Personal Injury

How We Handle Personal Injury Cases in Vermont The Attorney-Client Relationship The Progress of a Vermont Personal Injury Claim Preparing the Claim Negotiations Filing Suit Arbitration/Mediation

Worker's Compensation

What Is Vermont Worker's Compensation? Do I need a lawyer? What benefits are provided by the Vermont Worker's Compensation Law? Do I have a right to get my old job back? What if I can't return to my old job? How do I file a worker's compensation claim? How will I know if my claim is accepted?

Summary

How We Handle Vermont Personal Injury Cases

Many of our clients have never had to hire a lawyer, and are not familiar with the process. This is intended to provide you with an overview of the process and an introduction to the professionals at O'Neill Kellner & Green.

The Attorney-Client Relationship

As attorneys, it is our duty to represent our clients' interests to the best of our ability, within the bounds of the law. Communications between an attorney and client are confidential, and cannot be released without the client's consent. This duty of confidentiality extends to everyone in our office.

To prepare a case, we may need access to medical, financial, and employment information that is personal. From time to time, we must ask our clients to consent in writing to the release of this information, which we use to prove that medical treatment, income losses, or other damages are related to the accident.

We know that each client's claim is very important, and we take it seriously. To keep our clients aware of the progress of their cases, we send them a copy of every letter we send out concerning their claim. We know that good communications between attorney and client are critical. We take pride in returning calls quickly and answering questions promptly.

The Progress of a Vermont Personal Injury Claim

While it is impossible to predict exactly how each claim will proceed, here is a general overview. At first, we work on assembling proof to support the claim. This work can involve many different aspects, but often involves the following:

Preparing the Claim

Liability Investigation: If the defense denies it is at fault, we conduct an investigation. This can involve speaking with investigating officers, interviewing witnesses, having experts review the facts, and obtaining other information necessary to determine the strength of the case. Much of our investigative work is done by Mary Lou Marsh, a legal assistant with many years of experience in Vermont personal injury cases.
Medical Records Requests: In the first weeks and months after an injury, most of our clients receive medical treatment. It is important that clients pursue appropriate medical care and do their best to follow their doctors' advice. During this time, we will periodically request copies of all medical records and bills from the doctors. It is critical that we have a full understanding of our clients' medical treatment in order to present a complete set of bills and records as part of the claim.

Past Medical Records: Generally we request records of treatment dating after the accident. Sometimes past medical treatment may be needed to address issues of pre-existing conditions.

Lost Wage Documentation: It is important to present reliable evidence of lost wages to the insurance company. We work with our clients to determine whatever endorsement or tax records we need to prove the claim.

Medical Examinations: Usually, we will use the treating doctor's records or testimony to prove the case. In some circumstances, we may ask another doctor to examine our client or offer an opinion on the case. This is not a treating doctor, and the examination is solely for legal purposes. Similarly, the insurance company may request that our client be evaluated by a doctor of their choice.

Negotiations

Usually, after we assemble all of documentation necessary to support the claim, we try to negotiate a settlement with the insurance carrier. Before contacting the insurance company, we talk with our client about the value of the claim. Our goal is to present to the insurance company a complete understanding of how our client's life was affected by the injury.

It is often challenging to determine the fair value of a personal injury case. Often several people in our office will review a case to develop a negotiating strategy. Either Jerry O'Neill, John Kellner or Michael Green is primarily responsible for each case in our office. We frequently will ask our claims analyst, John Schraven, to handle some of the negotiations with the insurance carriers. John worked for insurance companies as a Vermont licensed insurance adjuster for many years before joining our firm. He knows the insurance claims business from both sides.

The decision to accept a settlement offer is entirely the client's. We will give advice about any offer, but the ultimate decision is the client's. We cannot control the insurance company---our goal is to get them to make their best offer so that our client can decide whether to accept it.

If there is a settlement, the client must sign a document known as a release. By signing the release, the client agrees to drop all claims against the at-fault party in exchange for the settlement amount.

Filing Suit

If we cannot reach a fair settlement, we file suit. The insurance carrier then hires a lawyer to defend the at-fault party. Each side is required to provide the other with detailed information about the claim and the defenses. Shortly after filing suit, the defense will probably send us a set of interrogatories, which are written questions we must answer with our client under oath. Later, the defense lawyer may take our client's deposition. A deposition is an interview at which our client is questioned under oath and a transcript is prepared. We help our clients prepare for this and we attend the deposition.

