
The insurance company just sent you a number. Maybe it’s $18,000. Maybe $25,000. Sounds big. Sounds like what you ought to get. And it sounds final.
Here’s what I’ve learned over thirty years watching this play out, it’s almost never what you should actually get.
The carrier knows something you don’t. They’ve calculated what the law allows. They’ve looked at your average weekly wage, the body part you hurt, whether you’ll be left with permanent limitations, whether that future medical care is part of the deal or if you’re signing it away forever. And then they offer you about half of that number. Maybe less. They’re not being generous. They’re hoping you don’t know what you’ve got.
I’m Scott DeSalvo. I’ve been handling workers’ comp cases across Illinois since 1998. More than 3,000 clients over nearly three decades. I know what these cases are worth. And I know what it takes to make sure you get paid accordingly.
Call me at 312-500-4500. That’s day, night, weekends, doesn’t matter. I handle workers’ comp on contingency. You don’t pay unless we get you money.
Wrong. Dead wrong. That’s what most people assume when the insurance company says: “This is your settlement. Take it or leave it.” But workers’ comp in Illinois has rules. Formulas. And the insurer is deliberately keeping you from understanding how they work.
Here’s the first thing nobody explains. There are two completely different settlement structures, and the carrier will never volunteer that information.
A Section 8(a) Lump Sum. You get a one-time payment for your permanent partial disability. Sounds simple. But—and this is the part that matters—you keep your rights to all medical care related to that injury for the rest of your life. Five years from now, your back is worse? Workers’ comp pays. You need surgery at 55? Covered. Physical therapy ongoing? They’re on the hook. That future medical right is worth enormous money. Most people don’t even realize they have it.
A Section 9 Full and Final Settlement. One check. You cash it. And everything stops. No future medical. No additional benefits ever. The file closes. The carrier moves on. Guess which one they push for? Every. Single. Time. Because once you sign that line, they’re done paying for anything.
The gap between those two can be $60,000. $80,000. Sometimes more. That number the carrier just offered you? Almost certainly structured as full and final. Because they want you gone.
Then there’s something called wage differential. Section 8(d)(1). I’ve watched this get missed more times than I can count. If your injury means you can’t do your old job anymore and you’re earning less because of it, you might be entitled to ongoing payments. Not just a lump sum. Ongoing. Say you made $65,000 as a construction foreman but the best job you can find now is $40,000. That $25,000 gap? You might collect a percentage of it, year after year. Most carriers will settle your permanent disability and pray you never find out this one exists. And a lot of lawyers miss it too.
The Illinois Workers’ Compensation Act is technical. Really technical. Average weekly wage calculations. AMA impairment percentages. Scheduled versus non-scheduled body parts. Temporary disability. Permanent disability. Penalty provisions when insurers misbehave. Get any of it wrong, and you’re leaving serious money on the table. Permanently. And the carrier counts on that.
That’s the trap.
Your workers’ comp claim isn’t just about your employer. There are other parties who might owe you money. And the insurance company really doesn’t want you looking into that.
The employer’s insurance carrier. This is who’s supposed to pay your benefits. In practice, they’ve built their whole operation around paying you as little as possible, as slowly as possible. They have adjusters. Medical reviewers. Defense lawyers. All of them working to minimize what you get.
Third-party defendants. This is the big one that gets overlooked constantly. Say a contractor was on your job site and their negligence contributed to your injury. Or a manufacturer sold defective equipment that hurt you. Or another company’s driver hit you at work. You can file a completely separate personal injury lawsuit against them. And here’s the kicker: a third-party claim isn’t capped by the workers’ comp schedule. Pain and suffering. Disfigurement. Full lost earning capacity. All of it’s recoverable. I’ve had cases where the third-party recovery was worth more than the workers’ comp settlement. Multiples more.
Your employer directly. Rare, but it happens. If they intentionally hid a serious, well-known hazard, and that concealment is what injured you, there might be a claim against them personally. It’s not common. But when it exists, it’s powerful leverage.
Corporate parent companies or holding companies. Sometimes the real decision-maker on safety policies isn’t your direct employer. It’s a parent entity that negligently failed to enforce proper safety. They can end up in the crosshairs too.
Here’s the thing the insurance company won’t tell you, they’ve already done the analysis. They know if there’s a third-party claim buried in your case. And if there is one, they suddenly become a lot more reasonable about settling your workers’ comp claim fast. Why? Because they want to close you out before you go after the bigger money elsewhere.
