Jump to Navigation

Los Angeles Employer Workers' Compensation Law Blog

How to avoid problems when denying workers' comp claims

As workers’ compensation defense attorneys, a great deal of our practice involves counseling employers on when and how to issue denials. Denying a work comp claim comes with its consequences, and more states are focusing on penalizing employers for unjustified denials. Moreover, a focus on the legal requirements behind denials has increased over the past few years. Because of this, it is important for employers to understand the steps and requirements behind workers’ comp claim denials.

This post will give a few helpful tips. 

Postal service company worker pleads guilty to work comp fraud

A worker for a California postal service company was recently indicted for workers’ compensation insurance fraud when he was reportedly seen playing in a bowling league. The worker, who allegedly suffered an industrial injury, filed for workers compensation benefits. He claimed that he suffered intense pain that prevented him from lifting anything.

While investigating the claim, adjusters became suspicious and performed further inquiries in the worker’s after work activities. They reviewed social networking sites and found video footage of the worker playing in a bowling tournament. Also, the worker, while in the midst of a deposition, lied about how his pain prevented him from playing the game he loved. In fact, he continued to bowl on a regular basis. The worker also continued to collect workers' comp benefits to a tune of over $12,764.

Why preparation is the key to business success

The key to success in any business is preparation. By taking time to consider the pros and cons of each critical move, a business can avoid the pitfalls that can come about through unanticipated circumstances. This can be especially important in terms of protecting the business from legal obligations that can come through a workers’ compensation claim

Basic things to know when working with an attorney

Working with a workers’ compensation defense attorney may be a new experience for a business owner. Employers may have worked with lawyers in planning the business, including establishing a corporate entity or raising money for the enterprise. However, hiring an attorney to defend a workers’ comp claim may be different. It is crucial to understand some basic tenets so that a proper expectation is set.

This post will highlight some basics of working with a workers’ comp defense attorney.

Elderly contractor charged with workers comp fraud

 

There are a number of demands on a business owner’s time when the business first opens. This includes obtaining the proper licenses, interviewing employees and securing workers’ compensation insurance. With all the things that go on when a business first opens, it is easy to miss a step. However, the consequences of neglecting critical details could be severe.

Such was the case of an employer in Pacific Grove. According to a workerscompensation.com report, the employer, a real estate construction contractor, had failed to register with the California Department of Economic Development (so that contributions could be made for unemployment insurance) and failed to purchase workers’ compensation insurance as required by state law. 

The five most dangerous jobs in America

There are a number of reality shows that essentially glamorize dangerous jobs. Between “Ice Road Truckers,” “Deadliest Catch,” and “Ax Men” it would seem that danger is a prerequisite to be on television show. While reality shows are somewhat scripted to include the thrill of dangerous near misses, the actual reality is that workers in these occupations do in fact get hurt.

A survey of the U.S. Board of Labor Statistics highlighted the most dangerous occupations. You may be surprised by what jobs made the top five list. They include:

Work comp fraud indictment snares 15 medical workers

More than a dozen health care workers were indicted by an Orange County grand jury in connection with criminal charges stemming from an alleged workers’ compensation fraud scheme. Prosecutors believe that 15 people, including pharmacists, physicians and the head of a workers’ compensation claim management firm all played a part in orchestrating a scheme of bribes and kickbacks.

Through the indictments, prosecutors believe that Landmark Medical Management hired pharmacists to create a pain relief cream and bribed doctors and chiropractors to prescribe it to patients, even if they created falsified workers’ compensation claims in order to help patients pay for it. Overall, prosecutors contend that nearly $25 million in kickbacks were paid out to distribute what is believed to be a dangerous product. 

Are your employees properly covered?

In order to save money, a number of new businesses are resorting to using independent contractors and temporary employees to handle many of the operations the business needs in order to function. While workers’ compensation insurance can be pricey, it is a necessary expense for many businesses.

However, when does an employer need to provide insurance? This is a question that many employers choose to avoid, as if it were some sort of luxury that the business does not need. The reality is, employees can get injured in a number of ways, and it is required under California law that employers provide workers compensation insurance for employees in the event of an accident. 

OSHA to probe Amazon after worker deaths

Online retailer Amazon has enjoyed quite a bit of media hype stemming from the impending release of its phone, which will enable consumers to, among many things, identify a product and compare it to what Amazon has in stock. It has also flirted with the possibility of using drones to deliver packages to a consumer’s front door.

However, workplace safety issues in Amazon’s distribution centers have not come to the forefront. Nevertheless, the Occupational Safety and Health Administration (OSHA) is set to launch two investigations into worker deaths that have occurred over the last year. 

Why insuring volunteers is a good thing for employers

Volunteering is not only a good way to give back to the community, it is a way for employees to make charitable contributions when they may not have the income to do so. It is an essential win-win for companies, whether they are multi-national corporations or small startups.

Research from the National Conference on Citizenship and the Corporation for National and Community Service found that one in four adults volunteered through an organization. In fact, 7.9 billion volunteer hours were contributed in 2012 by more than 64 million Americans. The value of these volunteer hours amounted to nearly $175 billion.

Subscribe To This Blog's Feed
Main Office Los Angeles County 800-461-0268 Inland Empire Orange County Office 800-461-0268
Contact Sacks & Zolonz

Bold labels are required.

Contact Information
disclaimer.

The use of the Internet or this form for communication with the firm or any individual member of the firm does not establish an attorney-client relationship. Confidential or time-sensitive information should not be sent through this form.

close
Office Locations

Main Office
LOS ANGELES COUNTY

400 Corporate Pointe
Suite 800
Culver City, CA 90230
Phone: 800-461-0268
Fax: 310-216-9552
E-mail Us | Map & Directions

Inland Empire
ORANGE COUNTY OFFICE

9513 Business Center Dr., Suite H
Rancho Cucamonga, CA 91730
Phone: 800-461-0268
Fax: 909-476-2131
E-mail Us | Map & Directions