Compensability and Withdrawing Admissions of Liability – Fraud – Respondents Demonstrated that the Claimant Lied about the Details of an Alleged Work Injury To Obtain BenefitsClaimant was a cook for a fast food restaurant. He reported a work injury on November 28, 2014. Specifically, the [...]
TTD not payable when Claimant fails to attend a demand appointment after being ordered to attend, and setting demand appointments is not dictating medical care.Claimant had an accepted injury to his right shoulder in 2015. After appropriate treatment, he was placed at MMI by [...]
Insurance Coverage Denied Were Employer Materially Misrepresents The Scope of its Work in its Applications for Insurance, and Fails to Provide Notice of its Work in a State Not Endorsed for Primary CoverageClaimant’s employer was a subcontractor on a large construction project. The employer applied for worker’s compensation coverage and in the [...]
Recusal of an ALJIn Webster, Claimant suffered a work injury on March 9, 2016, when he tripped and fell carrying a metal table. [...]
Compensability & Missed IME AppointmentsIn Fahler, Claimant was employed as a Field Technician. As such, the job required Claimant to maintain kiosks by stocking, [...]
Hospital Billing and Collection PracticesIn Keating, Claimant was injured in a workplace accident on July 22, 2017. Employer was found liable for the injury [...]
