WCB Claims: Clearing Up Confusion with 'Middleman' Companies

WCB Claims: Cutting Through the Confusion

Frustration is mounting among Calgary workers navigating Workers' Compensation Board (WCB) claims, particularly when "middleman" companies are involved. A recent case highlighted an injured worker's struggle, alleging a third-party administrator misrepresented their 12-hour, overtime-heavy schedule as a standard 8-hour day, directly impacting crucial wage replacement benefits for modified duties.

Understanding Your Rights and the System

It's important to clarify: The WCB is a government agency providing no-fault insurance, covering medical expenses, rehabilitation, and wage replacement—calculated at 90% of net earnings, including overtime. While Third-Party Administrators (TPAs) do act as liaisons for employers, WCB itself is responsible for resolving conflicting information on claims based on the balance of probabilities. If a worker provides documentation like pay stubs, WCB is tasked with adjudicating the truth.

Injured workers have clear appeal rights through a multi-level process if they disagree with a decision. Legal representation specializing in WCB claims can be invaluable in navigating this complex system, ensuring documentation is effectively presented and rights are upheld to secure rightful compensation.