Definition of Representative
Representative is a term that is used in a Texas workers' compensation case. A representative may mean a person who is authorized by the commissioner of workers' compensation in Texas to assist or represent an employee who is seeking workers' compensation benefits for a work-related injury, or a person who is claiming a death benefit for a worker who died from or was killed by a work-related incident. This person can be an attorney. In most instances, a representative is needed when an injured worker or a person claiming a death benefit is having trouble getting their claim approved. They are usually involved in a dispute with the insurance company regarding the workers' compensation claim.
A representative may also mean a person who represents the insurance company in a workers' compensation claim. This person may also be referred to as the insurance adjuster. A representative is the person who approves or denies a workers' compensation claim. They also handle all of the duties and responsibilities of the claim, such as paying bills, approving medical treatment and sending all of the state mandated workers' compensation letters to the injured worker. An injured worker should always remember that an insurance company representative does not work for them or have their best interests at heart, no matter how cordial and friendly they are. An insurance representative works for the insurance company. It is their job to settle a workers' compensation claim as quickly as possible for as little as possible.