Fraude, SSDI y Medicare: La Verdad Sobre los Casos de Compensación Laboral

🎙️The Injured Workers' Questions & Answers Podcast addresses all the questions we receive on workers' compensation claims and what injured workers can be entitled to. Our podcast strives to help listeners navigate the legal terrain when injured on the job. While this in no way replaces legal advice, our attorneys are eager to answer your questions and provide education on workers' rights. In this episode, we bring crucial information for workers in Southern California about their rights under workers' compensation, regardless of job title, immigration status, or background. Mr. Pulido, spokesperson for The Law Offices of Graiwer Kaplan Vernik & Evans, breaks down complex topics—including workplace injury reporting, fraud prevention, Social Security Disability interactions, and Medicare implications—into easy-to-understand guidance. 🎧 Key Topics Covered ✔ Reporting Workplace Injuries Correctly Why you must report a work injury the same day it happens.Importance of putting the report in writing.Why delaying can worsen both your health and your claim. ✔ Avoiding Workers' Compensation Fraud What happens when someone falsely claims an injury happened at work.Consequences: felony charges, jail time, fines."If you didn't get hurt at work—don't invent it." ✔ Beware of Scams After Work or Auto Accidents Warning signs: Unexpected calls People showing up offering money Pressure to sign with a lawyer immediately Why accepting money to file a claim is fraud. ✔ How Workers' Comp Interacts With Social Security Disability (SSDI) Explanation of the 80% rule: You cannot legally receive more than 80% of your calculated earnings when combining SSDI + workers' comp benefits. Why you must notify Social Security if you receive money from workers' comp, unemployment, or other benefits. What happens when you don't report income: Overpayment debt Suspension of benefits Potential loss of monthly checks for months or years until the debt is repaid ✔ Understanding Medicare Set-Asides (MSA) When Medicare must be notified about your workers' comp case (when settlement exceeds $25,000 or potential Medicare eligibility is within 30 months).Why Medicare may require a set-aside account to cover future medical care.How an MSA protects your long-term medical coverage. ✔ The Harman's Formula Explained How attorneys calculate the monthly value of a lump-sum settlement to avoid losing SSDI benefits. Real-life example of a $100,000 settlement breakdown: Attorney fees Medicare set-aside Net amount How Social Security evaluates it to avoid stopping benefits ✔ Importance of Communication With Your Attorney Why clients must inform their lawyer about SSDI, unemployment, or any other benefits.Problems that arise when attorneys aren't given full information.How miscommunication can cause a worker to lose tens of thousands of dollars. Whether you're an employee, contractor, or undocumented worker, this episode empowers you to stand up for your health, your job, and your future. If you need legal help with your specific workers' compensation case, schedule a complimentary consultation with one of our attorneys by emailing [e-mail] or calling 213-380-7500. 🎙️ Podcast de Preguntas y Respuestas para Trabajadores Lesionados aborda todas las dudas que recibimos sobre reclamaciones de compensación laboral y lo que los trabajadores lesionados pueden tener derecho a recibir. Nuestro podcast busca ayudar a los oyentes a navegar el terreno legal cuando sufren una lesión en el trabajo. Si bien esto de ninguna manera reemplaza el asesoramiento legal, nuestros abogados están dispuestos a responder sus preguntas y brindar educación sobre los derechos de los trabajadores. 🎧 Temas Clave Cubiertos ✔ Reportar Correctamente las Lesiones en el Trabajo Por qué debes reportar una lesión laboral el mismo día que ocurre. La importancia de hacer el reporte por escrito. Cómo retrasar el reporte puede empeorar tu salud y tu reclamo. ✔ Cómo Evitar el Fraude en Compensación al Trabajador Qué sucede cuando alguien falsamente afirma que una lesión ocurrió en el trabajo. Consecuencias: cargos por delito grave, tiempo en la cárcel, multas. "Si no te lastimaste en el trabajo — no lo inventes." ✔ Cuidado con Estafas Después de Accidentes Laborales o de Auto Señales de advertencia: Llamadas inesperadas Personas que aparecen ofreciendo dinero Presión para que firmes con un abogado de inmediato Por qué aceptar dinero para presentar un reclamo es fraude. ✔ Cómo Interactúa la Compensación al Trabajador con el Seguro por Incapacidad del Seguro Social (SSDI) Explicación de la regla del 80%: Legalmente no puedes recibir más del 80% de tus ingresos calculados al combinar SSDI + beneficios de compensación al trabajador. Por qué debes notificar al Seguro Social si recibes dinero de compensación laboral, desempleo u otros beneficios. Qué pasa cuando no reportas ...