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Ep. 122 - Workers' Comp Webinar Series Pt. 3, Delays, Denials and FAQ's

Work Comp Talk Podcast

Release Date: 09/02/2025

Ep. 123 - California Workers’ Comp Payments show art 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 show art 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 show art 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 show art 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 show art 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! show art 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 show art 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? show art 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 show art 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 show art 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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More Episodes

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 reports influence your benefits 

  • What your rights are when delays cross the legal line and how judges can intervene 

  • The two types of settlements: Stipulated Award vs. Compromise & ReleaseWhy your location can impact access to medical care—and what to do if you're in a rural area 

  • The value of a second opinion and understanding your QME (Qualified Medical Evaluation) rights 

  • Q&A session to some of the common workers’ comp issues 

Download our Free Pocket Guide mentioned in the webinar that breaks down essential terms, timelines, and practical tips to help you feel more informed and in control. Whether you’re just getting started or already deep in the process, this episode offers clarity and guidance to help you move forward with confidence.  Click here to explore now! 

Chapters: 

00:00 - Introduction to Part 3 of the Webinar Series 

01:00 - Importance of Free Consultations & Pocket Guide 

02:00 - Where to Download the Free eBook 

03:00 - Viewer Question: What Happens When a Request for Authorization (RFA) is Delayed? 

05:00 - Filing a Motion for Penalties and Sanctions 

06:00 - Does Pacific Workers Handle Cases in Los Angeles? 

07:00 - Access to Medical Treatment in Rural Areas 

08:00 - Viewer Question: What if You Didn’t Sign a Stipulation? 

09:00 - Explaining Stipulated Award vs. Compromise and Release 

11:00 - Final Advice on Signing Settlements 

12:00 - Importance of Consultations and Understanding the System 

13:00 - Encouragement to Ask Questions and Seek Help 

 

If you haven’t seen Episode 120 (parts 1) and Episode 121 (part 2) of the webinar series yet, be sure to check those out for a complete understanding of denials, delays, doctors’ roles, and more. We’ve attached the links for you here. 

 

This episode is sponsored by Pacific Workers, The Lawyers for Injured Workers, the trusted workers’ compensation law firm in Northern California. With over 10,000+ cases won and more than $350 million recovered for injured workers, we are here to help if you’ve suffered a workplace injury. 

 

👉 Want to join our next live webinar? Learn more and register here: 
  

 

 

Visit our FAQ and blog section for more tips on navigating the CA Workers’ Comp System: 
https://www.pacificworkers.com/blog/