NC Workers’ Compensation Claim Process Overview (2025)

How the North Carolina Workers’ Compensation Process Works

Most employers are required to purchase workers’ compensation insurance in North Carolina. When an employee is injured, they file a claim. If it’s approved, the employee receives medical and wage replacement benefits.

Eligibility and What Qualifies as a Workers’ Comp Claim

If you get injured while working or suffer a job-related illness, you may be able to file for workers’ comp. Common categories of workers’ compensation claims include:

• Acute injuries that happen while working
• Job-related repetitive stress injuries
• Illnesses directly caused by your job

There are some circumstances where you may be denied benefits after a work injury. For instance, if you were drinking, breaking safety rules or engaging in horseplay when you were injured, you may not qualify.

Step-by-Step Filing Process in North Carolina

The NC workers’ compensation claim process includes these steps:

• Report the injury to your employer
• Seek medical attention
• Fill out Form 18 and send it to the North Carolina Industrial Commission

Typically, you should receive a decision in 14 days.

Employer Response and Investigations

Your employer must submit a response to the North Carolina Industrial Commission stating whether they accept or deny your claim. If your employer disagrees with your claim, the commission may need to investigate.

Duration of Benefits and Settlement Timeline

Temporary disability benefits may last up to 500 weeks in North Carolina. If you become permanently disabled, you could receive lifetime benefits.

Types of Settlements in North Carolina Workers’ Compensation

Sometimes, your case may be resolved with a workers’ comp settlement, especially when dealing with severe injuries. There are three main types: a settlement of the entire claim, a settlement of only permanent impairment benefits, and a settlement of only temporary disability benefits.

Factors That Affect Case Length and Outcome

Cases involving serious injuries or disputed claims can take longer to resolve. The same can be said for cases where it takes significant time to reach maximum medical improvement (MMI).

If Your Claim Is Denied, Know Your Rights

If your claim is denied, you may submit a request for a hearing. Because a workers’ comp attorney can compile evidence and represent you at the hearing, having legal representation is essential.

Contact a North Carolina Workers’ Compensation Lawyer

The NC workers’ compensation claim process doesn’t always go smoothly. If you’re having issues getting your claim approved, the best thing to do is to contact a workers’ compensation lawyer.

If you’re not sure where to look, let ConsumerShield connect you with a qualified attorney near you. Fill out our contact form for a free case review today.