Glossary

Third-Party Claim

a claim against someone other than the employer or coworker

What third-party claim means

In workers compensation, third-party claim generally refers to a claim against someone other than the employer or coworker. The exact use of third-party claim can vary by state or federal program.

Why third-party claim matters

  • Third-Party Claim can affect benefits, deadlines, medical authorization, or settlement discussions.
  • The phrase third-party claim may have a specific statutory meaning in one state.
  • Ask whether third-party claim appears in a notice, medical report, settlement document, or hearing order.

Question to ask

If third-party claim appears in your paperwork, ask a licensed attorney or official agency contact what it changes in your claim.

Where you may see third-party claim

  • Denial letters or benefit notices that mention third-party claim.
  • Medical reports and work restriction forms using third-party claim language.
  • Settlement papers, hearing orders, or agency forms that define third-party claim.
  • Attorney fee agreements or consultation notes discussing third-party claim.

Use the term in context

  • Find the complete sentence where the term appears in your own notice or report.
  • Identify who used it: the insurer, doctor, employer, agency, or lawyer.
  • Ask what the term changes about treatment, benefits, proof, settlement, or procedure.
  • Check whether the state or federal program gives the term a more specific definition.