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.

Social Security Disability Benefits for Children with Disabilities: What You Need to Know

August 7, 2025
Introduction: Navigating the Social Security Disability (SSD) benefits system for children with disabilities can be overwhelming for parents or guardians. However, understanding the available resources and processes is crucial for ensuring that children receive the support they need. In this comprehensive guide, Wood & Carlton, P.C., based in Corinth, Tupelo, and Pontotoc, Mississippi, offers valuable insights into Social Security Disability benefits for children with disabilities, empowering families to navigate this complex system effectively. Understanding Supplemental Security Income (SSI) for Children: Supplemental Security Income (SSI) is a federal program designed to provide financial assistance to individuals with limited income and resources, including children with disabilities. SSI benefits can help cover the costs of food, clothing, and shelter for children with qualifying disabilities. Eligibility Criteria for SSI Benefits: To qualify for SSI benefits, children must meet the Social Security Administration's (SSA) definition of disability for children. This means having a physical or mental condition that significantly impairs their ability to function and is expected to last at least 12 months or result in death. Additionally, families must meet certain income and resource limitations to qualify for SSI benefits. Applying for SSI Benefits for Children: The process of applying for SSI benefits for children involves submitting an application to the SSA, along with supporting documentation, such as medical records, school records, and statements from healthcare providers. The SSA will evaluate the child's medical condition and functional limitations to determine eligibility for benefits. Medical Listings and Compassionate Allowances: Children with certain severe medical conditions may qualify for expedited approval of their SSI claims through the SSA's Compassionate Allowances (CAL) program. CAL conditions are typically severe and debilitating, and the SSA fast-tracks the review process for these cases to ensure timely approval of benefits. Continuing Disability Reviews (CDRs): Once approved for SSI benefits, children may undergo periodic Continuing Disability Reviews (CDRs) to assess their ongoing eligibility for benefits. CDRs help ensure that children continue to meet the SSA's criteria for disability and that benefits are appropriately administered. Legal Assistance from Wood & Carlton, P.C.: Navigating the process of applying for SSI benefits for children with disabilities can be complex and overwhelming for families. At Wood & Carlton, P.C., our compassionate attorneys understand the challenges families face and can provide invaluable legal assistance and advocacy throughout the application process.  Conclusion: Social Security Disability benefits can provide crucial financial support to children with disabilities and their families. By understanding the eligibility criteria, application process, and available resources, families can effectively navigate the system and secure the benefits their children need. Contact Wood & Carlton, P.C., today for a consultation to discuss your child's eligibility for SSI benefits and learn how we can assist you in obtaining the support your family deserves.

Tips for Negotiating a Fair Settlement in Mississippi Workers' Compensation Cases

