This is a very common issue. The worker’s compensation insurance company is not your insurance company; they are your employer’s insurance company and acts in the interests of your employer. You are not the premium payer or the policy holder. You are the “problem” or the “loss.” The insurance company has no incentive to give you a pleasant or easy experience. They want to save money. They do not care about you, and they are not required to provide you with full information.

Unfortunately, there is little that can be done about this dynamic. The best option is to communicate clearly and respectfully, with the understanding that the claims adjuster does not care about your experience or how this process impacts you. There is no pain and suffering in Wisconsin worker’s compensation claims. All the adjuster often cares about is whether you have restrictions, whether you have shared those restrictions with your employer, whether the employer has offered you work, whether you are sustaining a wage loss, whether you are receiving medical bills, and when your next medical appointments are.

However, if the adjuster does not pay the benefits you are entitled to without a valid defense, contact us right away. Also contact us right away if your claim has been denied.