Don’t let them.
I’ve watched insurance companies play this game for three decades. Let me tell you exactly what they do and why.
The lowball opening offer. You’ve been out of work. Bills are due. Stress is killing you. They know this. So they send an offer—$14,000, $22,000—and frame it as final. What they’re really doing is counting on your desperation. They want the file closed before you ask hard questions.
The “you’re healed” argument. Once treatment stops—or they force it to stop—they claim you’ve hit maximum medical improvement. No more treatment needed. Sign the papers. What they ignore: a lot of work injuries get worse with time. Backs. Knees. Shoulders. You won’t know for months or years whether ongoing care is necessary. But if you sign full and final today? Too late. That’s the catch.
Pretending wage differential doesn’t exist. They settle your PPD claim for a number. You think that’s it. You walk away. And you never knew there was a Section 8(d)(1) claim sitting there worth $40,000 or $60,000. Gone. The carrier settled the visible part and you never found out about the hidden part.
The medical runaround. They control which doctors are “authorized.” They make you see their doctors. They delay approving treatment. Pre-authorization for everything. Three months pass. Six months. You’re still hurting, healing slowly, and the pressure to accept whatever they’re offering builds every single day. That’s by design.
Fake deadlines. Adjusters call and say: “This offer won’t last much longer” or “We need to close the file.” Manipulation. But it works on people who don’t know better.
Straight-up denial. Some carriers just deny the entire claim. Or deny specific treatments. Specific diagnoses. They’re betting you won’t have the energy or resources to fight. A lot of people don’t.
What they absolutely do not want is an attorney who knows the formulas, knows the law, and will take them to arbitration. That changes everything.
My father was a Teamster truck driver who was catastrophically injured on the job when I was nine. His workers’ comp fight lasted seventeen years. And when it finally ended, his own attorney turned around and sued him for fees. That’s the kind of thing that shapes a career.
So I went out and got the best training available. Gerry Spence’s Trial Lawyers College. The Keenan Trial Institute. I’ve put over $500,000 into learning how to actually win in a courtroom. Thirty-plus jury trials. Over a hundred arbitrations. Licensed since 1998.
Now here’s what I’ve learned, the best way to get a good workers’ comp settlement is to be completely, absolutely ready for arbitration.
Insurance companies don’t negotiate the same way with every lawyer. When they see someone who settles everything quick for whatever’s on the table, they lowball. When they see someone with real arbitration experience—someone who’s actually won in front of an arbitrator—the dynamic changes.
When I send a demand letter, the adjuster knows it’s not bluffing. They know I’ll file for arbitration. They know I’ve won. And that knowledge moves the number higher.
I don’t guess at case value. I calculate it. Average weekly wage times the right multiplier for your body part and impairment level. I pull recent arbitration awards from Cook County, Will, DuPage—wherever your case is filed. I know what wage differential claims look like in your area with your specific injury. When I tell an insurer what a case is worth, that number is backed by data.
I look for every angle. Third-party claims. OSHA violations. Employer negligence that goes beyond workers’ comp. Each one is a negotiating chip. The insurer wants a clean exit. I make sure they pay for it.
I challenge their medical evidence. I work with independent medical experts who push back against their hired doctors. I know which diagnoses hold up and which don’t. That expertise shows up in every demand and shifts the dynamic.
I pursue penalties. Under Sections 19(k) and 19(l) of the Illinois Workers’ Compensation Act, if an insurer acts unreasonably, denies claims without justification, drags their feet on benefits, they owe you attorney fees and penalties. Most lawyers don’t push this. I do. Once the insurer realizes I’m documenting every unreasonable thing they do, their willingness to settle fairly goes up fast.
Every conversation with an insurer happens in the shadow of a case ready for arbitration. My evidence is organized. My wage calculations are solid. My witnesses are prepped. They know this. And knowing it produces real settlement offers.
"Scott is absolutely fantastic. He will always go the extra mile for his clients. They always take the time to return phone calls at all hours and I highly recommend him to all my friends."
-Melissa Brooks
"Great people and Scott's a great lawyer. They helped me make the wisest decision for my case, and that's important in serious legal matters. I trust him completely. He is the one to call."
-Tony Skvarenina
"Beyond satisfied with the services I received from this law firm. Definitely recommend! They got me fully paid and all the doctor bills, too. If you want the best, this is the law firm for your injury case!"