July 31, 2025
Introduction: Negotiating a fair settlement in a workers' compensation case can be a challenging task, especially for injured workers who may not be familiar with the legal process or their rights under Mississippi workers' compensation laws. At Wood & Carlton, P.C., with offices in Corinth, Tupelo, and Pontotoc, Mississippi, our experienced workers' comp attorneys understand the complexities of settlement negotiations and can provide invaluable guidance to injured workers seeking fair compensation for their injuries. In this blog post, we'll share essential tips for negotiating a fair settlement in Mississippi workers' compensation cases. Tip 1: Understand Your Rights and Benefits: Before entering into settlement negotiations, it's essential to understand your rights and benefits under Mississippi workers' compensation laws. Familiarize yourself with the types of benefits you may be entitled to, such as medical treatment, wage replacement, vocational rehabilitation, and permanent disability benefits. Tip 2: Gather Strong Evidence: Building a strong case requires gathering compelling evidence to support your claim for compensation. Collect medical records, treatment notes, witness statements, and any other documentation that demonstrates the nature and extent of your injuries, the impact on your ability to work, and the need for ongoing medical treatment or rehabilitation. Tip 3: Assess the Value of Your Claim: Before negotiating a settlement, assess the value of your claim based on factors such as the severity of your injuries, anticipated future medical expenses, lost wages, and any permanent disability or impairment. Consulting with an experienced workers' comp attorney can help you determine a fair and reasonable settlement amount. Tip 4: Consider Future Needs: When negotiating a settlement, consider your future needs, including ongoing medical treatment, rehabilitation services, and potential long-term disability. Ensure that any settlement offer adequately addresses these future needs to provide financial security and stability moving forward. Tip 5: Don't Settle Too Quickly: Avoid the temptation to settle your workers' compensation claim too quickly, especially if you're still undergoing medical treatment or uncertain about the long-term impact of your injuries. Rushing into a settlement may result in accepting less compensation than you deserve. Tip 6: Seek Legal Representation: Navigating settlement negotiations can be complex, and insurance companies may try to offer lowball settlements to minimize their financial liability. Hiring an experienced workers' comp attorney from Wood & Carlton, P.C., can level the playing field and ensure that your rights are protected throughout the negotiation process. Tip 7: Negotiate from a Position of Strength: Approach settlement negotiations from a position of strength by presenting well-documented evidence of your injuries, treatment, and ongoing medical needs. Be prepared to advocate for yourself and assertively negotiate for a fair and just settlement that fully compensates you for your losses.  Conclusion: Negotiating a fair settlement in a workers' compensation case requires careful preparation, strategic planning, and skilled advocacy. With the guidance of experienced attorneys at Wood & Carlton, P.C., injured workers can navigate the negotiation process with confidence and secure the compensation they deserve for their injuries. Contact us today for a consultation to discuss your workers' comp claim and learn more about how we can help you achieve a fair settlement.

Exploring the Appeals Council and Federal Court Levels for SSD Appeals

July 17, 2025
Introduction: Navigating the Social Security Disability (SSD) appeals process can be complex and daunting, especially for individuals who have had their initial SSD claims denied. Fortunately, claimants have the opportunity to seek further review of their cases at the Appeals Council and, if necessary, in federal court. At Wood & Carlton, P.C., with offices in Corinth, Tupelo, and Pontotoc, Mississippi, our experienced SSD attorneys are well-versed in the appeals process and can provide valuable guidance to claimants at every stage. In this blog post, we'll explore the Appeals Council and Federal Court levels for SSD appeals and offer insights to help claimants understand their options. The Appeals Council: The Appeals Council is the next level of review after an initial denial of SSD benefits. Claimants who receive an unfavorable decision from an Administrative Law Judge (ALJ) can request a review by the Appeals Council. The Appeals Council examines the ALJ's decision for errors of law or procedure and may overturn, modify, or remand the decision for further review. Requesting Review by the Appeals Council: To request a review by the Appeals Council, claimants must submit a written appeal within 60 days of receiving the ALJ's decision. The appeal should include specific reasons why the claimant believes the decision is incorrect and may include additional evidence or legal arguments to support their case. The Appeals Council's Decision: Upon reviewing the case, the Appeals Council may take several actions, including affirming the ALJ's decision, issuing a new decision, or remanding the case for further review. If the Appeals Council denies the claimant's request for review, the ALJ's decision becomes final.  Federal Court Review: If a claimant disagrees with the Appeals Council's decision or if the Appeals Council denies their request for review, they may file a lawsuit in federal court seeking judicial review of their SSD claim. Federal court review provides claimants with the opportunity to present their case before a federal judge, who will evaluate whether the SSA's decision was supported by substantial evidence and free from legal errors. Legal Representation: Navigating the Appeals Council and federal court levels of SSD appeals requires experienced legal representation. At Wood & Carlton, P.C., our SSD attorneys have a deep understanding of the appeals process and can provide skilled advocacy to help claimants present their cases effectively at each stage of review. Conclusion: The Appeals Council and federal court levels offer claimants additional opportunities to appeal unfavorable decisions in SSD cases. With the guidance of skilled attorneys at Wood & Carlton, P.C., claimants can navigate the appeals process with confidence and increase their chances of obtaining the SSD benefits they deserve. Contact us today for a consultation to discuss your SSD appeal and learn more about how we can assist you.
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