flags to watch out for, and how to protect yourself when choosing legal help. Need real help? Call Pacific Workers at (800) 606-6999 for a FREE consultation. This episode is sponsored by Pacific Workers, Northern California’s Best Lawyers for Injured Workers. What You’ll Learn in this episode: The difference...
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Ep. 117 How to Choose the Right Workers' Comp Lawyer
Work Comp Talk Podcast
Choosing the right workers’ compensation lawyer could be the most important decision you make after a work-related injury. In California, not every attorney is equipped to handle the complex, highly specialized world of workers’ comp law and hiring the wrong one can cost you valuable benefits, medical treatment, and time. In this powerful episode of Work Comp Talk, your host Carmen Ramirez is joined by Eric Farber, CEO of Pacific Workers, the Lawyers for Injured Workers, to break down the six critical qualities to look for in a workers’ comp attorney and the red flags...
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Ep. 116 What is a QME in CA Workers' Comp?
Work Comp Talk Podcast
If your treating doctor and the insurance company don’t see eye-to-eye on your work injury, a Qualified Medical Exam (QME) could decide your entire case. In this episode of Work Comp Talk, we unpack the QME process with expert insights from Pacific Workers CEO, Eric Farber. Whether you're just starting your California workers’ comp claim or heading into a QME appointment, this episode will prepare you with everything you need to know. 🔍 What you’ll learn: What a QME is and how it differs from your regular doctor How QME doctors are chosen—and why deadlines matter What to say...
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Ep. 115 – What is Maximum Medical Improvement (MMI) in California
Work Comp Talk Podcast
Have you reached Maximum Medical Improvement (MMI) and aren’t sure what it means for your workers’ comp case? In this episode of Work Comp Talk, we’re breaking down this vital phase of the California workers' compensation process, formerly called "Permanent & Stationary" and what it means for your future medical treatment, benefits, and case outcome. 🎙️ Join us as we explain: What MMI status really means Who decides if you’ve reached MMI What happens to your medical care and payments afterward Why this phase can signal the start of settlement conversations What...
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Ep. 114 Reimbursements in California Workers' Comp
Work Comp Talk Podcast
In episode #114, we get into the complex world of reimbursement in the California Workers’ Compensation system. Whether you're an injured worker, the family of an injured worker or know someone that has been injured at work, it's essential to understand how the reimbursement processes work. We break down what expenses are eligible for reimbursement and what you can submit for mileage reimbursement for travel to medical appointments. We also explore the ins and outs of medical provider reimbursements—from treatment approvals to payment delays and billing disputes....
info_outlineIn this episode #96 of Work Comp Talk, host Carmen welcomes Bilal back to discuss important red flags in the California Workers' Compensation system that claims adjusters look for.
☎️ Need help with your Workers' Comp? Call our team 800-606-6999.
Schedule your free, confidential consultation here:
https://pacificworkers.co/book-your-appointment/
The discussion underscores the importance of promptly and accurately reporting injuries, maintaining detailed records, and being fully transparent with doctors to protect one’s credibility. Through the lens of a hypothetical worker named Maria, Carmen and Bilal illustrate how even minor inconsistencies can significantly affect the outcome of a claim.
They explore key scenarios, such as delays in reporting injuries, the absence of witnesses, and the potential fallout from engaging in activities that contradict injury claims—particularly when shared on social media. Additionally, they highlight the risks of failing to report injuries before termination, which can result in claims being denied entirely.
Practical advice includes keeping thorough documentation, being honest about one’s condition, and ensuring all forms are completed accurately. By addressing these common pitfalls, Carmen and Bilal provide injured workers with essential insights to navigate their claims effectively and safeguard their benefits.
The hosts aim to provide injured workers with the knowledge to manage their claims effectively and avoid pitfalls that could jeopardize their benefits.
🌐 Sponsor:
This episode is sponsored by Pacific Workers, Northern California’s leading law firm for injured workers.
🔔 Subscribe to Work Comp Talk Podcast for more insights on navigating the California's workers' compensation system and stay updated on our latest episodes! Don't forget to follow us on our other Youtube Channel Pacific Workers as well for additional tips and resources.
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Chapters-
00:00 Introduction to Work Comp Talk
00:32 Reintroducing Bilal and Podcast Series Update
01:26 Understanding Red Flags in Workers' Comp
02:01 Maria's Story: A Hypothetical Case
04:08 Importance of Reporting and Documentation
06:29 Inconsistencies and Their Impact
16:20 Post-Termination Claims and Red Flags
18:35 Social Media and Surveillance Concerns
24:40 Conclusion and Final Thoughts
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This video is for educational purposes and does not constitute legal advice. There is no attorney-client relationship formed through interactions with this video. While examples may be given, Prior Results do not guarantee a similar outcome.
For proper legal advice and analysis of your case, call to set up a free consultation at 800-606-6999. This is attorney advertising. Pacific Workers, The Lawyers of Injured Workers, 333 Hegenberger Rd, Suite 751, Oakland, CA. 94621.