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A workplace injury can upend your life without warning, leaving you facing painful recovery, lost income, and an insurance system that operates far more in the employer's interest than in yours. Tama workers who have been hurt on the job face questions that can be difficult to answer without legal guidance: what benefits am I entitled to for a broken collarbone? Can my employer fire me for filing a workers' compensation claim? What exactly happens at a functional capacity evaluation and how does it affect the value of my case? The answers matter, and getting them right can protect both your health and your financial future.
The workers' compensation attorneys at Walker, Billingsley & Bair serve injured Iowans statewide and are committed to helping Tama workers understand and protect their rights. This article covers three important areas: the workers' compensation benefits available after a fractured clavicle and what to do when disputes arise about returning to work, your rights if an employer retaliates against you for filing a claim, and the functional capacity evaluation process and how to prepare for it effectively.
Workers' Compensation for a Broken Collarbone: What Tama Workers Need to Know
A clavicle fracture, or broken collarbone, qualifies for benefits under Iowa's workers' compensation laws just like other workplace injuries. Workers should receive the time off necessary for the injury to heal before returning to work, and workers' compensation is required to pay for all necessary medical treatment to care for the injury.
How Clavicle Fractures Happen at Work
Clavicle fractures often happen from trauma. A worker can fall hard on their shoulder, or an object can fall onto an outstretched arm, resulting in a fractured clavicle. Workers usually know immediately that their collarbone is broken. According to the American Academy of Orthopaedic Surgeons, symptoms of a clavicle fracture include pain, a sagging shoulder, an inability to lift the arm, a grinding sound when attempting to lift the arm, swelling, and a visible bump forming over the break.
How Broken Collarbones Are Treated
These fractures are often treated without surgery. The shoulder is wrapped and the arm placed in a shoulder sling, and the patient may receive medication to manage pain. With time, the collarbone heals on its own. Physical therapy can begin once the bone starts to heal, rebuilding strength in the arm. The wrap or sling helps guide the bone back into proper alignment during healing. A malunion, in which the two ends of the bone fail to rejoin correctly, is a complication that may ultimately require surgery.
In severe cases, such as when the bone protrudes through the skin in what is called a compound fracture, surgery is required. Screws and plates are inserted to hold the bone in its natural position as healing progresses. Regardless of whether surgery is necessary, it can take three months or more to return to normal activities. Recovery depends on the individual patient and the severity of the fracture, and every worker should discuss their expected timeline directly with their treating doctor.
Workers' Compensation Benefits After a Broken Collarbone
Workers' compensation provides disability benefits, medical benefits, and physical therapy coverage for injuries resulting from a work accident or work condition. Medical benefits are available for as long as needed to treat the injury. Disability checks are set at 80 percent of the employee's average weekly spendable earnings for temporary total, permanent partial, and permanent total disability. At some point during recovery, the doctor may determine that a worker can return to light-duty work with restrictions on how much they can lift and what activities they can perform. Workers' compensation pays two-thirds of the difference between the wage a worker receives on light duty and their pre-injury wage.
Disputes About Returning to Work Too Soon
A worker may be told by their doctor to return to work before they feel ready or physically capable. If a Tama worker feels rushed into returning or believes they cannot safely perform even the light duties being assigned, they can file a petition for alternative medical treatment with the Iowa Workers' Compensation Commissioner. Medical records, doctor testimony, and the worker's own testimony can all help demonstrate that it is too soon for the employee to return to full or even limited duties. Workers in this situation have the right to hire an attorney to represent their interests throughout that process.
Can You Be Fired for Filing a Workers' Compensation Claim in Iowa?
This is one of the most common and most pressing questions Tama workers ask after being hurt on the job. The honest answer is that yes, it is technically possible to be fired after filing a workers' compensation claim, because most employees in Iowa are employees at will. An employer operating under at-will employment can terminate a worker for any reason that is not illegal, and they do not have to establish just cause for the termination. That is precisely why a fired worker will almost never hear their employer say outright that the workers' compensation claim was the reason for the termination.
What At-Will Employment Means for Injured Workers
Being an at-will employee means that your employer can dismiss you without providing a specific reason, as long as the reason is not one prohibited by law. This creates a situation where an employer can retaliate against an injured worker who filed a claim without ever having to acknowledge openly that the claim was the motivation. The termination might be framed as a performance issue, a restructuring decision, or any other legally permissible reason, even when the real reason is the workers' compensation claim.
The Law Prohibits Retaliation
While Iowa is an at-will state, the right to file a workers' compensation claim is protected by Iowa law. Workers' compensation is designed as a legal contract between an employer and their employees in which the employer provides insurance coverage for job-related injuries and illnesses, and in exchange the employee gives up the right to pursue civil action against the employer. Iowa's workers' compensation laws provide medical benefits and disability benefits to workers who are injured on the job, and filing a claim to access those benefits is a legally protected act.
When an employer retaliates against an employee for filing a workers' compensation claim, including by giving the employee a poor performance review, taking negative action against them, or terminating their employment, that retaliation is against the law. Iowa's wrongful termination standards provide that if a worker is retaliated against for engaging in conduct protected by public policy, such as filing a workers' compensation claim, then wrongful discharge has occurred. The employee then has the right to file a claim for wrongful discharge in an Iowa court.
What to Do If You Are Fired After Filing a Claim
If you file a workers' compensation claim following a workplace injury and your employer subsequently retaliates against you or terminates your employment, prompt legal action is critical. The time limits for filing a wrongful discharge complaint can be short, and delaying could cost you rights that cannot be recovered. Even if your workers' compensation claim is denied at the same time, you may still be eligible to receive benefits with proper legal assistance. Contacting an experienced workers' compensation attorney as quickly as possible after a termination gives you the best chance of preserving your rights and pursuing all available remedies.
