.

Anthony Natale III

Chair, Medicare Compliance Practice

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Portrait of Anthony Natale III

Tony devotes his practice to Pennsylvania workers' compensation, unemployment compensation, municipal law (Heart and Lung Act), and federal Longshore and Harbor workers' compensation. He focuses on high-exposure, complex litigation including repetitive trauma claims, occupational disease and hearing loss claims, as well as chemical sensitivity claims. He also actively represents the National Hockey League and the National Basketball Association in regard to workers' compensation matters. In addition, Tony is the Chair of our Medicare Compliance Practice.

Tony has represented law firms, financial institutions, forging companies, steel mills, transportation companies, aeronautical/space manufacturers, universities and hospitals in various types of workers' compensation and unemployment compensation matters. He has handled multiple high-exposure workers' compensation chemical and toxic tort claims involving mass defendants, and he has had a high success rate in having clients dismissed from same.

Tony is the founder of Marshall Dennehey's in-house workers' compensation Continuing Legal Education program. He is also frequently called upon to speak to insurance companies and self-insured employers in the areas of workers' compensation and employment law.

    • Successfully argued that viewing the September 11 terrorist events and suffering a psychological condition did not rise to the degree of a work injury under Pennsylvania law.
    • Refined the interpretation of workers' compensation case law as it relates to the staute of limitations regarding death claims from medication abuse.
    • Successfully defeated and/or resolved at base value more than 400 high-exposure hearing loss cases in western and eastern Pennsylvania.
    • Successfully defended 50 late answer high-exposure claim petitions in eastern and middle Pennsylvania in 2007.
    • Successfully handled multiple heart attack and psychological claims.
    • Successfully handled multiple toxic tort (asbestos, silica) cases.
    • University of Pittsburgh School of Law (J.D., 1991)
    • University of Pennsylvania (B.A., 1988)
    • Pennsylvania, 1991
    • The Best Lawyers in America®, Workers’ Compensation Law – Employers (2025-2026)
    • Pennsylvania Super Lawyers (2026)
    • Philadelphia Bar Association
    • Average Weekly Wage, panelist, Pennsylvania Bar Association Workers' Compensation Fall Section Meeting, September 12, Hershey, Pennsylvania
    • How to Deal With Difficult Litigants, Pennsylvania Bar Institute's Tough Problems in Workers' Compensation webinar, May 11, 2023
    • Workers' Compensation Case Law Update, Marshall Dennehey Workers' Compensation Seminar, October 27, 2022
    • Hot Topics in Workers' Comp and Litigation Trends, Philly I-Day, Philadelphia, PA, September 20, 2022
    • "Insurance Defense Attorneys Combat Workers' Compensation Fraud,"AM Best Insurance Law Podcast, August 31, 2022
    • What People Do For Money:  Identifying Claimant Fraud In Workers’ Compensation Cases, Marshall Dennehey Insurance Fraud 360 Seminar, Lafayette Hill, PA, June, 2022 
    • The Right Way to Avoid a Wrongful Termination Claim When the Employee Is Also a Workers’ Compensation Claimant, Marshall Dennehey webinar, March 3, 2022
    • Navigate the Medicare Maze: A Practical Guide to Understanding Medicare Set-Asides, Marshall Dennehey webinar, November 19, 2020
    • Decisions, Decisions: A Legal Update, Marshall Dennehey webinar, October 28, 2020
    • HR Webinar Series Part I: Workers' Compensation Basics, Pennsylvania Chamber of Business and Industry, February 13, 2020
