Workers’ comp is there to help keep you afloat after an injury. It covers your medical treatment and part of your lost wages, but it’s not designed to fully compensate you for everything the accident has taken from you. The real money in many work injury cases comes from a 3rd party lawsuit. So let’s break down the biggest things you need to know if you want to maximize your 3rd party case and protect as much of your recovery as possible.
A workers’ comp 3rd party case is a lawsuit against someone other than your employer or coworker who caused your injury.
Normally, when you get hurt at work, you can’t sue your employer directly. Workers’ comp is usually your only remedy against the company you work for. But if someone outside your company helped cause the accident, that changes things.
Maybe another driver hit you while you were working. Maybe you got hurt because of dangerous property conditions, defective equipment, or an outside contractor’s negligence. In those situations, you may have a separate 3rd party lawsuit on top of your workers’ comp case. And that’s where the real money often comes from.
These cases are often worth significantly more money than the workers’ comp claim itself because of the compensation they include. A strong 3rd party case may include compensation for full lost wages, future lost earnings, pain and suffering, and the overall impact the injury has had on your life.
For many seriously injured workers, the workers’ comp case helps them survive financially. The 3rd party case is what gives them a chance to actually recover financially.
In a lot of work injury cases — especially construction accidents — multiple companies may share responsibility. Property owners, contractors, subcontractors, maintenance companies, and even equipment manufacturers may all play a role. And every company may have its own insurance policy. That’s important because more liable parties can mean more available insurance money.
Evidence also matters early. Photos of the accident scene, equipment, work trucks, contractor signs, and witness information can become huge later on. Construction sites change fast, and once evidence disappears, it’s much harder to build the case.
You also want to look at whether defective equipment played a role. If a ladder, tool, machine, or safety device failed, there may be a separate product liability case against the manufacturer.
And in serious injury cases, future lost earnings can become a major part of the value of the case. Experts may calculate how much income the injury will cost you over the rest of your career.
In New York construction accidents, laws like the Scaffold Law can also make it much easier to prove liability and increase the value of the case.
The biggest 3rd party cases are usually built early. The more evidence you preserve and the more responsible parties you identify, the stronger the case becomes.
Insurance companies start building their defense immediately after the accident. They may hire investigators, monitor your social media, review old medical records, and look for anything they can use against you. That’s why it’s important to be careful early on. Even harmless posts can be taken out of context and used to question your injuries.
You also want to be honest and consistent with your doctors and lawyers. Don’t exaggerate your condition, but don’t downplay it either. And always tell your lawyer about prior injuries or past claims upfront. Hiding them usually causes far more damage than the injury itself.
Preserving evidence early is also huge. Photos of the accident scene, equipment, dangerous conditions, and witness information can make a major difference later.
If you have both a workers’ comp case and a 3rd party lawsuit, everything needs to line up. Insurance companies will compare your testimony, medical records, and statements looking for inconsistencies.
And during depositions, less is usually more. Answer the question that was asked and stop there. Guessing or overexplaining can seriously hurt your case.
A lot of injured workers are shocked to learn that settling a 3rd party case can affect their workers’ comp benefits.
In New York, before a 3rd party lawsuit settles, the workers’ comp insurance company usually has to approve the settlement through something called Section 29 consent. If that isn’t handled properly, you could seriously damage your workers’ comp case and even lose future benefits.
The workers’ comp carrier will also usually want reimbursement for some of the benefits it already paid out. That’s called a lien. But that number is often negotiable, and reducing the lien can mean more money stays in your pocket.
After the settlement, the workers’ comp carrier may also get a future credit, meaning they can reduce or pause future payments because you already recovered money from the lawsuit.
That’s why settlement strategy matters so much. In some cases, it makes more sense to settle the workers’ comp case first. In others, it’s smarter to settle the 3rd party case first. The right order can have a major impact on how much money you actually keep.
The biggest thing is making sure your workers’ comp lawyer and 3rd party lawyer are working together before anything settles.
If there’s one thing I’d want people to take away from this, it’s that a lot of work injury cases are bigger than they first appear.
Sometimes there’s a 3rd party case there and nobody even realizes it until it’s too late. Other times, people accidentally hurt their own case because they didn’t get the right advice early on. If you got hurt at work and think someone outside your company may have played a role in the accident, feel free to give me, Rex Zachofsky, a call.
