Common Workers’ Comp Disputes and How to Handle Them

Filing for workers’ compensation after a job-related injury should be straightforward, but unfortunately, many workers encounter disputes that delay or reduce their benefits. At Wood & Carlton, P.C., with offices in Corinth, Tupelo, and Pontotoc, Mississippi, we’ve helped countless injured workers resolve disputes and secure the compensation they deserve.


In this guide, we explain the most common workers’ comp disputes, why they happen, and how to handle them effectively to protect your rights.


Why Workers’ Comp Claims Get Denied

The first and most frustrating dispute many workers face is a claim denial. Mississippi law requires employers and insurance companies to act in good faith, but denials are still common. Reasons for denial include:

Lack of Medical Evidence:
If your claim lacks clear documentation showing that your injury is work-related and serious, it may be denied.

Missed Deadlines:
Failing to report your injury within 30 days or file a claim within the two-year statute of limitations can lead to automatic denial.

Disputes Over Work-Relatedness:
The insurer may argue that your injury did not occur at work or was caused by a pre-existing condition.

Employer Challenges:
Sometimes, employers dispute the facts of your injury, claiming it happened off the clock or was the result of misconduct.

Failure to Follow Medical Advice:
If you skip appointments or don’t follow your doctor’s treatment plan, your benefits may be denied or suspended.

At Wood & Carlton, P.C., we know how to investigate denials and build strong appeals to overturn unfair decisions.


Disputes Over Medical Treatment

Even after your claim is accepted, disputes over medical treatment are common. These include:

Treatment Denials:
The insurer may refuse to authorize certain treatments, arguing that they are not medically necessary.

Doctor Disagreements:
Your treating physician may recommend a course of action, but the insurance company’s independent medical examiner (IME) may disagree.

Switching Physicians:
Mississippi law allows you to choose your own doctor after the initial visit, but disputes can arise if the insurer challenges your choice or refuses payment.

Delayed Care:
Even if treatment is approved, delays in scheduling appointments or procedures can stall your recovery.

Our attorneys work closely with medical providers to ensure your treatment is authorized and delivered without unnecessary obstacles.


Disputes Over Work Capacity and Light Duty Assignments

Returning to work after an injury can also create disputes, especially when it involves light duty work. Common issues include:

Disagreement on Ability to Work:
Your doctor may say you can only return to light duty, but the employer may disagree or insist you return to full duties too soon.

Lack of Suitable Work:
If your employer cannot offer light duty, you may be entitled to continued wage benefits. However, disputes arise when employers claim that light duty is available—even if it’s not reasonable.

Forced Return to Work:
In some cases, injured workers feel pressured to return before they are medically ready, risking re-injury.

It’s crucial to have clear, written medical restrictions. We help enforce your rights and challenge inappropriate work assignments.


Appealing a Denied Claim

If your workers’ comp claim is denied, you have the right to appeal through the Mississippi Workers’ Compensation Commission (MWCC). The process typically involves:

1. Requesting a Hearing:
You or your attorney must file a formal petition for a hearing before an Administrative Judge at the MWCC.

2. Discovery Phase:
Both sides exchange medical records, employment history, and other evidence.

3. Mediation (Optional):
Some cases may resolve through mediation before a formal hearing.

4. Formal Hearing:
A judge hears testimony from you, your employer, doctors, and other witnesses. After reviewing the evidence, the judge issues a decision.

5. Appeals:
 

If you disagree with the judge’s decision, you can appeal to the full Workers’ Compensation Commission and, if needed, further appeal to the state courts.

We manage every step of the appeals process, ensuring your case is thoroughly prepared and aggressively represented.


Mediation and Hearings in Mississippi

Mississippi encourages the use of mediation to resolve disputes without a formal hearing. Mediation is a voluntary process where both parties, with the help of a neutral mediator, work toward a resolution.

Advantages of mediation:

  • Faster resolution compared to formal hearings
  • Less stressful and more collaborative
  • Often more cost-effective

If mediation fails, your case proceeds to a formal hearing. At Wood & Carlton, P.C., we prepare every case as though it’s going to trial, ensuring we are ready for all possible outcomes.


Tips for Protecting Your Rights During a Dispute

To strengthen your position during a dispute, follow these best practices:

Keep Detailed Records:
Document every aspect of your injury, including dates, conversations, and medical visits.

Follow Your Doctor’s Orders:
Compliance with medical advice helps prove the seriousness of your condition.

Communicate Promptly:
Respond quickly to requests from your employer, insurer, or attorney.

Get Legal Help Early:
The sooner you involve an attorney, the better your chances of a successful outcome.