    • Workers' Compensation and Medicare Legal Update, Marshall Dennehey Workers' Compensation Seminar, October 24, 2019
    • Identifying Fraudulent Workers' Compensation Claims, Marshall Dennehey Workers' Compensation Seminar, October 24, 2019
    • The Interplay Between Traumatic Brain Injuries and Fraud in Workers' Compensation, Pennsylvania Insurance Fraud Conference, Hershey, Pennsylvania, April 24, 2019
    • Influence of Pharmaceuticals and Changing Landscape in Workers' Comp Medical Costs, Philly I-Day, Philadelphia, Pennsylvania, April 9, 2019
    • Workers' Compensation Case Law Update; and Workers' Compensation Fraud, Marshall Dennehey Workers' Compensation Seminar, October 25, 2018
    • Workers' Compensation Fraud: Don't Forget the Data, Marshall Dennehey Insurance Fraud 360, June 13, 2018
    • Workers' Compensation Fraud: Don't Ignore the Data! 2018 Pennsylvania Insurance Fraud Conference, Pocono Manor, Pennsylvania, April 13, 2018
    • Workers' Compensation Fraud: Don't Forget the Data, Philly I-Day, Philadelphia, Pennsylvania, April 12, 2018
    • Biggest Mistakes Companies Make in Complying with Workers’ Compensation, Pennsylvania Chamber of Business and Industry Annual Human Resources Conference, Hershey, Pennsylvania, November 28, 2017
    • Workers' Compensation Legal Update, Marshall Dennehey Workers' Compensation Seminar, October 19, 2017
    • If You See Something, Say Something – Detecting Workers' Compensation Fraud, Pennsylvania’s 2017 Insurance Fraud Conference, Hershey, Pennsylvania, April 6, 2017
    • Case Law Update, Marshall Dennehey Workers' Compensation Seminars, October 19 and 27, 2016
    • Pennsylvania's Workers’ Compensation Law: Best Practices for Complying with Benefits, Understanding the Flow of a Workers’ Compensation Claim, and Tips to Prevent WC Fraud, PA Chamber of Business and Industry Workers' Compensation Summit, September 30, 2016
    • Check the Rulebook: Workers' Compensation Legal Update, Marshall Dennehey Workers' Compensation Seminar, October 22, 2015
    • Unemployment Compensation Roundtable, Pennsylvania Chamber of Commerce, June 2015
    • Tough Problems in Workers' Compensation 2015, Pennsylvania Bar Institute, Philadelphia, Pennsylvania, April 13, 2015
    • UC/WC 101 Benefits Roundtable, Pennsylvania Chamber of Business and Industry, King of Prussia, Pennsylvania, March 19, 2015
    • PEO's effect on Guaranty Fund: Insurance Company Perspective, Fund Perspective and Counsel Perspective, NCIGF 2014 Fall Workshop, Philadelphia, Pennsylvania, October 22, 2014
    • Case Law and House Bill Update, Marshall Dennehey Workers' Compensation Seminar, October 30, 2014
    • Social Media and Workers’ Compensation, and Handling Unusual WC Situations, Pennsylvania Chamber of Business and Industry Workers' Compensation Summit, Hershey, Pennsylvania, October 1, 2014
    • Workers' Compensation Medical Fraud and Abuse, CEU Institute, June 25, 2014
    • Busted! Identifying, Proving And Prosecuting Workers' Compensation Fraud, National Workers' Compensation Insurance ExecuSummit, Uncasville, Connecticut, February 4-5, 2014
    • Understanding the Most Common Mistakes Made in Workers' Compensation, Pennsylvania Chamber of Business and Industry Annual Human Resources Conference, Hershey, Pennsylvania, December 3, 2013
    • Tri-State Workers' Compensation Legal Update, Roadmap to Success - Understanding Workers' Compensation, Marshall Dennehey seminar, October 24, 2013
    • FrankenFraud – The New Employee Monster, Marshall Dennehey Workers' Compensation Seminar, November 30, 2012 
    • Workers' Compensation 101 Roundtable, Pennsylvania Chamber of Business and Industry, Harrisburg, Pennsylvania, June 8, 2012