-Cynthia Rodriguez
"Scott represented me and I was really pleased with everything, my car accident paid a lot and quick. If you want a good Lawyer who is responsive, and straight with you, I highly recommend him."
-Greg Garcia
Workers’ comp benefits come in several forms. Most people only know about one. That’s a costly gap.
Temporary Total Disability (TTD). While you’re unable to work because of the injury, you receive a portion of your average weekly wage—typically two-thirds, with minimum and maximum caps. This continues until you go back to work or hit maximum medical improvement. Usually TTD is already coming through by settlement time. But making sure every dollar owed through the settlement date has actually been paid? That’s where details matter.
Permanent Partial Disability (PPD). If your injury leaves you with permanent impairment—loss of function, lasting pain, scarring—you’re entitled to PPD benefits. Illinois uses AMA guides to determine the impairment percentage. That percentage gets multiplied by your average weekly wage and a statutory number to calculate the lump sum.
Here’s what the carrier won’t tell you, their calculation of your impairment percentage is almost always lower than what the evidence actually supports. An independent medical expert—your doctor, not theirs—can often establish a higher rating. And since that percentage is a multiplier, even a small bump changes the final number significantly.
Future medical treatment. If you settle under Section 8(a), you keep the right to all medical care connected to your injury. Forever. Complications down the road? Surgery later? Ongoing therapy? Covered. This is worth an enormous amount. And it’s exactly what a full and final settlement takes from you. Most people don’t understand what they’re giving up until it’s too late.
Wage differential awards (Section 8(d)(1)). If your injury keeps you from returning to your old job and you’re earning less, you may get ongoing payments based on the wage gap. Could run for years. You made $72,000 as a supervisor. Back injury means you can’t do that. Best job available pays $47,000. You might collect 50–66% of that $25,000 difference, paid out over a substantial period. Most attorneys settle the PPD and completely miss the wage differential. I don’t.
Attorney fees and penalties from the insurer. If they’ve acted unreasonably—denied claims without justification, dragged feet on benefits, ignored medical records—Illinois law lets me collect fees and penalties directly from them. Not from your settlement. From the carrier. But only if someone documents and pursues it. Most lawyers don’t. I do.
Vocational rehabilitation. In some cases, you’re entitled to job retraining or vocational counseling, paid by workers’ comp. It’s valuable but constantly overlooked in settlement talks.
That’s the full picture. Most people see one or two of these and assume that’s it. The carrier counts on that.
The difference between accepting the insurer's first offer and fighting for what you're actually owed? Tens of thousands of dollars, plus future medical access you might desperately need later.

You don’t need to figure any of this out by yourself. Call me.
312-500-4500. Day, night, weekend, holiday. You’re going to tell me about your injury, your job, what treatment you’ve had, what worries you. I listen for the stuff most lawyers miss—third-party defendants, safety violations, denied treatment, wage differential claims nobody mentioned. This conversation is free. No pressure. If I’m not the right fit, I’ll say so.
Here’s what happens next.
My team pulls your medical records. Your wage records. We figure out whether there’s a third-party claim hiding in your case. We research comparable arbitration awards in your county. We nail down your actual average weekly wage. We prepare like we’re going to arbitration. Because we might.
I negotiate. Demand letter backed by real medical evidence, legal analysis, and case valuations. If the insurer wants to settle at a fair number, great. If not, we file for arbitration.
Most cases settle. But they settle at the right number—not whatever the insurance company threw at you first.
Workers’ comp cases are 20%. That’s my fee. Twenty percent of whatever we get you. Nothing upfront. Nothing if we lose.
Law Office of Scott D. DeSalvo, LLC
1000 Jorie Boulevard, Suite 204, Oak Brook, Illinois 60523
Q: What’s the difference between Section 8(a) and full and final?
This might be the single most important question. Section 8(a) gives you a lump sum for permanent partial disability, but you keep your rights to all future medical treatment related to the injury. Back gets worse in three years? Insurance pays. A full and final settlement gives you one check. That’s it. No future medical. No additional benefits. Ever. The insurer pushes full and final because it wipes their liability clean. The difference in value? Can easily be $50,000 or more. Do not accept any settlement without understanding which type it is.
Q: How do you calculate a workers’ comp settlement in Illinois?
