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  • Writer's pictureJohn Larrimer

Are Self-inflicted Injuries Covered in Workers' Comp Cases?

Those who are injured in work-related cases are entitled to compensation for their injuries. However, it is important to remember that insurance carriers have strict rules in place governing who may receive benefits and who cannot.

Among the many questions surrounding occupational accidents, perhaps one of the most debated is: Are self-inflicted injuries covered in workers' comp cases?

This article aims to shed light on the topic and help claimants understand the implications of such injuries on their claims. Larrimer & Larrimer can also advise on why keep in contact with employer after your work injury.

Workers' Compensation Benefits and Self-inflicted Injuries

Workers' Compensation Benefits and Self-inflicted Injuries

Workers' compensation is a system meant to offer monetary assistance for lost wages and medical expenses to employees who incur work-related injuries or illnesses. It is governed by certain standards and laws. However, when it comes to self-inflicted harm, the situation can get complicated. The truth is that workers' compensation laws in Ohio, like those in a number of other states, are designed to safeguard staff members who sustain injuries or become ill as a direct result of their job-related activities. This can include wounds sustained in accidents or sicknesses that develop gradually because of prolonged exposure to a certain hazard. However, self-inflicted wounds provide a distinct obstacle to the concepts of workers' compensation.

Ohio Follows a No-fault System

The first thing those who suffered a work-related injury need to know is that Ohio follows a no-fault rule. This means that staff members are entitled to compensation for injuries that occur while performing their job duties, even if they are to blame. However, this does not cover intentional self-inflicted harm.

A Self-inflicted Injury Does Not Qualify for Compensation

The Ohio Bureau of Workers' Compensation (BWC), which oversees workers' compensation claims in the state of Ohio, takes self-inflicted harm seriously. According to this organization, if a person hurts him or herself intentionally while on the job, they may not be eligible for benefits.

Keep in mind that the reasoning behind this viewpoint is based on workers' compensation principles. The system is designed to assist staff members who suffer harm or become ill while on the job. Self-inflicted injuries, by definition, do not fit this condition because they are not caused by job-related risks.

Drawing the Line Between Work and Non-job-related Injuries

The truth is that it can sometimes be difficult to determine whether a workplace injury was actually self-inflicted. In some circumstances, wounds that seem to be intentional may really have work-related origins. For example, a staff member who suffers high levels of anxiety, post-traumatic stress disorder, or other psychological issues as a result of working conditions may indulge in self-harm.

Moreover, in such cases, the distinction between self-inflicted job-related injuries can blur, demanding a thorough review by medical practitioners and legal professionals.

The Ohio workers' compensation system recognizes the complexity of self-harm cases and often takes into account mitigating factors when reviewing a claim involving an alleged self-inflicted wound.

Furthermore, there are instances where a worker's actions may result in injury yet are regarded to be within the scope of their employment. For example, if a staff member sustains an injury while trying to do a task assigned by the company they work for, even if the wound is caused by an oversight or error in their judgment, it could still be covered by workers' compensation.

Every claim involving a self-inflicted injury is considered on an individual basis, taking into account the specific facts and evidence provided. The decision-making process considers variables such as the motive behind the incident, the existence of underlying job-related concerns, and medical experts' findings.

Other Legal Options for Financial Recovery

If an employee does not receive workers' compensation benefits because the relevant insurance company has denied their claim, there may be other options available. Firstly, the person who has been accused of causing his or her own injuries can file an appeal.

In the event that another person's negligence led to the worker's injuries, they might be able to initiate a personal injury case against them. This lawsuit is separate from a workers' compensation insurance claim. It's important to keep in mind that workers' comp benefits could be awarded regardless of liability.

The Importance of Legal Assistance When Filing a Workers' Compensation Claim Involving Self-inflicted Injuries

The Importance of Legal Assistance When Filing a Workers' Compensation Claim Involving Self-inflicted Injuries

When negotiating the complexities of a workers' compensation claim involving self-inflicted injuries, having the help of a knowledgeable attorney can be extremely beneficial. These matters involve unique challenges, which often require legal understanding to manage efficiently.

Assistance Throughout the Claims Process

An experienced lawyer can provide invaluable assistance throughout the claims process, ensuring that all required documentation is acquired and presented correctly. They can also be extremely helpful in interacting with the Ohio Bureau of Workers' Compensation and other applicable parties, arguing for the most beneficial possible outcome on behalf of their client.

Clearing Up Misunderstandings

Furthermore, a lawyer can help to clear up any misunderstandings or confusion about how the injury occurred. In circumstances where a wound appears to be self-inflicted but is actually the product of deeper work-related issues, legal assistance can help demonstrate the claim's validity. They are also able to help with questions like what is the best way to report a work injury?

Fighting for Injured Workers' Rights

In addition, work injury attorneys in Columbus Ohio can advocate for their client's rights and interests, especially if there are any issues or conflicts about the injury's classification.

Their knowledge of workers' compensation legislation enables them to confidently navigate complex legal proceedings, making sure their client's rights are upheld throughout the process. It also increases the chances of them receiving medical and wage replacement benefits.

Larrimer & Larrimer: Providing Professional Legal Aid

The workers' compensation system is complex, and handling claims without assistance can lessen an injured worker's chances of securing a favorable outcome. Cases that involve self-inflicted harm are often far more complex and harder to win than others, which is why it is important for victims to have an experienced advocate on their side.

Larrimer & Larrimer has been representing those who have suffered workplace injuries for many years and is here to ensure that claimants receive the guidance and representation they need.

To learn more or schedule a consultation with an experienced and respected workers' compensation attorney, victims can give them a call.

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