San Diego Workers’ Compensation Law Firm
A work-related injury or illness can affect your medical care, income, and ability to return to work. California workers’ compensation may address medical treatment, partial wage replacement, and return-to-work support, but disputes can arise over the severity of an injury, whether employment caused or aggravated it, and whether claim requirements were met. Injuries may happen in a single incident or develop gradually through repeated job duties.
Call our San Diego office today at (619) 257-5304 or contact us online for a free consultation. We work on a contingency fee basis, so we don’t get paid unless you do. Virtual consultations are available.
Focused Solely on Workers’ Compensation Since 1988
At Kiwan & Chambers APC, workers’ compensation is all we do. Attorney John G. Kiwan founded our firm in 1988, and Attorney Christian Chambers joined in 2014. We serve injured workers throughout San Diego and Southern California, with services available in English and Spanish.
Workplace injuries take many forms. Some are immediate and obvious, while others develop gradually and require medical and employment evidence to connect them to your job. Here are a few of the injury types we handle:
Back Injuries
Back injuries can severely limit your ability to perform daily tasks and maintain your livelihood. They often result from heavy lifting, repetitive motion, or sudden impact, and insurers frequently dispute them as pre-existing conditions. Medical records and evidence of your job duties can be essential to showing that connection.
Carpal Tunnel Injuries
Carpal tunnel injuries are common in jobs requiring extensive typing or tool handling, and insurers often challenge them as unrelated to work. Establishing the employment connection may require evidence of your job duties, medical history, and work-related aggravation.
Frequently Asked Workers Compensation Questions
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If I was traveling for work when injured, am I still eligible for workers’ compensation benefits?
Yes, if you were injured while traveling for work-related purposes in California, you may be eligible for workers’ compensation benefits. However, eligibility depends on factors like the nature of your job duties and the circumstances of the injury. Consulting with our workers’ compensation attorneys can help determine your specific eligibility and navigate the claims process.
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Can my employer fire me after an accident in California?
In San Diego, employers are prohibited from firing or retaliating against employees solely for filing a workers’ compensation claim or suffering a work injury. This protection is provided under California Labor Code Section 132a, which prohibits discrimination or retaliation against employees who seek workers’ compensation benefits.
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How long does it take to settle a workers’ compensation case?
The duration of settling a workers’ compensation case in California varies based on several factors. Typically, claims administrators have 90 days to investigate a claim after receiving the claim form. However, certain immediate actions must occur, such as authorizing medical treatment within one working day and initiating disability payments within 14 days of injury knowledge. Delays may arise, especially if a Qualified Medical Evaluator (QME) Panel or deposition are necessary, which can take 60 to 90 days and up to 120 days, respectively.
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Who is eligible for workers’ compensation in California?
Under California law, most San Diego employees are eligible for workers’ compensation benefits. This includes new hires, full-time, part-time, temporary and seasonal workers – although independent contractors are not. Eligibility is not dependent on who was at fault for the injury, as workers’ compensation is a no-fault system.
Challenges in Workers’ Compensation Cases
One of the most common obstacles injured workers face is the denial of a claim.
Why Claims Get Denied
Most denials come down to disputes over one of the following:
- The severity of your injuries
- Whether they arose from your employment
- Missed deadlines in filing the claim
California workers should report a work injury or illness to their employer as soon as possible. The California Division of Workers’ Compensation warns that waiting more than 30 days to report an injury may jeopardize benefits.
When utilization review denies, delays, or modifies requested treatment, Independent Medical Review (IMR) is the formal California process for challenging that decision. Some medical disputes may also involve a qualified medical evaluator, a state-certified physician who evaluates disputed medical issues.
Protecting Your Claim During Recovery
Following your doctor’s advice matters for two reasons: it supports your recovery, and it can help document your claim. Gaps in treatment or ignored medical recommendations can give insurers grounds to dispute benefits.
Keep copies of medical records, work-status notes, and claim correspondence connected to the injury.
Benefits Available under California Law
Workers’ compensation benefits can include coverage for necessary medical treatment, temporary disability benefits to provide partial wage replacement during recovery, and permanent disability benefits if your injury causes lasting impairment. If you can’t return to your previous work, supplemental job displacement benefits may help pay for vocational retraining or skill enhancement for a career transition.
Eligibility and benefit amounts depend on the injury, medical evidence, work status, employment connection, and applicable California rules.
Key Forms in the Claims Process
Several important forms shape the California workers’ compensation process:
- The pre-designation form may allow eligible workers to choose a preferred doctor before an injury occurs
- The DWC-1 form is the official California claim form used to report a workplace injury or illness to your employer
- An intake questionnaire gives your attorney details about your injury, employment, treatment, and reporting history
Handling these forms accurately and on time can prevent avoidable delays. Keep copies of forms and related records.
Discuss Your Claim with Our San Diego Workers’ Compensation Attorneys
Since 1988, we have focused solely on workers’ compensation cases for injured workers throughout Southern California. We review the medical records, forms, deadlines, job duties, and other evidence that can connect an injury or illness to employment.
Call (619) 257-5304 today for a free consultation in English or Spanish. We work on a contingency fee basis, so we don’t get paid unless you do.