Cincinnati Workers’ Compensation Lawyer

In Ohio, workers' compensation is a state-mandated program that provides compensation to employees who have suffered a workplace injury or illness. It serves as a safety net, offering benefits that cover medical expenses and a portion of lost wages incurred due to the inability to work following the injury.

The system is based on a mutual understanding between employers and employees: employees receive workers’ compensation without the need to prove fault or negligence on the part of the employer, and in return, they generally forfeit the right to sue the employer for damages related to the injury. This helps employees get necessary financial assistance quickly, allowing them to focus on recovery and return to work while employers are protected from costly legal battles.

If you are injured at work, here are the steps that you should follow:

1. Report the injury to your supervisor or a representative of your employer.
2. Complete a written accident report.
3. You should seek medical treatment immediately.
4. Tell the doctor how you were injured and that the injury occurred at work. (You can receive medical treatment from a doctor of your choice as long as the doctor is an Ohio Bureau of Workers’ Compensation (BWC), certified provider.)

A worker’s compensation claim is filed by completing a First Report of Injury (FROI) and filing with the Ohio Bureau of Workers’ Compensation or with your Managed Care Organization. You can also file a claim online at info.bwc.ohio.gov. Injured workers, employers, medical providers, managed care organizations, and workers’ compensation lawyers can all file a First Report of Injury. 

Once the FROI is filed, the BWC will assign you a claim number and investigate the claim. Beginning on September 29, 2017, injured workers must file a claim within one year of the date of injury.

If you received an injury in the course or arising out of your employment, you should have a workers' comp claim. This may be anything from a slip and fall accident at your workplace, an overexertion or repetitive motion injury, or even a work-related car accident.

If you are still unsure, your best option is to contact a Cincinnati workers' compensation attorney to determine whether or not you have a workers' comp claim.

The Ohio BWC makes initial decisions to allow or deny a workers’ compensation claim. A BWC claims specialist will contact you and the employer to discuss your claim. The BWC will also request medical records from the medical providers who treated you for your work injury. The BWC is required to issue a written decision either allowing or denying your claim within 28 days.

1. Once you receive the BWC decision, you have 14 days to file an appeal and request a hearing before a District Hearing Officer of the Industrial Commission. 
2. A DHO hearing will be scheduled within 45 days of filing the appeal. 
3. The District Hearing Officer will issue a written decision within 7 days and send a copy to the injured worker, employer, BWC and the attorneys for all parties. 
4. Once you receive the District Hearing Officer’s decision, you have 14 days to file an appeal and request a second hearing before a Staff Hearing Officer of the Industrial Commission. 
5. A hearing before a Staff Hearing Officer will be scheduled within 45 days of filing the appeal to the District Hearing Officer’s decision. 
6. If you disagree with the Staff Hearing Officer’s decision, you have 14 days to file an appeal to the full Industrial Commission. 
7. After reviewing the facts of the appeal, the Industrial Commission will issue a decision either agreeing or refusing to hear the appeal. In some cases, either party may file an appeal in Common Pleas Court to contest the Industrial Commission decision. 
8. A Notice of Appeal must be filed in Common Pleas Court within 60 days of receipt of the Industrial Commission order.

• Initial allowance of the claim
• Additional allowance requests
• Medical treatment requests
• Temporary total compensation
• Permanent partial disability compensation

Once your claim is allowed, all of your medical providers who have treated you for your work injury should submit their bills to the Managed Care Organization. The MCO reviews the bills and forward the bills to the BWC for payment. If you receive a medical bill, you should advise your medical provider that the treatment was for a work injury and ask them to send the bill to the MCO. The name, address, and phone number of your MCO is printed on your injured worker ID card sent to you by the Ohio BWC.

If the pharmacy submitted the bill to the Pharmacy Benefits Manager (PBM) when dispensing the prescription, you will be reimbursed when the claim is allowed. If you paid cash for your prescription and the bill was not sent to the PBM, you will need your pharmacist to complete a BWC Outpatient Medical Invoice (C-17) to get reimbursed.

Your workers’ compensation benefits will depend on the extent of your injury and can include any of the following:

• Payment of medical bills
• Temporary total disability
• Wage loss compensation
• Permanent partial disability
• Permanent total disability
• Scheduled Loss Award
• Vocational rehabilitation and living maintenance
• Lump sum settlement

Since the worker's comp process is different in Ohio than in other states, Cincinnati workers' compensation lawyers like Mark L. Newman can offer critical assistance in these difficult cases.  With extensive knowledge in this field, Attorney Newman can help you navigate the complexities of filing a workers’ compensation claim in Ohio, helping to speed along the process and ensuring you get everything you're entitled to.