Dirty Little Tricks Workers’ Compensation Adjusters Use

Illinois Workers’ Comp Adjuster Tricks and Secrets

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How to Protect Your Rights After a Workplace Injury in Antioch, Illinois

When you are injured on the job in Antioch, Illinois or the surrounding communities — including Lake County, Gurnee, Lindenhurst, Grayslake, and Waukegan — your priority should be recovery. 

Unfortunately, insurance adjusters and employers may not always have your best interests at heart. Workers’ compensation insurance companies are profit-driven, and adjusters are trained to minimize payouts. 

To ensure you receive full and fair compensation for medical bills, lost income, and long-term disability, you must understand common adjuster strategies and know how to respond.

Common Workers’ Comp Adjuster Tricks

Videotaping Injured Workers

It is common for insurance companies to hire private investigators to videotape injured workers in an attempt to catch them exceeding their doctor’s restrictions. The size and cost of video cameras have been reduced and insurance adjusters step up their efforts to videotape injured workers exceeding their doctor’s restrictions, even if it is only for a brief moment.

While Shopping

Every time you are outside your house it is best to assume that a private investigator hired by the insurance company may be videotaping you. Private investigators routinely follow injured workers to stores in an effort to catch them carrying heavy groceries or shopping bags to the car to prove that they are capable of exceeding their doctor’s restrictions.

If you determine that you are being videotaped, (the odds are you will not, because the private investigators are very sophisticated) the best thing to do is pretend that you do not know they are there. Do not use profanity or flip off the private investigator as this will not put you in a good light in front of the arbitrator if your case proceeds to a hearing.

While Cutting Lawn

Private investigators enjoy videotaping injured workers mowing their lawns, even if it is just for a short period of time. Private investigators will spend hours on a “stakeout” in an effort to get a minute or two of videotape of an injured pushing his lawnmower in an effort to bar or reduce the value of the case, even knowing that an injured worker has good days and bad days and the fact that an injured person may have only been pushing the lawnmower for a very short period of time.

Lifting Heavy Items

Investigators stage bogus contests allowing the injured worker to win a gift such as a case of pop or a 20-pound frozen turkey. When the injured worker appears to claim the prize, he is videotaped carrying the case of pop and/or bag of groceries and/or frozen turkey out to his car.

Bending Over

Investigators will stoop so low as to drop a few dollar bills near the injured worker’s car in an effort to catch the injured worker bending over to pick up the dollar bills when the injured worker’s doctor’s restrictions state that he is unable to bend over.

Other Tricks and Tactics

Investigators may pay a neighbor or a co-worker to videotape the injured worker doing an activity in which the injured worker’s doctor recommended that he could not perform. They may also pay a co-worker to telephone the injured worker under the false pretense that the co-worker is concerned for the injured worker’s condition to inquire what the injured worker has been doing while he’s off on worker’s compensation and receiving TTD benefits, hoping that the injured worker will misspeak stating that he has performed an activity that exceeded his doctor’s recommendations.

Investigators may take the air out of an injured worker’s car or truck tire, hoping to videotape the injured worker changing the tire.

There are endless ways that unscrupulous workers’ compensation investigators will attempt to try to catch someone violating the doctor’s orders so that they insurance company can deny the claim. If you want to make sure that you aren’t doing things that can jeopardize your claim call our Illinois workers’ compensation lawyers.

If you feel your workers’ compensation claim is being unfairly delayed or denied call theIllinois workers’ compensation lawyersat Robert Edens Law Office inAntiochat (847) 395-2200

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Understanding Workers’ Compensation in Illinois

Workers’ compensation is a no-fault insurance system that provides benefits to employees who suffer job-related injuries or illnesses. In Illinois, almost all employers with one or more employees are required to carry workers’ compensation insurance. The system is intended to provide:

  • Medical treatment for work-related injuries 
  • Wage replacement for time missed from work 
  • Permanent partial or total disability benefits 
  • Vocational rehabilitation in some cases 
  • Death benefits to dependents if the injury is fatal

UnderIllinois law (820 ILCS 305), injured workers are generally entitled to these benefits regardless of who was at fault. However, proving your claim and maximizing benefits often requires careful documentation and strategic handling of your case.

Why Insurance Adjusters Focus on Reducing Benefit Payments

Insurance adjusters are employed by the insurer to evaluate claims and determine benefit amounts. While ethical adjusters follow the law, many are under pressure to control costs. This can lead to tactics that undermine legitimate claims. Their primary objective is to protect the insurance company’s bottom line — not to ensure that you receive every benefit you deserve.

In Antioch and the wider Lake County region, adjusters may use the following strategies to limit payments:

Early Contact and Case Framing

After an injury, an adjuster may contact you quickly and attempt to obtain a recorded statement. These early conversations are often designed to lock in details that the insurer can later use to deny or reduce your claim.

Minimizing Injury Severity

Adjusters may suggest that your injury is “not that serious” or attribute your symptoms to pre-existing conditions rather than your workplace accident. They may request vague descriptions of pain rather than specific limitations.

Excessive Surveillance

Insurance companies sometimes hire investigators to monitor injured workers to find evidence of activities that appear inconsistent with claimed limitations. This can be used to deny or reduce benefits.

Delay Tactics

Adjusters may delay responses to requests for medical evaluations, payment of benefits, or authorization of treatments. Delays can cause financial and emotional stress, pressuring you to accept a lowball settlement.

Selective Use of Medical Experts

Insurance companies often send injured workers to their own doctors forindependent medical examinations (IMEs). While IMEs are permitted, the physicians may be inclined to interpret findings in the insurer’s favor.