Why Choose Wood & Carlton, P.C.?

At Wood & Carlton, P.C., we have extensive experience handling all types of workers’ compensation disputes. We provide:

  • Free case evaluations
  • No upfront fees—you pay only if we win
  • Aggressive advocacy for denied or delayed claims
  • Personalized support at every stage

Our offices in Corinth, Tupelo, and Pontotoc are dedicated to protecting the rights of injured workers across Mississippi and western Tennessee.


Contact Us for Help With Your Workers’ Comp Dispute

If you are facing a workers’ comp dispute, don’t fight it alone. Contact Wood & Carlton, P.C. today for a free consultation. We are ready to stand by your side and fight for the benefits you deserve.

Addressing Mental Health Disabilities in Social Security Disability Claims: Guidance from Wood & Carlton, P.C.

June 19, 2025
Introduction: Mental health disabilities can be just as debilitating as physical impairments, making it challenging for individuals to maintain employment and support themselves financially. Social Security Disability Insurance (SSDI) provides crucial financial assistance to individuals with mental health disabilities who are unable to work. At Wood & Carlton, P.C., with offices in Corinth, Tupelo, and Pontotoc, Mississippi, our compassionate attorneys specialize in SSDI claims involving mental health disabilities and can provide valuable guidance to help claimants navigate the claims process. In this blog post, we'll explore the unique challenges of dealing with mental health disabilities in SSDI claims and offer insights to help claimants secure the benefits they deserve. Recognizing the Impact of Mental Health Disabilities: Mental health disabilities encompass a wide range of conditions, including depression, anxiety disorders, bipolar disorder, schizophrenia, and post-traumatic stress disorder (PTSD). These conditions can significantly impair an individual's ability to function in daily life, maintain employment, and engage in meaningful activities. Establishing Disability Under SSDI Criteria: To qualify for SSDI benefits based on a mental health disability, claimants must demonstrate that their condition meets the Social Security Administration's (SSA) criteria for disability. This often involves providing medical evidence, such as psychiatric evaluations, treatment records, and reports from mental health professionals, to substantiate the severity and impact of the disability on the claimant's ability to work. Addressing Stigma and Misconceptions: One of the challenges of pursuing SSDI benefits for mental health disabilities is overcoming stigma and misconceptions surrounding these conditions. Many individuals with mental health disabilities face skepticism and disbelief from others, including employers, insurers, and even family members. It's essential for claimants to advocate for themselves and seek support from knowledgeable professionals who understand the complexities of mental illness. Importance of Comprehensive Documentation: Comprehensive documentation is crucial in SSDI claims involving mental health disabilities. Claimants should maintain detailed records of their medical treatment, including therapy sessions, medication management, hospitalizations, and any adverse side effects experienced. Additionally, supporting statements from treating mental health professionals and loved ones can provide valuable insight into the claimant's functional limitations and the impact of their disability on daily activities. Legal Advocacy from Wood & Carlton, P.C.: Navigating the SSDI claims process for mental health disabilities can be complex and emotionally challenging. At Wood & Carlton, P.C., our experienced SSDI attorneys understand the unique needs of individuals with mental health disabilities and can provide compassionate legal representation and advocacy throughout the claims process. We'll work tirelessly to ensure that your rights are protected and that you receive the benefits you deserve.  Conclusion: Dealing with mental health disabilities in SSDI claims requires sensitivity, understanding, and experienced legal representation. With the guidance of skilled attorneys at Wood & Carlton, P.C., claimants can navigate the complexities of the claims process with confidence and secure the benefits they need to support themselves and their families. Contact us today for a consultation to discuss your SSDI claim involving mental health disabilities and learn more about how we can help you.

Unveiling the Role of Independent Medical Examinations in Mississippi Workers' Comp Cases: Insights from Wood & Carlton, P.C.