    • Unemployment Claims Fraud: Protect Your Organization from Bogus Jobless Claims, Center for Competitive Management, April 19, 2012 
    • Unemployment Compensation Roundtable, Pennsylvania Chamber of Business and Industry, Scranton, Pennsylvania, March 8, 2012; King of Prussia, Pennsylvania, March 16, 2012
    • The Interplay Between the Pennsylvania Heart and Lung Act and the Pennsylvania Workers' Compensation Act, AmeriHealth Casualty webinar, August 25, 2011
    • Top Ten Defenses to a Fee Review Action, Chubb Seminar, April 2011; discussion about the problems associated with provider fraud in fee review applications and a 10-point analysis on how to properly defend these cases
    • Workers' Compensation Primer, Drexel Seminar, March 2011; an analysis on how to defend workers' compensation actions in a university setting
    • Pennsylvania Claims Handling (monthly seminars in PA, NJ and DE), 2002-present
    • Defending Pennsylvania Claims, Boston, 2008
    • Prosecuting Fraud Under New Guides, Texas, 2006
    • Pennsylvania Workers' Compensation Law and Claims Handling, Michigan, 2001
    • Case Law Updates to various insurers on monthly basis, 1998-2000
    • Prosecuting Fraud, 1997
    • Pennsylvania Forms Seminar, 1997
    • Act 57 Amendments, 1996
    • How to Defend Hearing Loss Cases, 1994
    • ADA and Workers' Compensation Act, five Pennsylvania cities, 1992
    • "Compensating the Boys of Fall - College Sports May Soon Face the Ultimate Call: Player or Employee?"CLM Magazine, October 22, 2025 
    • "Beware of the Language Used in Your Settlement Agreements: Medicare is Watching,"The Legal Intelligencer, Workers' Compensation Supplement, October 10, 2023
    • "Why do Claimants Lie? Because They Can and Swift Prosecution is the Only Way to Deter It,"CLM Magazine, June 2023
    • "The State of Pay-For-Play: College Athletes as Employees and the Implications for Workers' Compensation," CLM Magazine, September 2021
    • "Pennsylvania Workers' Compensation Act and the Student-Athlete: The Ultimate Mismatch," Pennsylvania Lawyer, September/October 2019
    • "Suicide Squeeze: An Overview of Pa. Workers' Comp and the Pro Athlete," The Legal Intelligencer, Workers' Compensation Supplement, October 30, 2018
    • "If You See Something, Say Something - The Importance of Identifying and Reporting Workers' Compensation Fraud," CLM Magazine (page 10), August 2017
    • Pennsylvania Workers' Compensation Guide, Eighth Edition, Pennsylvania Chamber of Business and Industry, contributing author, 2016
    • "The Treating Physician: A Misnomer in Workers' Comp Litigation," Pennsylvania Law Weekly, August 25, 2015
    • Insurance Agency Risk Management: E & O Exposures By Line of Business, chapter on workers' compensation, 2014 edition
    • "Practical Ramifications of Supreme Court Determination Involving Latent Manifestation of Occupational Diseases Under the PA Workers' Compensation Act," CounterPoint, newsletter of the PA Defense Institute, April 2014.
    • "PEOs: A New Potential for Workers' Comp Fraud? A Close Look at Professional Employer Organizations," National Underwriter Property & Casualty, October 2013
    • "Fee Review Litigation: An Overview," Pennsylvania Self-Insurers' Association newsletter, May 2011
    • "Retirement Does Not Mean Retirement When You are Collecting Workers' Compensation Benefits," The Philadelphia Lawyer, Summer 2011
    • "Ding Dong Kachinski's Dead: Commonwealth Court Declines To Resuscitate," Defense Digest, Vol. 16, No. 3, September 2010
    • Articles in Defense Digest and the Pennsylvania Self-Insurer's Association's publications

