If someone else’s negligence injures you at work, subrogation can impact your overall financial recovery. Though it’s a legal term, subrogation directly affects how much compensation ends up in your pocket. Understanding this concept helps you make informed decisions.
Understanding subrogation in injury claims
Subrogation happens when your workers’ compensation insurance covers your benefits, but a third party is legally responsible for your injury. The insurer can pursue reimbursement from that party. If the insurer recovers funds, it will reclaim the amount it previously paid to you.
Imagine a defective ladder causes your fall. Your employer’s insurance pays your medical expenses and lost wages. Later, that insurer may take legal action against the ladder’s manufacturer to recover its costs.
How it changes your compensation
You might assume a third-party lawsuit automatically means more money for you, but that’s not always the case. After a settlement or judgment, your workers’ compensation insurer claims reimbursement first. The insurer deducts its share from the total recovery. Only the remaining amount—minus legal fees and other expenses—goes to you.
While your net payout may be smaller than you expect, third-party claims can still lead to greater compensation than workers’ comp alone. These claims may include damages for pain and suffering, which workers’ compensation doesn’t cover.
Your role in the process
You play a central role in third-party claims involving subrogation. You’ll likely need to provide detailed accounts of the incident and identify parties that may be liable. It’s also important to review any agreements with your insurer, as some require you to notify them if you initiate legal action against a third party.
Understanding subrogation enables you to make better financial and legal decisions. It helps you manage expectations and understand how the settlement will be distributed. By anticipating how reimbursement works, you can better plan for your financial future.