Practice: Workers’ Compensation
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Workers' Compensation
Social Media – Discoverability & Admissibility
- July 17, 2019
- By Allen & Gooch
A condensed review of Allen & Gooch’s presentation from the 2019 Louisiana Claims Association Conference What is Social Media? One of the biggest issues related to the use of social media evidence in the courts is the lack of a clear definition of what constitutes “social media.” The legislature has attempted to define this term […]
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Workers' Compensation
Using Maximum Medical Improvement to Request Independent Medical Examinations
- April 17, 2019
- By Allen & Gooch
Doctors generally use the term “maximum medical improvement” or “MMI” to signify that a patient is as well as he/she will get with the aid of conventional medicine and treatment. Under General Maritime Law, a Jones Act seaman is guaranteed certain benefits until a physician determines that he/she has reached maximum medical improvement. However, maximum […]
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Workers' Compensation
Importance of Part-Time & Seasonal Employment Acknowledgement Forms in Workers’ Comp
- March 20, 2019
- By Allen & Gooch
Calculating Average Weekly Wage One of the first things that a payor (employer or insurer) must do once a workers’ compensation claim has been accepted as compensable is to correctly calculate the claimant’s average weekly wage and compensation rate in connection with the payment of indemnity benefits. If this is done incorrectly, the payor faces […]
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Workers' Compensation
Don’t Make Enemies of Injured Employees
- December 7, 2018
- By Allen & Gooch
In Workers’ Compensation, never rush to create an enemy Once you report an accident, it is going to increase your experience modifier, cause you plenty of headaches and give rise to a mountain of frustrations. Unfortunately, that is the cost of doing business in an industry where your employees may get hurt. Notwithstanding the legal […]
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Workers' Compensation
Court of Appeal Upholds Louisiana Medical Treatment Guidelines Review/Appeal Process
- November 6, 2018
- By Allen & Gooch
In a long-awaited decision, the First Circuit Court of Appeal has rendered a judgment in the case of Barber vs. Louisiana Workforce Commission, No. 2017 CA 0844 (La. App. 1 Cir. 10/19/2018), reversing the district court and finding the administrative review/appeal process for medical treatment of injured workers constitutional. The decision is yet another vindication […]
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Workers' Compensation
Third Circuit’s Requirements for Adjusting Workers’ Compensation Claims in Louisiana
- March 13, 2017
- By Allen & Gooch
In the recent Third Circuit case, Broussard v. Dillards’ Department Stores, Inc., the Court issued a ruling that effects the manner in which all workers’ compensation insurers are required to handle workers’ compensation claims in Louisiana. — So. 3d —, (La App. 3 Cir. 02/15/17) 2017 WL 606769. The issue was brought before the Third […]
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Workers' Compensation
Are Franchisee’s Entitled to Workers’ Compensation Benefits?
- July 25, 2016
- By Allen & Gooch
Who is entitled to Workers’ Compensation Benefits? The Workers’ Compensation Act provides an exclusive remedy for an employee against his employer or co-employee where the terms of the statute are met. The compromise allows the injured employee to recover benefits pursuant to the statute, but the employer (and/or co-employee) will be immune from […]
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Workers' Compensation
Spotting and Successfully Defending Claims Against Malingerers
- May 4, 2016
- By Allen & Gooch
Patients who malinger, or exaggerate illness, can be a problem for health and claims management professionals. Malingering is defined by the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition-Text Revision (DSM-IV-TR) as the intentional production of false or grossly exaggerated physical or psychological symptoms, motivated by external incentives such as avoiding work or military duty; […]
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Workers' Compensation
Bad Faith Claims in Mississippi Could Affect Other Jurisdictions
- March 30, 2016
- By Allen & Gooch
Mississippi Bad Faith Claims Can Affect Employers and Carriers in Other jurisdictions With companies operating in multiple states, navigating interstate laws has become increasingly tricky. This is especially true in the worker’s compensation arena where an employer can be sued for benefits in its state of operation, the state where the injury occurred, or the […]
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Workers' Compensation
Course and Scope of Employment – Always Clocked In
- February 3, 2016
- By Stephen G. Collura of Associate, New Orleans
Recently, the Louisiana Second Circuit Court of Appeals determined that an employee was in the course and scope of her employment when she sustained injuries from a criminal assailant. The employee, a home health caregiver, normally worked from 8 am until 5 pm. On the day of the incident, the employee accompanied a client […]