Results

Thought Leadership

Firm Highlights

Thought Leadership

Court Allows Recklessness and Punitive Damages Claims to Proceed After Work‑Zone Crash

In a case where a defendant filed preliminary objections against allegations of recklessness and punitive damages, the Susquehanna County Court of Common Pleas denied these preliminary objections. This case stems from a motor vehicle accident, where the defendants car struck the plaintiffs car after the defendant allegedly fell asleep at the wheel, going at a high rate of speed, through a construction work zone. Defendant first objected to the general allegations throughout the plaintiff’s complaint pertaining to “reckless” conduct contending that there were insufficient factual allegations to support the claim of reckless conduct. Defendant next objected to the plaintiffs claim for punitive damages, as punitive damages may only be assessed against a motorist for falling asleep while driving if there is further evidence to prove driver was aware of their drowsiness and risk of falling asleep. Lastly, defendant objected to plaintiffs complaint, claiming it lacked specificity. The court here found that the plaintiff had included in the complaint specific allegations related to the defendant’s alleged recklessness, including allegations regarding speeding in a work zone, almost striking the flagger, falling asleep at the wheel, and striking the plaintiffs vehicle which was stopped. Additionally, the court noted that falling asleep does not come without warning. The court found that these allegations were sufficient to support an allegation of recklessness at the pleadings stage.

Thought Leadership

New Jersey Appellate Division Affirms Exclusion of Legal Malpractice Expert as Impermissible Net Opinion

Jack Slimm and Jeremy Zacharias obtained a favorable decision on behalf of their client in a case centering on the admissibility of expert testimony in legal malpractice actions. In Martin v. Loury, the New Jersey Appellate Division affirmed the exclusion of a plaintiff's legal malpractice expert, holding that the expert's opinions on causation and damages were too speculative to support the malpractice claim. The legal malpractice action arose from an underlying employment dispute involving claims for damages stemming from the breach of an employment agreement. The plaintiff alleged that defense counsel committed malpractice during a second trial by failing to recall the plaintiff as a rebuttal witness after the employer's CEO testified. According to the plaintiff's expert, additional rebuttal testimony would have bolstered the plaintiff's damages claims and led to a more favorable result. Both the trial court and the Appellate Division rejected that theory. The courts found that the expert could not explain how the proposed rebuttal testimony would have altered the outcome of the underlying case or resulted in any additional recoverable damages. Notably, the trial judge in the underlying employment matter had already rejected the CEO's testimony as not credible and had accepted the damages analysis advanced by the plaintiff. The court had also determined that the amount of damages was not genuinely disputed. As a result, the expert's opinion that additional rebuttal testimony would have produced a better outcome was unsupported by the record and based on speculation rather than evidence. The Appellate Division agreed that neither the plaintiff nor the expert could identify any actual damages attributable to the alleged malpractice or demonstrate the required element of proximate causation. The court further upheld the trial court's application of New Jersey's net opinion doctrine, finding that the expert failed to provide the necessary "why and wherefore" supporting his conclusion that the attorney's conduct caused a compensable loss. Because the opinions rested on unquantified possibilities rather than demonstrable facts, they were inadmissible. Key Takeaway for Legal Malpractice Defendants For attorneys and firms defending legal malpractice claims, Martin v. Loury underscores the importance of closely scrutinizing an opponent's expert report on the critical elements of proximate causation and damages. The decision demonstrates that a malpractice claim cannot survive where an expert merely speculates that different litigation tactics might have produced a better result. Instead, the plaintiff must present admissible expert testimony grounded in the record that explains how the alleged attorney error probably changed the outcome of the underlying matter and resulted in measurable damages.

Thought Leadership

Supreme Court of Pennsylvania Holds That Public Policy Does Not Prevent Insurance Coverage for Sex Trafficking Claims