Illinois uses AMA impairment guidelines to determine your PPD percentage. That percentage gets multiplied by your average weekly wage and a statutory multiplier—typically 60 weeks for most body parts, though it varies by body part. So if your AWW is $1,000 and you’ve got a 10% impairment to your arm, the basic calculation is $1,000 × 60 × 0.10 = $6,000. But that’s just the starting point. You might also have a wage differential claim, future medical value, and potential penalties if the insurer misbehaved. A complete calculation accounts for all of it.
Q: Can I sue my employer for a work injury?
Not through a regular lawsuit. Workers’ comp replaces that right in exchange for no-fault benefits. That’s the deal. But—and this is important—if someone else caused your injury, like a contractor, equipment manufacturer, or another company, you can file a separate personal injury lawsuit against them. Those claims aren’t capped by the workers’ comp schedule. Pain and suffering. Lost earning capacity. All recoverable. In rare situations where your employer intentionally hid a known serious hazard, there might be a direct claim too. Identifying these angles early is critical.
Q: What happens if my claim gets denied?
You challenge it through arbitration. I file the petition and a neutral arbitrator hears both sides. Most denials are built on the argument that your injury wasn’t work-related or treatment was “unreasonable.” With solid medical evidence and good legal argument, most denials fall apart. The insurer knows this. A lot of denials disappear once you hire an attorney who will fight. And an unreasonable denial? That can trigger attorney fees and penalties under Illinois law.
Q: How long does the settlement process take?
Depends on the case. Some wrap up in a few months if the injury is clear-cut and the insurer isn’t being difficult. Others take a year or more with multiple injuries, disputed diagnoses, or an insurer that’s just digging in. Good news: most cases settle before arbitration actually happens. But being fully prepared for arbitration—having everything ready—is usually what gets the insurer to stop stalling and put a real number on the table.
Q: Can I reopen my settlement if things get worse?
Generally, once you accept a settlement, it’s done. That’s why getting it right the first time matters so much. If you settled without understanding the difference between Section 8(a) and full and final, or without a lawyer, your options are limited. Some settlements include language allowing reopening if your condition deteriorates. But most signed settlements are permanent. This is exactly why you should talk to an attorney before you sign anything.
Q: What about my medical bills? Are they paid separately?
In workers’ comp, the employer’s carrier pays medical bills directly. These are separate from your disability benefits. But here’s what matters for your settlement: if you’re settling under Section 8(a), you keep the right to have them paid going forward. If you sign full and final, they stop paying. Future treatment is your responsibility. That’s another reason Section 8(a) is worth more.
Q: How much of my recovery do you take?
Workers’ comp cases are 20%. That’s my fee. Twenty percent of whatever we recover. Nothing upfront. Nothing if we lose. That’s it.
Q: What if I already settled and now I’m worse?
If you signed full and final, you’re generally stuck. That’s the hard truth. If you signed Section 8(a), you still have medical benefits. But if you didn’t understand what you were signing, or if you didn’t have representation, your options are limited. Some agreements have language allowing reopening for significant worsening. But most don’t. This is why having a lawyer before you sign matters so much.
Q: Do I have to go to arbitration?
Only if the insurer refuses to settle at a fair number. Most cases settle during the negotiation phase. But here’s the thing: they settle at a fair number because they know I’m prepared to go to arbitration if they don’t. Being ready for arbitration is what gets you paid. I prepare every case like we’re going. That readiness shows in the settlement.
Q: What if there’s a third-party involved?
That’s leverage. If someone other than your employer caused or contributed to your injury, you have a separate claim against them. Those claims aren’t capped. Pain and suffering, full lost wages, everything is on the table. When a viable third-party claim exists, the insurer becomes more reasonable about settling your workers’ comp claim. They want you closed out so you don’t pursue the bigger money. Don’t let them rush you. Work with an attorney who understands both the workers’ comp side and the third-party side.
Q: How quickly should I hire an attorney?
Immediately. The clock is ticking on evidence and the insurer is working against you. The faster you have representation, the faster we preserve evidence, investigate, and build the case. Don’t let the carrier settle you before you understand what’s actually available. And don’t wait to call. Call me now at 312-500-4500.
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Scott DeSalvo founded DeSalvo Law to help injured people throughout Chicago and surrounding suburbs. Licensed to practice law in Illinois since 1998, IARDC #6244452, Scott has represented over 3,000 clients in personal injury, workers compensation, and accident cases.
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Main Office:
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Oak Brook, IL 60523
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