Medical Leave Properly Compensated Under Workers Compensation Act
Jun 07, 2023OUTCOME: Paid benefits for more than a year of treatment and recovery followed by a $115,000 lump sum settlement for entry level delivery driver.
The employer approved a medical leave for their employee after an injury caused him symptoms too severe to allow him to perform the employer's "light duty" position. The employer approved the (unpaid) ... medical leave, but completely disregarded the injured worker's right to wage loss benefits while he was out. They then denied his claim on the argument that they had light duty available which they felt he could do. They used substantial surveillance footage to try to attack the Claimant's credibility. We presented evidence that they operated under a double standard: time off work being regarded as justified by the worker's medical condition for purposes of medical leave, yet not justified to bind them to compensate the claimant for wage loss under the workers compensation laws (on their argument that light duty was available). The employer sought to have it both ways: with the injured worker off their books since he could not be truly productive, yet not having to afford him benefits for lost wages under the Workers Compensation Act. We stopped them in their tracks and forced them to honor the claim and pay related wage loss and medical billing, all in the initial round of litigation. Months later, the employer and insurer sought to stop our client's benefits after an "insurance medical examination" (which insurers falsely phrase as an "independent medical examination") provided them with the opinion the claimant had "fully recovered." The well-credentialed medical specialists we referred the claimant too offered strong disagreement. Our position in that litigation prevailed, once again, to the point the employer and its workers compensation insurer were made to pay out an additional six figures as settlement.