It is known navigating through the worker’s compensation process is a nightmare. I’ve been on a leave of absence (LOA) for over a month and not getting any compensation, yet. Unfortunately, it’s time to take matters to another level as I am getting no where with anyone.
I was warned and know, through experiences of others, this whole process can be be a challenge. Some cases are resolved almost immediately because the “evidence” and supporting documentation are apparent. Others, like mine, take time to resolve, because details are vague the supporting documentation may not support the evidence.
As I have documented here, I have three four entities working on my case. First, my employer is Walmart. Second, the Worker’s Compensation board has assigned a case number and is “monitoring activities”. Third is a third party insurance company working with Walmart. Lastly, there is Walmart Corporate Claims Services in which I have a worker’s compensation worker assigned to me. Lastly, there is another company Sedgwick, who also handles FMLA where an employee reports absences or Leave of Absences.
Over the last couple of weeks, I get one notice after another from Walmart Claims services either “Refusal” or “Objection” to such claims. In the case of Sedgwick, I get a refusal to approve my LOA because of lack of medical documentation. I have enough stress in my life being out of work for almost a month or more now with a tentative return to work on September 5, 2025. Even my request for worker’s compensation for lost wages over this times has been denied, “Your workers compensation was accepted for an acute knee injury only. It appears that your current issues are due to the lower back, and seem to be of a degenerative nature. In regards to the workers compensation claim, there will be no compensation for lost time.” Unfortunately, I have to take this to another level – an inquiry with a lawyer.
My medical appointments are so spread out over time, I’m just sitting and waiting. I have another appointment August 26, to start physical therapy. I don’t see my worker’s compensation provider through my medical provider until September 5, for a re-evaluation. Meanwhile, I’m living on wages saved which is dwindling down to almost nothing but the end of the month.
Last week, I put in requests through various worker’s compensation lawyers for a consultation. No one yet has gotten back to me. Again, I know they have to sift through various requests themselves, review the initial request, then get back to me. Again, this all takes time. I can only hope one comes through to inquire further about my case.
Lastly, the only income I have is my 401K. One loan was taken out last month. I just requested a second general purpose loan today to cover my rent and utility expenses for next month. I attempted a full withdraw but that was denied. I know the consequences of such requests but it’s the only source of any income I have right now.
I can only hope things start to come together shortly rather than later. While I have no control over the processes involved, I do what I can when I can. Mentally, I’m depleted. Physically, I have been hurting a lot lately but continue to attempt walks and do exercises as needed. Spiritually, I ask assistance on a daily basis to get me through the day.
That is all for now.
MK