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Common Workers’ Comp Adjuster Tactics to Watch For

Understanding these tactics can help you avoid traps that reduce your benefits.

1. Asking Leading Questions

Adjusters may ask questions like “Did you hurt yourself before?” or “Are you sure this happened at work?” Their goal is to generate responses that cast doubt on your claim. You are not required to provide a recorded statement without your attorney present and you never should.

2. Pressuring You to Sign Forms

Insurance companies may send forms that appear benign but can include language limiting your compensation recovery. Always review forms carefully and consult an experienced workers’ compensation attorney before signing.

3. Settling Too Soon

A quick settlement offer may seem attractive, especially when bills are mounting. However, early offers often fail to account for long-term medical care, future lost wages, or permanent disability. Accepting too soon can lock you into a low amount.

4. Disputing the Causal Link

Adjusters may argue that your injury is due to non-work activities, aging, or pre-existing conditions. If you were in good health before the accident or had prior issues unrelated to your job, your attorney can help demonstrate the work connection.

5. Downplaying Lost Wages

Adjusters might calculate wage benefits based on incomplete or inaccurate information. They may dispute overtime, shift differentials, or bonuses, resulting in lower wage replacement.

How to Protect Your Workers’ Compensation Rights in Illinois

Protecting your rights begins with proper documentation and strategic action. The following steps can help reinforce your claim:

Report Your Injury Promptly

Under Illinois law, you must notify your employer as soon as possible after an injury. Delays can be used against you by adjusters.

Seek Immediate Medical Attention

Always get medical treatment, even if injuries seem minor. Document symptoms, treatment dates, and provider recommendations. Your medical records are critical evidence.

Keep Detailed Records

Maintain copies of medical bills, diagnostic reports, wage statements, time missed from work, and communication logs with your employer and insurer.

Avoid Talking Without Counsel

Do not give recorded statements to the insurance adjuster or sign documents without your attorney’s review.

Be Honest but Strategic

Provide truthful information, but do not volunteer details that can be misinterpreted. Stick to the facts of how the injury occurred and how it has impacted your life and work.

Consult an Experienced Illinois Workers’ Compensation Attorney

An experienced attorney familiar with Illinois workers’ compensation laws can help you navigate disputes, negotiate with adjusters, and pursue maximum benefits.

Medical Evaluations and Independent Medical Exams

Insurance companies commonly request that injured workers undergo independent medical exams (IMEs) with physicians selected by the insurer. While these exams are legal, they can be misused to minimize your injuries or dispute your need for ongoing treatment.

Tips for handling IMEs:

  • Attend all scheduled exams 
  • Be honest and consistent with symptoms 
  • Bring all relevant medical records 
  • Ask questions and clarify concerns 
  • Consult your attorney if the IME findings are unfavorable

Your attorney may recommend evaluations with your own healthcare provider or propose additional expert opinions.

Settlement Negotiations and Lump Sum Offers

After temporary benefits, medical treatment, and evaluations, the insurer may propose a settlement. Settlements are often presented as lump sum offers that resolve your claim. While a settlement may feel like closure, accepting a low amount can jeopardize your ability to pay future medical expenses or compensate yourself for permanent disabilities.

Before accepting any settlement, consider:

  • Whether your medical treatment is complete 
  • Whether you may need future medical care 
  • Whether you will experience long-term wage loss 
  • Whether the settlement accounts for pain and suffering

An attorney can negotiate on your behalf to ensure the settlement reflects your full range of losses.

When an Attorney Is Especially Important

Hiring an attorney is strongly recommended if:

  • The insurer denies benefits 
  • You receive low settlement offers 
  • Your injury is severe or permanent 
  • You cannot return to your prior job 
  • The insurer disputes causation 
  • You experience wage benefit disputes

An attorney helps level the playing field when adjusters use sophisticated tactics to limit your recovery.

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Frequently Asked Questions About Illinois Workers’ Compensation

Can an adjuster deny my workers’ comp claim without explanation?

No. Under Illinois law, the insurer must provide a basis for denial. If you believe the denial is unfair, an attorney can help you file an appeal or seek legal recourse through the Illinois Workers’ Compensation Commission.

How long do I have to file a workers’ comp claim in Illinois?

You generally have 45 days from the date of injury to notify your employer. If you miss this deadline, you may lose benefits. However, exceptions exist depending on circumstances.

Will workers’ compensation pay for all my medical bills?

If your injury is accepted as work-related, workers’ compensation pays for all reasonable and necessary medical treatment related to the injury.

What if my employer retaliates for filing a workers’ comp claim?

Retaliation is illegal. If your employer disciplines or terminates you for filing a workers’ compensation claim, you may have additional legal claims.

Can I get workers’ compensation benefits for permanent disability?

Yes. If your injury results in permanent impairment, you may be entitled to permanent partial or total disability benefits, depending on your condition.

Call Our Illinois Workers’ Compensation Attorney in Antioch

If you were injured at work in Antioch, Illinois or the surrounding communities and are dealing with a difficult insurance adjuster or a denied claim, you do not have to navigate this process alone. Workers’ compensation claims can be complex, especially when adjusters use tactics that undermine your recovery.

Contact our experienced workers’ compensation attorney in Antioch today at  (847) 395-2200 for a free consultation. We can help you understand your rights, gather evidence, negotiate with insurers, and pursue the maximum benefits available under Illinois law. Your recovery matters and legal guidance can make a meaningful difference in your outcome.

Call today for a free consultation

(847) 395-2200