What are some common tactics insurance companies use to limit maritime injury claims?

Hofmann and Schweitzer Maritime Injury ClaimsAfter you have been injured on the job, you may be relying on your employer to provide payment for your medical bills and lost income. Unfortunately, many employers and their insurance companies will first look for ways to limit or deny claims instead of paying out.

5 Ways Insurers Deny Fair Payment for a Maritime Injury

Injury treatments can have expensive and long-lasting effects, and it is far more profitable for the insurance company to deny valid claims than pay for them. Some insurers may claim that the injury was caused by a pre-existing medical condition, or stop payments before the worker’s injuries have healed, forcing him to return to work too soon.

Insurers use many different tactics to deny maritime employees fair compensation, but the most common methods include:

Offering An Early Settlement For Your Maritime Injury 

Insurance companies have teams of adjusters to calculate how much your claim could potentially cost them, allowing them to offer settlements for a fraction of the full amount. Once you accept a settlement, you cannot ask for more money later—even if your injury prevents you from earning a living.

Taking Statements Regarding Your Maritime Injury

Insurers will typically contact injured employees soon after the accident to obtain a recorded statement. While they may claim that these statements are used to document the incident, they are actually fact-finding missions to discover potential ways to deny benefits. For this reason, injured workers should never agree to give a recorded statement to an insurer or employer.

Refusing Your Choice of Physician 

Injured maritime employees have the right to choose the physician who will perform and oversee their treatment. However, employers may attempt to steer the employee toward one of the company’s recommended physicians. These doctors may be on the company payroll or otherwise influenced by the employer, and may release you to return to work before you are ready.

Forcing You To See a Company Doctor 

Even if you have already selected a doctor for your treatment, your employer may require you to see the company physician. However, submitting to this request can severely damage your maritime claim. Company physicians may not perform adequate or expensive diagnostic testing, advise you to resume working as early as possible, or make entries in your medical record that can be used against you in the future.

Attacking Your Credibility 

If the insurer thinks you have a good chance at collecting compensation, the company may perform surveillance of your activities in order to convince a judge that you are lying about the extent of your injuries. The company may also use your own words against you, especially any statements or accusations you made early in your claim.

Our New York City maritime attorneys can fight on your side to get you the maximum you may be owed for your injury. Simply call (800) 362-9329 today to speak with a lawyer at Hofmann & Schweitzer or download your complimentary copy of Are You a Seaman Injured in a Maritime Accident? Know Your Rights today.

 

Paul T. Hofmann
Focused on personal injury, with an emphasis on maritime, railroad and construction worker tort claims.