Despite common belief, insurance companies approve most workers' compensation claims, at least initially. Yet, the insurance company can deny the claim later on for various reasons if the insurance carrier is aware of possible later basis for denial and accepts the...
Defending New York State Insurers And Employers
Since 1967
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The countless consequences of workers’ comp fraud
Workers' compensation, also known as workers' comp, is a government program that provides much-needed benefits for employees who suffer injuries or illnesses due to the tasks they are performing. They receive money, healthcare benefits, or both. As with any government...
How businesses can fight workers’ comp fraud
As we have said in the past, worker’s compensation fraud costs the insurance industry and its clients $30 billion a year. It is not a victimless crime. Instead, workers who try to game the system contribute to the rising costs for all employers. Whether claim-related...
Insurance fraud often involves these groups
In the past, we've discussed that insurance fraud costs worker's compensation programs $30 billion annually in the U.S. However, the National Association of Insurance Commissioners now puts that number even higher at $34 billion ($9 billion from premium fraud; $25...
Who is not covered by a workers’ compensation policy?
State and federal laws require employees to be covered by a workers' compensation policy. The requirements will vary depending upon whether the hiring entity is a for-profit business, a non-profit operation or an independent contractor. For an in-depth breakdown of...
Bill to change temporary total disability claims bad for carriers and employers
Passed in June 2022 by the NYS Assembly and Senate, bill S00768 proposes to redefine temporary total disability. If this bill is signed by Governor Hochul, it could result in a substantial increase in payments to workers' compensation claimants, and as such, an...
Reasons why workers’ compensation claims are denied
Workers’ compensation is a no-fault system wherein injured employees receive medical treatment and lost-wage benefits while they are too injured or ill to work. While it covers a wide range of injuries or illnesses, compensation is not guaranteed. The self-insured...
Worker’s compensation fraud costs businesses $30 billion annually
Injuries happen on the job in every profession. It could be a construction worker falling from scaffolding, an office worker slipping in the office's break room, or a waitress injured in a fall in a dining room. Employees are legally entitled to these benefits;...
Welcome To Our Blog
We established this blog to share stories and information about topics relevant to our practice. Our intent is to regularly provide posts highlighting legal issues of local, state and national interest that we think you will find interesting. Check back later for...