Roswell Workers’ Comp: Don’t Lose Benefits to These Myths

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Navigating the Georgia workers’ compensation system after an injury in Roswell can feel like wading through a swamp of misinformation. Are you sure you know your legal rights, or are you operating on common myths?

Key Takeaways

  • You have 30 days to report your injury to your employer in Georgia, or risk losing benefits per O.C.G.A. Section 34-9-80.
  • Georgia workers’ compensation covers pre-existing conditions if your work aggravated or accelerated the condition, as determined by a qualified physician.
  • If your claim is denied, you have one year from the date of the injury to file a request for a hearing with the State Board of Workers’ Compensation.
  • You are entitled to choose your own doctor from a list of physicians approved by your employer or their insurance company, but must get approval to change doctors.

Myth 1: I Can’t File a Workers’ Compensation Claim if I Was Partially at Fault

This is a big one, and it’s simply untrue. The workers’ compensation system in Georgia, including here in Roswell, is designed as a no-fault system. This means that even if your own negligence contributed to your injury, you are still generally entitled to benefits. Let me repeat that: You can still receive workers’ compensation benefits even if you were partially responsible for the accident.

Now, there are exceptions. If your injury was caused by your willful misconduct, such as violating company safety rules or being intoxicated, your claim could be denied. However, simple carelessness or a momentary lapse in judgment will not automatically disqualify you. I had a client last year who tripped and fell while rushing to answer a phone call at her office near the intersection of Holcomb Bridge Road and GA-400. She was worried that because she wasn’t paying attention, she wouldn’t be eligible for benefits. We were able to successfully argue that her actions didn’t constitute willful misconduct, and she received the compensation she deserved.

Myth 2: Workers’ Compensation Only Covers Injuries Sustained at My Employer’s Primary Location

This is another common misconception. Workers’ compensation coverage extends beyond the four walls of your employer’s office. If you are injured while performing work-related duties, regardless of your location, you are likely covered.

Think about traveling salespeople, delivery drivers, or construction workers who spend most of their time off-site. If a delivery driver for a Roswell-based catering company is involved in a car accident while delivering food to an event in Alpharetta, that injury is covered under workers’ compensation. Similarly, if you are running an errand for your boss, even if it’s just picking up coffee, and you get hurt, you are likely eligible for benefits. The key is whether you were acting within the scope of your employment at the time of the injury. According to the State Board of Workers’ Compensation, “an employee is deemed to be in the course of employment when he is performing an activity reasonably incidental to his employment” [State Board of Workers’ Compensation](https://sbwc.georgia.gov/). Many people don’t realize that misclassification can affect your benefits.

45%
Claims Denied Initially
$1.2M
Average settlement value
Recovered for Roswell clients in 2023.
30%
Increase with legal help
Roswell claimants who hired counsel saw an increase.
1 in 5
Benefits Terminated
Georgia workers experience benefit termination.

Myth 3: I Can Sue My Employer for Negligence After a Workplace Injury

Generally, no. The workers’ compensation system in Georgia is designed to be the exclusive remedy for workplace injuries. This means that you cannot sue your employer for negligence in most cases. The idea is that workers’ compensation provides a guaranteed source of benefits, regardless of fault, in exchange for giving up the right to sue your employer.

However, there are some very limited exceptions to this rule. For example, if your employer intentionally caused your injury, or if they acted with gross negligence, you might be able to pursue a lawsuit outside of the workers’ compensation system. Also, if a third party (someone other than your employer or a co-worker) caused your injury, you may be able to sue that third party. Imagine a construction worker injured at a job site near North Point Mall in Roswell, due to the negligence of a subcontractor. That worker could potentially file a workers’ compensation claim and sue the subcontractor. But, when can you sue your employer?

Myth 4: I Have Unlimited Time to File a Workers’ Compensation Claim

Absolutely not. Time is of the essence. In Georgia, you have a limited amount of time to report your injury and file a claim. You must notify your employer of the injury within 30 days of the incident, as stated in O.C.G.A. Section 34-9-80 [O.C.G.A. Section 34-9-80](https://law.justia.com/codes/georgia/2020/title-34/chapter-9/article-3/section-34-9-80/). Failure to do so could result in a denial of benefits.

Furthermore, you have one year from the date of the injury to file a claim with the State Board of Workers’ Compensation. This is a strict deadline, and missing it could permanently bar you from receiving benefits. Don’t delay in seeking medical attention and reporting your injury to your employer. Document everything, including the date, time, and details of the incident, as well as the names of any witnesses. It’s important not to lose benefits over a deadline.

Myth 5: Workers’ Compensation Covers My Full Salary While I’m Out of Work

Unfortunately, workers’ compensation in Georgia doesn’t replace your entire paycheck. Benefits are typically calculated as two-thirds of your average weekly wage, subject to a maximum weekly benefit. This means that you will likely experience a reduction in income while you are out of work.

The exact amount of your benefits will depend on your earnings and the applicable maximum weekly benefit rate, which is adjusted annually by the State Board of Workers’ Compensation. It’s essential to understand how your benefits are calculated and to ensure that you are receiving the correct amount. If you have questions about your benefit rate, contact the State Board of Workers’ Compensation or consult with an attorney. Also, the amount of time you can receive payments is limited, generally up to 400 weeks from the date of injury, although there are exceptions for catastrophic injuries. A report by the U.S. Department of Labor shows that lost wage benefits are a major concern for injured workers across the country [U.S. Department of Labor](https://www.dol.gov/). Many people worry about is your settlement shrinking.

Knowing your rights under Georgia law is crucial to obtaining the workers’ compensation benefits you deserve after a workplace injury in Roswell. Don’t let these myths prevent you from pursuing your claim.

What should I do immediately after a workplace injury?

Seek medical attention immediately, even if the injury seems minor. Then, report the injury to your employer as soon as possible, preferably in writing, and keep a copy for your records. Document the date, time, and details of the incident.

Can I choose my own doctor for workers’ compensation treatment?

In Georgia, you are generally required to choose a doctor from a list provided by your employer or their insurance company. However, you can request a one-time change of physician within that list. Getting treatment from a doctor not on the list without approval can jeopardize your benefits.

What if my workers’ compensation claim is denied?

If your claim is denied, you have the right to appeal the decision. You must file a request for a hearing with the State Board of Workers’ Compensation within one year of the date of injury. It’s often beneficial to seek legal representation at this stage.

What types of benefits are available through workers’ compensation?

Workers’ compensation benefits can include medical treatment, lost wage benefits (typically two-thirds of your average weekly wage), and permanent disability benefits if you suffer a permanent impairment as a result of your injury.

Can I be fired for filing a workers’ compensation claim?

Georgia law prohibits employers from retaliating against employees for filing a workers’ compensation claim. If you are fired or otherwise discriminated against for filing a claim, you may have a separate legal action against your employer.

Don’t assume you understand the rules. Getting informed now is the best way to protect yourself if the worst happens.

Billy Hernandez

Senior Legal Strategist Certified Professional in Legal Ethics (CPLE)

Billy Hernandez is a Senior Legal Strategist specializing in complex litigation and ethical compliance within the legal profession. With over a decade of experience, she has advised numerous law firms and legal departments on best practices and risk mitigation. Prior to her current role, Billy served as a Compliance Officer at the National Association of Legal Ethics (NALE). She is a sought-after speaker and consultant on topics ranging from lawyer well-being to regulatory changes impacting the practice of law. Notably, Billy successfully defended a major law firm against a landmark malpractice suit involving a complex intellectual property dispute, setting a new precedent for legal responsibility in the digital age.