On July 21, 2026, the Supreme Court of Pennsylvania issued an opinion emphasizing the limited circumstances in which courts may invoke public policy to bar insurance coverage, holding in Samsung Fire & Marine Insurance Co., Ltd. (U.S. Branch) v. RI Settlement Trust that Pennsylvania public policy does not preclude coverage for claims alleging that insureds enabled or profited from human sex trafficking. The decision rejects a line of federal district court decisions predicting otherwise and reinforces that Pennsylvania courts will invoke the public policy doctrine only in the clearest of circumstances. RI Settlement is particularly significant because it arose on certified questions from the United States Court of Appeals for the Third Circuit, giving the Supreme Court the opportunity to resolve an issue on which federal courts had predicted Pennsylvania law differently. RI Settlement arose out of four separate civil complaints in which the underlying plaintiffs alleged that, as minors, they were the victims of human sex trafficking at various hotels in Philadelphia. The plaintiffs claimed that the hotel owners were negligent in failing to stop the sex trafficking from happening at their hotels. After the filing of the lawsuits, the hotel owners sought coverage under their Commercial General Liability policies. The insurers initially defended the hotels under Reservation of Rights letters, though the carriers later filed Declaratory Judgment actions seeking declarations that they did not owe a duty to defend or indemnify. In short, the insurers argued in the alternative that they did not owe any obligation to provide coverage based upon Pennsylvania public policy (because the claims violated the Human Trafficking Law – 18 Pa.C.S. § 3011) and the terms and conditions of the policy. On motions for judgment on the pleadings, the District Court found for the insurers on the basis of public policy: There is no duty to defend or indemnify against actions arising out of an insured's criminal conduct related to the sex trafficking of minors. The Court appreciates that it may make public policy the basis of a judicial decision only in “the clearest of cases.” See Minnesota Fire & Cas. Co. v. Greenfield, 589 A.2d 854, 868 (Pa. 2004) (quoting Hall v. Amica Mut. Ins. Co., 648 A.2d 755, 760 (Pa. 1994)). Yet, the Court strains to imagine a clearer case than the one presented here in which the facts alleged indicate that Policyholders engaged in criminal conduct in violation of Pennsylvania's Human Trafficking Law. The hotel owners appealed the matter to the Third Circuit, which petitioned the Supreme Court of Pennsylvania to grant review of two certified questions of law: (1) whether Pennsylvania law had an “overriding public policy” against sex trafficking, such that an insurer’s duty to defend and/or indemnify is abrogated when an insured is alleged to have enabled or profited from such trafficking; and (2) if yes, is that duty abrogated whenever the insured’s alleged conduct would constitute a violation of the Pennsylvania Human Trafficking statute. Importantly, the certified questions did not ask the Supreme Court to determine whether the policies afforded coverage under their terms. Rather, the court was asked only whether Pennsylvania public policy independently barred coverage. As a result, the court assumed for purposes of answering the certified questions that the insurers otherwise owed a duty to defend and addressed only the public policy issue, leaving all policy-based coverage defenses for further proceedings. Because the court concluded that the answer to the first certified question was “no”, it did not reach the second issue. In reaching its determination that Pennsylvania public policy does not prohibit insurance coverage for sex trafficking claims, the court limited the impact of its decision in Minnesota Fire & Cas. Co. v. Greenfield, 855 A. 2d 854, 855 (Pa. 2004), which the RI Settlement opinion emphasized as having been an “Opinion Announcing Judgment of the Court” – or a plurality opinion. In Greenfield, the insured homeowner was sued by the estate of his houseguest who overdosed from heroin that he sold to her. The matter wound its way to the Supreme Court, which determined that the insurer did not owe a duty to defend or indemnify based upon Pennsylvania public policy, which criminalized the sale and use of heroin as a Schedule I narcotic. In RI Settlement, the court “decline[d] the invitation” to extend the rationale of the three-justice plurality in Greenfield beyond cases involving Schedule I controlled substances. In so holding, the justices in RI Settlement refused to “divine an overriding public policy pronouncement by the General Assembly by virtue of its enactment of the Human Trafficking Law.” The opinion further states that it is not “within the purview of this Court to rank the magnitude of the public policy underlying the various crimes defined in the Crimes Code. It is sufficient for the work of the courts to know that the General Assembly has identified conduct it deems harmful and dangerous to the maintenance of an orderly society and criminalized it.” While the court declined to declare that Pennsylvania public policy prohibits coverage for sex trafficking claims, the opinion in RI Settlement expressly states that insurers are free to include appropriate exclusionary language for such causes of actions in their policies if they desire to do so. It will certainly be interesting to see whether the insurance industry accepts the court’s invitation, or perhaps whether the Pennsylvania legislature steps in to clarify that sex trafficking claims are indeed of the type or magnitude that they should not be covered by insurance. In any event, we will, of course, continue to monitor this and other insurance coverage issues that arise before courts in Pennsylvania, New Jersey and throughout our firm’s geographic footprint and around the country.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict.