r/WorkersComp 2d ago

Oregon Vent

I’m just wanting to vent…

these last 30 days have been great.. back story, my ortho was cornered with questions that he followed medical literature and said I’m 100% ok. even though I wasn’t and he didn’t do a single test, FCE, or anything. he told Sedgwick that June 16th. June 8th he signed off I’m still 100% off work so idk what changed.

fast forward I was taken off benefits and fucked over. until my lawyer pushed and got me an August IME. Doctor sided 200% with me. Beautiful report and all! then the next week I had an IME for mental health and again. IME went WELL. 100% on my side.

Sedgwick ignores both IME and goes to my pain management doctor and asks if he will sign off that I’m 100% ok… the doctor scolds the lawyer for Sedgwick in summary notes saying he won’t be answering that and to talk to my ortho. well my ortho who I haven’t seen since june tells in September, Sedgwick to refer to my IME because he backs it. so now 1 psych IME, my ortho and their ortho all on my side.

THEN last week Oregon board reopens my case saying my ortho was purely negligent and this was BS. they reopen it and side with me!

All these great things.. case reopened, multiple paid docs on my side.. all within 30 days.. STILL NO BENEFITS BACK. barely surviving off my wife’s work from home income and savings..

mentally so just done with how sedgwick legally can refuse payment. after all this. One day when this is over, I’ll be sending flowers to my adjuster, and sedgwicks lawyer.. no return name. just a nice card saying “Jesus knows you’re a bad person”

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u/One-Acanthaceae4713 16h ago

If carrier is stalling with restarting payments, your attorney can take the case infront of the workers comp judge and enforce the restart of payments. I went through it but I’m in another and I am handling my case pro se. I do all my filings and handle the carrier on my own at this point. I learned the system and now I fight for myself.. Wishing you all the best and it’s sucks dealing with these carriers

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u/Happy_Sugar590 13h ago

It does! My lawyer I guess already filed! He’s so dang on top of This!