Ep.96 Top Red Flags Claims Adjusters Look for in California Workers' Compensation
Release Date: 11/19/2024
Understanding Workers’ Comp Denials in California
Work Comp Talk Podcast
In Episode #120 Host Carmen Ramirez shares an exclusive live webinar held every month by our sponsor Pacific Workers. Bilal Kassem, co-founder of Pacific Workers, breaks down the most common pain points in the workers’ comp system including claim denials, delayed benefits, and navigating the complex 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 packed with practical, attorney-approved tips...
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3 Steps to Win Your Workers’ Comp Appeal
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....
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Ep. 113 Second Opinions Save Claims!
Work Comp Talk Podcast
Do you know about second opinions in the California workers’ comp system? In this episode #113 of Work Comp Talk, we break down your rights to second opinions—at court, with a doctor, a lawyer and even at settlement. Learn how getting the right opinion can protect your health, strengthen your claim, and secure a fair outcome. Empower yourself with the facts every injured worker should know.
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Ep. 112 ICE Raids, Fear & Injured Workers
Work Comp Talk Podcast
Are undocumented workers in California protected if they're injured at work? In episode 112 of Work Comp Talk, host Carmen and attorney Bilal Kassem discuss workers' compensation rights for undocumented immigrants, how California labor laws protect all injured workers, and what to do if you're afraid to file a claim. Learn the facts, dispel the myths, and take the first step toward protecting yourself on the job. 🔗 Sponsored by – The Lawyers for Injured Workers
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Ep. 111 Where's My Workers' Comp Check?
Work Comp Talk Podcast
Are you STILL waiting on your workers' comp check? You're not alone. In episode 111 of Work Comp Talk Podcast, we dive into one of the most frustrating realities injured workers in California face—delayed benefits. We break down: 🔹 Why these checks take so long 🔹 What the system isn’t telling you 🔹 Steps you can take if your payment is late Whether you’re currently injured, supporting a loved one, or just trying to understand your rights—this episode is a must-listen. Real talk. Real cases. Real answers. Listen now and don’t forget to subscribe for weekly insights into...
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.