Ep. 122 - Workers' Comp Webinar Series Pt. 3, Delays, Denials and FAQ's
Release Date: 09/02/2025
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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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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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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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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info_outlineIn 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
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How doctors and medical reports influence your benefits
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What your rights are when delays cross the legal line and how judges can intervene
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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
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The value of a second opinion and understanding your QME (Qualified Medical Evaluation) rights
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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/