Workers’ compensation fraud is a serious concern that impacts employers, insurance companies and employees. While some believe the numbers are higher, studies and information from authorities suggest fraudulent claims account for a small percentage of the total number...
Defending New York State Insurers And Employers
Since 1967
Workers’ Compensation Defense
What is “light duty” after an employee files a workers’ comp claim?
There comes a time after a work-related injury that the employee’s physician will state the worker is ready to return to some work duties. Although the employee might not be ready to return to their original post and responsibilities, light duty might be an option....
Strategies to dispute questionable workers’ compensation claims
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...
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...
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;...