Will my workers’ compensation benefits reduce the amount I can recover from the at-fault driver’s insurance?: North Carolina

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Will my workers’ compensation benefits reduce the amount I can recover from the at-fault driver’s insurance? - North Carolina

Short Answer

Yes—under North Carolina law, your employer’s workers’ compensation carrier has a statutory lien against money you recover from the at-fault driver. Attorney’s fees and case costs typically come off the top, then the carrier is reimbursed for benefits it paid, and you receive the balance. A Superior Court judge can reduce or even eliminate the lien in the interests of fairness, and the carrier usually gets a credit against future workers’ comp benefits.

Understanding the Problem

In North Carolina, if you were hurt while driving a company vehicle and the other driver caused the crash, can you pursue the at-fault driver’s insurance without your workers’ compensation benefits reducing your recovery? You want to know whether the workers’ comp payments for your ER care, therapy, and lost wages will cut into a settlement or verdict from the at-fault driver’s insurer.

Apply the Law

North Carolina allows an injured employee to pursue a third-party claim against the at-fault driver while also receiving workers’ compensation. The tradeoff is a statutory lien in favor of the employer/insurer on third-party recoveries. By statute, attorney’s fees and litigation costs are paid first, then the workers’ compensation lien is satisfied from the remaining funds, subject to a Superior Court judge’s authority to reduce or extinguish the lien after notice and a hearing. The workers’ comp carrier also receives a credit against future benefits to the extent of your net third-party recovery. Third-party claims are pursued in Superior Court; lien adjudication occurs there as well. Settlements should account for the lien before funds are disbursed.

Key Requirements

  • Third-party right to sue: You may bring a claim against the at-fault driver even while receiving workers’ compensation benefits.
  • Statutory lien and reimbursement: The workers’ comp carrier has a lien on your third-party recovery for benefits it paid, after attorney’s fees and costs.
  • Court authority to reduce lien: A Superior Court judge can reduce or eliminate the lien based on equitable factors after a motion and hearing.
  • Credit against future benefits: Your net recovery typically gives the carrier a credit that can pause or reduce future workers’ comp payments until the credit is exhausted.
  • Consent/approval for settlement: Settling a third-party claim generally requires written consent from the employer/carrier or a court order to protect the lien and your future benefits.

What the Statutes Say

Analysis

Apply the Rule to the Facts: Because you were injured in a work-related crash, workers’ compensation can pay medical bills and wage-loss benefits, and the comp carrier gains a lien on your recovery from the at-fault driver. Any settlement or verdict will first pay your attorney’s fees and case costs, then reimburse the comp carrier for benefits it paid, with the remainder to you. A Superior Court judge can reduce or waive the lien, and your net recovery typically gives the carrier a credit against future workers’ comp benefits.

Process & Timing

  1. Who files: The injured worker files the third-party claim. Where: Superior Court in the county where the crash case is brought in North Carolina. What: Personal injury complaint or settlement; if needed, a motion to determine distribution and lien under § 97-10.2(j). When: Address the lien before any settlement funds are disbursed; obtain carrier consent or a court order.
  2. Serve the employer/carrier with your motion or provide notice of settlement terms. The court schedules a hearing; timing varies by county and docket.
  3. The judge enters an order allocating attorney’s fees/costs, the workers’ comp lien amount (as allowed or reduced), and the net to you. Funds are disbursed per the order, and the carrier’s future-benefit credit is applied.

Exceptions & Pitfalls

  • Lien reduction is not automatic; you must ask the court and present equitable reasons for a reduction.
  • Settling without carrier consent or court approval can jeopardize future workers’ comp benefits and delay payment.
  • UM/UIM proceeds can be complex; whether the lien applies may turn on policy language and case specifics—address this before settlement.
  • Separate liens (for example, Medicare/Medicaid) may also apply; resolve them in tandem to avoid delays.

Conclusion

In North Carolina, workers’ compensation does not block your claim against the at-fault driver, but it does give the comp carrier a lien on your recovery. After attorney’s fees and costs, the carrier is reimbursed, subject to a Superior Court judge’s power to reduce or eliminate the lien, and your net recovery usually creates a credit against future comp benefits. Next step: before settling, obtain the carrier’s written consent or file a motion in Superior Court to set the lien and distribution.

Talk to a Personal Injury Attorney

If you’re dealing with a work-related car crash and want to pursue the at-fault driver while protecting your recovery from lien issues, our firm has experienced attorneys who can help you understand your options and timelines. Call us today.

Disclaimer: This article provides general information about North Carolina law based on the single question stated above. It is not legal advice for your specific situation and does not create an attorney-client relationship. Laws, procedures, and local practice can change and may vary by county. If you have a deadline, act promptly and speak with a licensed North Carolina attorney.

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