Pennsylvania workers' compensation benefits process

How to File Your Pennsylvania Workers’ Compensation Claim

Each state has its own individual process in place for handling workers’ compensation claims. If you develop an occupational illness or workplace injury in Pennsylvania, we’ve outlined the steps you’ll take for filing your claim below. We also have a handy chart showing the Pennsylvania workers’ compensation program statistics for the last five years, according to the Bureau of Labor Statistics.

How to File Your Pennsylvania Workers’ Compensation Claim

Every employer in the state with at least one part-time or full-time employee is required to carry Pennsylvania workers’ compensation insurance. This type of policy protects all parties involved when workers get hurt or sick on the job. According to the Pennsylvania Department of Labor & Industry, follow these steps to get your workers’ comp claim started:

  1. Notify your supervisor as soon as possible that you’ve sustained a work-related injury or became ill. That way, your employer can immediately notify the responsible insurer and either deny or approve your request for Pennsylvania workers’ compensation benefits. Important: If you fail to report your injury or illness within 120 days, you’re automatically disqualified from collecting any benefits.
  2. If your injury or occupational disease forces you to miss at least one day of work, your employer must also file a first report of injury form with the Bureau of Workers’ Compensation.
  3. Your employer’s insurance company must either approve or deny your request for workers’ compensation benefits within 21 days and notify you of that decision in writing. In some cases, the insurer can extend your claim’s initial review period by 90 days. Whenever this 90-day extension occurs, you’ll typically receive temporary disability benefits during that period.
  4. If your claim’s approved, you should receive an Agreement for Compensation (LIBC-336) letter. Your employer may also require you to see their preferred healthcare provider for an examination to confirm your illness or injury.
  5. If your employer denies your claim, you’ll receive a Notice of Workers’ Compensation Denial (LIBC-496) letter.
  6. To appeal your denial, you’ll need to file a Claim Petition (LIBC-362) with the Bureau of Workers’ Compensation to request a hearing before a workers’ compensation judge within three years of your reported incident.

We realize that each Pennsylvania workers’ compensation claim is different, so your own experience may vary somewhat from the steps presented above. You may also wish to review this Pennsylvania workers’ compensation process flowchart from the Bureau of Workers’ Compensation.

Pennsylvania Workers’ Compensation Statistics

The annual workers’ compensation report from the Bureau of Labor Statistics (BLS) includes updated program statistics for most U.S. states and territories. This yearly report shows all workers’ compensation claims filed, how many employees changed jobs or missed work, and each employment sector’s unique claims data. In the chart below, you can easily see where Pennsylvania workers’ compensation claims fell from 2011 to 2015.

The biggest changes we noticed in the Pennsylvania workers’ compensation program occurred in the total claims filed and service-industry sector. There were 10,8000 fewer total claims filed between 2013 and 2014. From 2011 to 2012, service-industry claims fell by 8,700; the next year saw only 300 additional claims filed, which indicates remarkable program stability during that period.

Get Free Advice About Your Pennsylvania Workers’ Compensation Claim

IfStill have questions about how the Pennsylvania workers’ compensation process works? We can help you arrange a free, in-person meeting with an experienced advocate who can answer your questions privately. Whether you just want someone who knows the system better to review your paperwork in person or you need help filing your appeal, you’ll pay nothing for that initial consultation.

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