Workers' Compensation

We successfully defended a national home décor manufacturer in the litigation of a review petition, which sought to add a cervical disc herniation and surgery to the nature of injury accepted in the case. The litigation had wide ramifications since the same claimant had attempted to reinstate workers’ compensation benefits based on an accepted shoulder/arm injury a year earlier and failed. As a result, the claimant traveled to Florida and underwent cervical disc surgery, claiming it was part of the same work-related injury. The defense proffered medical evidence to support the fact that the surgery and disc herniation were not caused by the work injury and that the medical bills and disability associated with the surgery were, likewise, not work-related.

We successfully defended a fatal claim petition filed by the widow of a coal miner who had been awarded benefits for totally disabling coal workers’ pneumoconiosis in 1984. Despite the fact the miner had been collecting temporary total disability benefits from 1984 until the time of his death in 2016, we were able to present credible and persuasive medical evidence to the Workers’ Compensation Judge that coal workers’ pneumoconiosis was not a substantial contributing factor to the miner’s death. The fatal claim petition was denied.  

We successfully defended a national car company in a case involving the defense of a termination petition, the claimant’s petition for review of the utilization review determination, the claimant’s petition to review compensation benefit off-set, and a petition for penalties. The case involved a 2013 injury involving low back sprain/strain and an aggravation of degenerative disc disease with radiculopathy and facet arthropathy. The defense expert, a board certified orthopedic surgeon, reviewed all of the claimant’s pre- and post-injury medical records and diagnostic study films. The claimant admitted that he had increases of pain with activities not associated with work (long drives out of state, shoveling snow, housework) which he had failed to report to the IME physician or his own treating doctor. The Workers’ Compensation Judge ordered the termination of all the claimant’s benefits. The judge also dismissed the claimant’s petition to review the URO, finding the treating physician’s treatment no longer reasonable and necessary. Finally, the claimant’s penalty petition was dismissed.  

We successfully defended an eastern regional can corporation in the litigation of a brain injury case. The claimant was struck in the lower extremities by a form of sheet metal which caused him to become unconscious. Nearly three years later, the claimant filed a petition alleging that he sustained a brain injury with post-concussion syndrome and cervical disc herniations as a result of the incident. The defense presented fact witness testimony from the scene of the accident which directly contradicted the claimant’s version of the facts. Moreover, the defense emphasized the weaknesses in the claimant’s medical expert’s opinions on cross examination as to causation. The Workers’ Compensation Judge found the claimant did not sustain a brain injury, post-concussion syndrome or cervical disc herniations related to employment.  

Successfully prosecuted a modification/suspension petition on behalf of a large financial institution nearly 12 years after the claimant’s injury. ​The claimant sustained injuries to her left shoulder and cervical spine in October of 2005. Since that time, she had two cervical spine surgeries and two shoulder surgeries. The defense established that the claimant was able to return to work in a sedentary-duty capacity, working from home in a telemarketing position, thus modifying her total disability benefits to partial disability. The Workers’ Compensation Judge was particularly persuaded by the factual testimony demonstrating that the actual job duties were no more than what she had to do in her normal activities of daily living.

The claimant was a very credible employee who was seriously injured while on a horseback riding excursion at a Continuing Medical Education seminar. While attendance at the seminar was part of the claimant's job, the case evidence focused on whether the horseback riding extracted the claimant from the course and scope of employment. The defense presented fact witnesses from the university who testified that activities undertaken by the claimant outside of the scheduled CME classes (despite fostering camaraderie among the participants) were not within the claimant's course and scope of employment. The Workers’ Compensation Judge accepted our arguments, and the claim petition was denied and dismissed.