June 5, 2025
Introduction: Independent Medical Examinations (IMEs) play a significant role in Mississippi workers' compensation cases, serving as a crucial tool for evaluating the extent of a worker's injuries and determining their eligibility for benefits. At Wood & Carlton, P.C., with offices in Corinth, Tupelo, and Pontotoc, Mississippi, our seasoned attorneys understand the importance of IMEs in workers' comp cases and can provide valuable insights to help injured workers navigate this aspect of the claims process. In this blog post, we'll delve into the role of IMEs in Mississippi workers' comp cases and explore how they can impact the outcome of a claim. What is an Independent Medical Examination (IME)? An Independent Medical Examination (IME) is a medical evaluation conducted by a neutral physician or medical specialist who is not involved in the injured worker's ongoing treatment. IMEs are often requested by employers or their insurance carriers to assess the nature and extent of a worker's injuries, verify the need for medical treatment, and provide an impartial assessment of the worker's ability to return to work. Purpose of IMEs in Workers' Comp Cases: The primary purpose of IMEs in workers' comp cases is to provide an objective assessment of the injured worker's medical condition and functional abilities. IME physicians evaluate the worker's medical records, conduct physical examinations, and may order diagnostic tests to determine the nature and extent of the injuries, as well as assess whether the injuries are work-related. Evaluating Disability and Work Capacity: IMEs play a crucial role in evaluating the worker's disability status and work capacity. The IME physician assesses the worker's physical limitations, functional abilities, and restrictions to determine whether they are temporarily or permanently disabled and whether they can return to their pre-injury job or perform alternative work.  Addressing Disputes and Resolving Claims: IMEs can help resolve disputes between injured workers, employers, and insurance carriers regarding the worker's medical condition, treatment, and disability status. The findings of the IME may influence the outcome of the workers' comp claim, including decisions on medical treatment, disability benefits, vocational rehabilitation, and return-to-work options. Legal Considerations and Representation: Injured workers should be aware of their rights and legal options when undergoing an IME. It's crucial to have legal representation from experienced workers' comp attorneys, like those at Wood & Carlton, P.C., who can ensure that the IME process is fair and that the worker's rights are protected throughout the examination. Conclusion: Independent Medical Examinations (IMEs) play a critical role in Mississippi workers' compensation cases, providing objective medical assessments that can influence the outcome of a claim. With the guidance of skilled attorneys at Wood & Carlton, P.C., injured workers can navigate the IME process with confidence and advocate for their rights to fair treatment and compensation. Contact us today for a consultation to discuss your workers' comp claim and learn more about how we can help you.

Unveiling the Role of Vocational Experts in Social Security Disability Hearings: Insights from Wood & Carlton, P.C.

May 22, 2025
Social Security Disability Insurance (SSDI) hearings often involve the testimony of vocational experts, whose role is crucial in determining a claimant's eligibility for benefits. At Wood & Carlton, P.C., with offices in Corinth, Tupelo, and Pontotoc, Mississippi, our experienced attorneys understand the significance of vocational experts in SSDI hearings and can provide valuable insights to help claimants navigate this aspect of the process. In this blog post, we'll uncover the role of vocational experts in SSDI hearings and explain how their testimony can impact the outcome of a claim.  What is a Vocational Expert? A vocational expert (VE) is a professional trained in assessing the vocational aspects of disability claims. VEs are typically called upon to testify at SSDI hearings to provide expert opinions on a claimant's ability to perform substantial gainful activity (SGA) in the national economy, considering their physical and mental limitations. Assessing Transferable Skills: One of the primary roles of a vocational expert is to assess a claimant's transferable skills—skills acquired through past work experience that may be applicable to other jobs. VEs evaluate a claimant's work history, education level, and vocational qualifications to determine whether they possess skills that could enable them to perform alternative work. Hypothetical Scenarios: During SSDI hearings, administrative law judges (ALJs) often pose hypothetical scenarios to vocational experts based on the claimant's medical and functional limitations. VEs are tasked with providing opinions on whether jobs exist in the national economy that the claimant could perform given their impairments, age, education, and work experience. Cross-Examination: Claimants' representatives have the opportunity to cross-examine vocational experts during SSDI hearings, challenging their opinions and probing for inconsistencies or biases. Skilled attorneys can use cross-examination to undermine the credibility of VEs or highlight factors that support the claimant's case. Appeals Council and Federal Court Review: If a claimant disagrees with the vocational expert's testimony or the ALJ's decision, they may seek review by the Social Security Administration's Appeals Council or file a lawsuit in federal court. At these levels of review, the testimony of vocational experts may be subject to further scrutiny and challenge. Legal Advocacy from Wood & Carlton, P.C.: Navigating the complexities of SSDI hearings, including the testimony of vocational experts, requires experienced legal representation. At Wood & Carlton, P.C., our SSDI attorneys have a deep understanding of the vocational expert process and can effectively advocate for your rights at every stage of the claims process. Conclusion: Vocational experts play a significant role in SSDI hearings, offering expert opinions on a claimant's ability to work despite their impairments. With the guidance of skilled attorneys at Wood & Carlton, P.C., claimants can navigate the testimony of vocational experts with confidence and increase their chances of securing the SSDI benefits they deserve. Contact us today for a consultation to discuss your SSDI claim and learn more about how we can help you.
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