• Thu. Aug 28th, 2025

What If You’re Injured and Can’t Work? Understanding Lost Wages Claims

ByVenuesToday Staff

Aug 6, 2025

Getting hurt in an accident can leave you in pain, but the financial damage often hits even harder. Missed paychecks pile up quickly, especially if you live paycheck to paycheck. Lost wages claims help you recover the income you couldn’t earn while you healed. Massachusetts law supports these claims, but you need to prove them carefully.

Many people don’t know what counts as lost wages, how to calculate them, or how to make sure an insurer pays what they owe. This guide breaks down everything you need to know, from what qualifies to how to document it, without the usual legal jargon or empty promises. If you were in a crash, you can also find steps to take after a car accident to protect your rights.

What Are Lost Wages?

Lost wages are the money you didn’t earn because your injuries kept you from working. Massachusetts law generally allows accident victims to seek reimbursement for:

  • Missed pay while completely out of work
  • Reduced hours or lighter duty that pays less
  • Lost opportunities for overtime
  • Lost bonuses or commissions

The idea is to make you financially whole, not to punish the other driver. This is a compensatory (not punitive) part of damages.

Who Pays for Lost Wages in Massachusetts?

Massachusetts is a no-fault state. For car accidents, your own Personal Injury Protection (PIP) coverage usually pays the first part of your lost wages. PIP typically covers 75% of lost wages, up to $8,000 total (which includes medical expenses, so actual wage coverage can be less if medical bills use up most of the limit).

If your injuries and losses exceed PIP coverage, you may then seek the remaining amount from the at-fault driver’s insurance. This means you’ll often deal with both your own insurer and the other driver’s insurer.

If you were working at the time (for example, driving as part of your job) and were injured, workers’ compensation may also pay lost wage benefits instead of or in addition to PIP.

Types of Lost Income You Can Claim

Lost wage claims don’t just cover base hourly pay or salary. They can also include:

  • Overtime you regularly worked
  • Shift differentials or premiums
  • Commissions based on sales
  • Performance bonuses
  • Tips, if you can document them
  • Self-employment income, if you can show records of past earnings

Courts look for evidence of a consistent, predictable income stream. Irregular bonuses or purely speculative future opportunities usually don’t count.

Proving Lost Wages

Insurers won’t pay simply because you say you missed work. You need strong, clear evidence. This typically includes:

  1. Medical proof: A doctor’s note or records showing your injury, the date you became unable to work, and how long you were out. The doctor must explicitly say you couldn’t work or had restrictions.
  2. Employer verification: A letter from your employer detailing: your job title, typical schedule, rate of pay, exact dates you missed work, missed overtime or commission opportunities, any reduction in hours or pay after returning.
  3. Pay records: Recent pay stubs, W-2s, or tax returns help establish your normal earnings.
  4. Self-employed workers: Invoices, 1099 forms, tax returns, and a profit-and-loss statement can show past income to estimate lost business.

Insurers will want all of this before even considering payment. Missing documentation is one of the main reasons lost wage claims get delayed or underpaid.

Partial Disability and Reduced Hours

Some injuries don’t keep you completely out of work but force you to take lighter duty or fewer hours. You can still claim the difference between what you earned before and after the accident.

Example: You normally worked 50 hours per week, but after the crash you could only work 30. Your claim would include the value of the 20 lost hours per week, plus any lost overtime differential.

You’ll need employer records proving both the old schedule and the post-accident reduced hours.

PIP Wage Coverage Rules in Massachusetts

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Massachusetts PIP coverage is mandatory in auto policies and is often the first source of lost wage reimbursement. Key points:

  • Covers 75% of lost wages
  • Typically capped at $8,000 total (including medical bills)
  • Can apply even if you were at fault

If your medical expenses exhaust most of the $8,000 limit, there may be little or nothing left for wages. In those cases, you’d need to seek the rest through the at-fault driver’s bodily injury liability coverage or possibly through your own underinsured motorist coverage.

Suing the At-Fault Driver

You can pursue the at-fault driver’s insurer for lost wages not covered by PIP, but there’s a threshold in Massachusetts. You usually need:

  • Over $2,000 in reasonable medical expenses, or
  • A serious injury (fracture, significant scarring, permanent loss of function, or death)

Once that threshold is met, you can claim the full balance of your lost wages as part of your personal injury claim.

Dealing With Insurers

Insurers scrutinize lost wage claims carefully. They often:

  • Demand multiple forms of proof
  • Challenge the length of time you were out of work
  • Question the need for time off
  • Offer partial payment based on their own calculations

Be prepared to respond with medical records and employer letters. A lawyer can help make sure you submit complete documentation and negotiate if the insurer tries to shortchange you.

Independent Medical Exams (IMEs)

If you’re making a lost wage claim against the at-fault driver’s insurer, they may require an independent medical exam. This is their chance to get a doctor (who they hire) to evaluate your injuries and whether you really couldn’t work.

These exams are often used to reduce the value of your claim. The examining doctor may say you could have returned to work sooner. It’s important to prepare carefully, stick to the facts about your injuries, and discuss the process with your attorney.

Self-Employment and Gig Workers

Lost wage claims for self-employed people, freelancers, and gig workers can be more complex. You’ll need to show:

  • Pre-accident earnings history, often from tax returns
  • Invoices or client contracts
  • Documentation of lost jobs or projects

Insurers tend to be skeptical of these claims, so solid records are essential.

Taxes and Lost Wage Compensation

Lost wage payments in personal injury claims are usually considered compensation for what you lost, not new income. In most cases, these payments are not taxable. However, certain parts of a settlement (like punitive damages or interest) can be. Always confirm your specific situation with a tax professional.

What to Do After You’re Injured and Miss Work

If you want to recover lost wages after an accident:

  1. Get medical attention immediately and follow treatment plans
  2. Ask your doctor for a clear note about work restrictions
  3. Tell your employer right away and request a letter confirming your time off and pay rate
  4. Collect pay stubs, W-2s, tax returns, invoices, or any other proof of income
  5. File a PIP claim with your auto insurer if applicable
  6. Consult a lawyer early if your injuries are serious or you’re getting pushback

Prompt, thorough documentation is your best defense against insurers who try to minimize your losses.

To Sum Up

Lost wages claims can be the difference between staying afloat or falling into debt after an accident. Massachusetts law supports these claims, but you have to prove every dollar you’re owed.

Clear, consistent medical and employer records are essential. Insurers look for any gap or inconsistency to reduce what they pay. Don’t give them that chance. Take the time to document everything thoroughly, and do not hesitate to get legal advice if the process gets complicated.


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VenuesToday Staff

VenuesToday staffs are the team of the experienced writers and editors all around the world. We cover almost every news in sports, entertainment and business industry.