The Functional Capacity Evaluation: What Every Tama Worker Should Know
At some point during a workers' compensation claim, a Tama worker may be told they need to attend a functional capacity evaluation, commonly known as an FCE. This evaluation plays a critical role in determining whether you can return to your job, what your permanent work restrictions will be, and how much compensation you ultimately receive. Understanding what it involves and how to approach it properly can make an enormous difference to the outcome of your case.
What Is an FCE and Why Is It Ordered?
A functional capacity evaluation is testing conducted by a physical therapist. It involves a series of physical tests designed to assess a worker's ability to lift, carry, and perform various physical activities. The process can take from a few hours to more than six hours over two days, depending on the therapist conducting it and the specific FCE system being used. Different physical therapy practices use different evaluation systems, including the XRTS Cross Reference Testing System used by E3 Therapy Services, the Workwell system used by Work Systems Rehabilitation, and systems used by Accelerated Rehab and other physical therapists throughout Iowa.
An FCE is typically ordered when the treating doctor believes a worker's medical condition is unlikely to improve further and the doctor wants objective data about what physical work that person can safely perform going forward. It is important to understand that this represents the doctor's current opinion about the limits of recovery, not an absolute final determination. Under Iowa law, once the insurance company's doctor has assigned you an impairment rating, you have the right to a second opinion under Iowa Code section 85.39, with the insurance company required to pay for part of that evaluation.
What to Expect at the FCE
Under Iowa law, you are not legally required to attend an FCE. However, failing to attend can have a significant negative impact on your workers' compensation case. If you have concerns about proceeding with an FCE, contacting a qualified work injury attorney before the evaluation date is strongly advisable so you can make the most informed decision possible given your specific circumstances.
The following are the most important things Tama workers should know before attending an FCE.
Give Your Full and Honest Effort
You should try hard and give a full and honest effort throughout all of the tests, without injuring yourself in the process. Multiple tests are built into the evaluation specifically to determine whether you are giving full effort. Even if the therapist tests an area of your body that was not injured, you still need to give full effort in that portion of the evaluation. A valid FCE result depends almost entirely on whether the participant gives their genuine best effort throughout. Holding back or appearing inconsistent can result in the evaluation being marked invalid, which typically leads to the doctor releasing the worker without any restrictions, a result that seriously harms the value of the claim.
Bring Your Written Restrictions
If you are currently working under restrictions given by one or more doctors, bring your written restrictions with you to the FCE and show them to the therapist before the evaluation begins. This context is important to establishing a complete and accurate picture of your current physical condition and the limitations already documented by your treating physicians.
Be Thoughtful About Medications on Evaluation Day
Unless you know that your employer will allow you to take pain medications while working, it is generally recommended that you do not take pain medications on the morning of the evaluation. The FCE is designed to assess your real-world work capacity, and the results should reflect how you actually function in a work environment rather than how you feel after pharmacological intervention.
Be Careful What You Say to the Therapist
The physical therapist conducting your FCE is not your advocate, and the evaluation is not an informal conversation. Everything you say during the evaluation will be documented in the therapist's written report. Do not make jokes or casual comments, do not say anything negative about the insurance company, your employer, the defense attorney, or your doctors, and do not exaggerate your symptoms. For example, if you tell the therapist you can only sit for five minutes at a time, you had better be standing up every five minutes throughout the evaluation or the therapist will record that statement as inconsistent with your observed behavior. Be honest, stay with the facts, and keep all statements directly relevant to your actual condition.
Understand the Instructions Before You Begin
Before starting any test, make sure you fully understand the therapist's instructions about when you should stop an activity. If the therapist tells you to continue an exercise until the pain becomes uncomfortable, ask for clarification about what that means. Does it mean pain that would make it uncomfortable to perform the activity every day at work, or pain that represents a meaningful increase from your baseline? Getting clear on these definitions before you begin ensures that you stop at the right moment and that the resulting data accurately reflects your actual functional limits.
Why Tama Workers Should Not Navigate Workers' Compensation Alone
Whether you are dealing with a fractured clavicle and a dispute about returning to work, a termination that followed your workers' compensation filing, or an upcoming FCE that could define the compensation you receive for the rest of your recovery, these are not situations to face without experienced legal guidance. The insurance company has professionals working to minimize what they pay. You deserve to have someone equally experienced working to make sure you receive everything Iowa law entitles you to.
Getting Legal Assistance In Tama
Navigating the complexities of Iowa workers' compensation laws can be daunting, especially during the recovery process from a workplace injury. Seeking guidance from a seasoned Tama Workers' Comp attorney is invaluable in ensuring your rights are protected and maximizing your chances of a favorable outcome.
Legal professionals play a pivotal role in gathering evidence, preparing documentation, and advocating for your interests throughout the claims process. Don't risk missing out on the compensation you deserve – enlist the support of a qualified attorney to navigate the complexities with confidence.
The Iowa Workers' Compensation attorney team at Walker, Billingsley & Bair know the importance of protecting your work injury claim from the get-go. That's why we provide this FREE book; Iowa Workers' Compensation - An Insider's Guide to Work Injuries: 7 Deadly Mistakes To Avoid If You Are Hurt At Work. To learn more about what our legal team will do to help you protect your Iowa work injury claim, contact Walker, Billingsley & Bair to schedule a no-cost consultation - 641-792-3595.