Sometimes a case is settled after suit has been filed. If not, ultimately it will go to trial. It is hard to predict when a case will be tried. Depending on the court, it can take from one to three years. Generally only about five percent of all cases go to trial.

Arbitration/Mediation

Because trials can be stressful, costly, and their outcome uncertain, it is often worthwhile to try alternative settlement options. If the parties to a dispute cannot reach a settlement on their own, mediation may be appropriate. In this case, a neutral person is hired to assist in the resolution of the claim. If a case would benefit from this, we will try to get the insurer to agree to this procedure.

What is Vermont Worker's Compensation?

In Vermont, worker's compensation is a "no-fault insurance" which provides certain benefits to people injured on the job regardless of how their injury occurs. In exchange for these guaranteed benefits, the injured worker cannot sue his employer in most cases. The Vermont Department of Labor and Industry provides the worker's compensation program. The Department of Labor and Industry is located at the National Life Building, Drawer 20, Montpelier, Vermont 05620-3401, (802) 828-2286.

Do I need a lawyer?

Most worker's compensation cases do not involve serious disputes. If the claim is accepted, the insured is responsible for providing the benefits required by the worker's compensation law. The Department of Labor and Industry is responsible for overseeing the claim and insuring that the injured employee receives the benefits to which the employee is entitled. Each claim is assigned a specialist at the Department of Labor and Industry. If you believe that you might have difficulties with your claim, the first step towards resolving it should be to contact the Department of Labor and Industry. If you think that you might require an attorney, please feel free to call us. In many cases, we have found that the worker's compensation claims can be resolved without requiring an attorney.

What benefits are provided by the Vermont Worker's Compensation Law?

Worker's compensation in Vermont provides coverage for all reasonably necessary medical services and supplies related to the on-the-job injury. Additionally, worker's compensation provides certain financial benefits. During the period of your total disability, you will be provided with a weekly wage replacement called temporary total disability compensation. This benefit is calculated as 66 2/3 percent of your average gross weekly wage, for the 12 weeks preceding the accident. If you are released to part-time work while you are recovering, then you may be entitled to temporary partial disability compensation.

If your doctor determines that you have reached a medical end result and have some degree of permanent impairment, you may receive additional compensation for permanent partial impairment. These benefits are calculated based on the American Medical Association Guidelines.

Do I have a right to get my old job back?

If a Vermont employer has at least ten employees and you are able to return to work within two years of your injury, you have the right to be reinstated to the next available suitable job. Your employer, however, is free to fill your position while you are disabled. You are entitled to reinstatement only with a job position is available for which you are qualified. In order to obtain reinstatement, you must keep your employers informed of your availability and interest in returning to work.

What if I can't return to my old job?

If your doctor determines that you will not be able to return to your previous job, under Vermont law you may be entitled to vocational rehabilitation to help you find alternative suitable employment.

The goal of this program is to assist your return to the work force, improve your capabilities hopefully appropriate to your educational and employment background.

How do I file a worker's compensation claim?

You should notify your employer as soon as possible after your injury. The employer should immediately file a first report of injury form with the Vermont Department of Labor and Industry. You should expect to hear from your employer's personnel office or insurance carrier. They will have a right to obtain your medical records relating to the accident and to select a doctor for you to see.

How will I know if my claim is accepted?

The insurance company has 21 days to investigate your claim and decide whether to accept it. If your claim is denied, you have a right to challenge that decision before the Department of Labor and Industry. The specialist at the Department of Labor and Industry worker's compensation division will serve as a mediator to try to resolve conflicts in your case. If you do not make progress in this process or are concerned that you do not understand the system you should feel free to call our office.

Summary

We hope this summary overview is informative and helpful. If you are considering hiring an attorney to represent you in a Vermont personal injury claim, please contact us.

Vermont Attorney Disclaimer: The Vermont personal injury, wrongful death, medical malpractice and other Vermont legal information offered herein by O'Neill, Kellner & Green, Vermont Lawyers, is not formal legal advice nor the formation of an attorney client relationship. Any results set forth here were dependent on the facts of that case and the results will differ from case to case. Please contact a Vermont Attorney at one of our Vermont law offices.

Copyright © 2005 O'Neill, Kellner & Green – Vermont Lawyers, serving the communities of Vermont. All rights reserved.

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