Articles Posted in Workers’ Compensation

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If you were hurt at work, you may be entitled to benefits and medical expenses reimbursement through the Massachusetts workers’ compensation system. Our Boston-based team of work injury lawyers has handled a wide variety of injuries on behalf of workers throughout the state. As a result, we have encountered countless different issues and legal challenges when helping our clients ensure that they are treated fairly and receive the outcomes that they deserve.

One issue that often comes up in workers’ compensation claims is surveillance footage. Insurance companies don’t always have the worker’s best interests in mind, so they will frequently enlist the help of surveillance companies and private investigators to obtain footage that shows the claimant behaving in a way that suggests he or she is not injured. In a recent appellate claim, the Massachusetts Court of Appeal upheld a lower court’s award of benefits that was based in part on surveillance footage that showed the injured worker fishing.

An impartial medical examiner initially stated that the employee could work on a limited part-time basis for only four hours a day. The video surveillance showed the employee actively engaged in fishing, however, which led the examiner to change his testimony to state that the employee would be capable of sitting and standing for five to six hours and that he could work 30 hours per week. The judge credited this testimony and made an award of benefits based on the examiner’s findings.

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When you suffer an injury at work, the workers’ compensation insurance company may try to argue that it is not required to pay benefits based on a number of theories and defenses. For example, the insurer may allege that your injury did not stem from a work-related event. As seasoned Boston workers’ compensation lawyers, we have assisted countless injured workers in fighting for their rights when they are suffering from serious and painful work-related injuries.

In a recent claim dispute, the worker was reportedly injured when he fell backward out of his fuel delivery truck, causing injuries to his elbows, shoulder, and head. He did not return to work after the injury and received temporary incapacity benefits. The insurer eventually filed a claim to modify or discontinue the weekly benefit payments and provided a copy of an independent medical examiners report in support of the petition. Eventually, the judge concluded that the employee was temporarily totally disabled as a result of the accident and ordered additional benefit payments. In reaching this decision, the judge relied on the independent medical examiner’s report.

The insurer raised a number of issues on appeal. First, it claimed that the judge should not have relied on the report because the doctor’s findings were based on nothing more than a temporal relationship theory. The appellate court rejected this, finding that there was substantial evidence that the worker was suffering from post-concussion syndrome, post-traumatic head injury pain, causalgia, and other conditions stemming from the accident. The employee testified to suffering memory issues, difficulty focusing, and vertigo, which were all in line with the doctor’s diagnosis and findings.

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Nurses and hospital employees face some of the most common work-related injuries, especially if their job duties involve lifting and repositioning patients. As dedicated Boston work injury lawyers, we have handled workers’ compensation claims on behalf of countless nurses and medical professionals. Many medical professionals also suffer multiple work-related injuries over the course of their careers, creating additional issues that can make it challenging to establish a right to benefits. Our team is standing by and ready to help you navigate the claims process while ensuring that you receive the compensation that you legally deserve.

In a recent case, the injured worker was a nurse who suffered a series of injuries during her career, including an injury to her back while she was lifting a 350-pound patient into a vehicle. She was also involved in two car accidents throughout her career for which she received medical treatment. The final injury that the worker sustained happened in 2011 when she was assisting her coworkers in lifting a 400-pound patient. She finished her shift and reported to work the following day, but she ultimately decided to take a leave of absence from her job due to the pain, wear and tear, and work injuries that she sustained throughout her career.

She filed a claim for benefits and the insurer denied it, raising a number of defenses including causal relationship, disability, liability, and more. The judge ordered the insurer to pay temporary benefits as well as reimbursement for medical expenses. Another hearing took place and the commission awarded the plaintiff additional benefits. The insurer appealed, raising the same issues and defenses.

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There are many important aspects of a workers’ compensation claim, including a determination of your average earning capacity and the wages that you might be able to earn following your work-related injury. There are clear rules regarding how these figures must be calculated, but parties are allowed to offer up various evidence to help guide the judge in making the calculation. A seasoned Boston workers’ compensation lawyer can help you ensure that the earning capacity portion of your claim is calculated correctly and fairly.

In a recent case, an employee who worked as a full-time educator for a public school suffered a strain in her right shoulder when she was working in her classroom. She reported that the pain continued to get worse over time until she suffered a sharp pain while using a paper cutting machine. She continued to work until the date that she retired in 2010, but she did not report the injury until later that year.

The employee sought workers’ compensation benefits. During the process, an issue arose regarding her earning capacity, with the employee asserting that the judge’s earning capacity conclusion was too high and that there was not enough evidence to support a calculation concluding that her earning capacity was beyond $500.

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A common question that we receive as Boston workers’ compensation lawyers involves situations where the employer does not have workers’ compensation insurance, but the employee suffers a work-related injury.  This situation often arises for in-home care providers who are hired by a family to take care of a disabled, sick, or elderly person. In many instances, the terms of these employment relationships can be vague and unclear. Our diligent team of knowledgeable attorneys is standing by to help you ensure that you are treated fairly and that you receive the compensation that you deserve.

In a recent case, an in-home care provider filed a claim against the Workers’ Compensation Trust Fund (WCTF) seeking benefits for an on-the-job injury. She filed the claim against the WCTF because her employer did not have workers’ compensation insurance on the date of the injury. The WCTF and the employee entered into a settlement, but the employer was not part of that settlement agreement and many procedural issues arose in the matter that created confusion among the parties. A judge has the power to join an uninsured employer in the claim, which the judge did so here.

The worker was working as a personal care assistant taking care of an elderly woman when she fell down the backstairs of the house. She did not return to work and eventually moved in with a cousin. Prior to starting employment, the worker and the elderly woman’s daughter entered into a verbal agreement about the job and the duties that it would involve. The worker testified that she often worked 30 to 40 hours per week providing assistance to the elderly woman, household maintenance, and clerical responsibilities. The court concluded that the worker was a formal employee of the daughter and the daughter appealed, stating that the parties had created an employment contract that covered only two hours a day to take care of the elderly mother and that there was no “firm agreement” requiring the worker to perform tasks during the rest of the time.

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Many people know that work-related injuries can cause serious physical pain and suffering. In many instances, however, an injury can also lead to psychiatric injuries, especially if the injury will prevent the employee from returning to work or if it will leave them with a permanent disability that severely limits their daily activities. As Boston workers’ compensation attorneys, we are prepared to help you fight for the outcome that you deserve after sustaining an injury on the job.

In a recent claim,  the injured worker was a developmental aide for her employer, which included engaging with developmentally disabled clients to assist them with using the bathroom. The job was physically demanding. In 2011, she suffered two accidents on the job, starting with a fall while assisting a patient that resulted in injuries to her back, left knee, shoulder, and neck. The second injury affected her left knee. The employee received immediate benefits from her employer’s insurance carrier and later filed a claim for injury-related benefits as well as psychiatric benefits.

After the initial hearing, the judge concluded that the employee was unable to lift objects and stand for a long period of time and that her mobility was otherwise very low due to her injuries. He also concluded that her psychiatric injury was a result of the serious limitations that she now faced in her daily life. She was even hospitalized as a result of suicidal thoughts for five days. The judge concluded that she was totally disabled but did not find her permanently disabled, noting that one doctor indicated that psychotherapy and pain management medications could be promising.

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There are quite a few employees who work across state lines especially in the transportation industry. This can create issues when it comes to knowing which state’s workers’ compensation benefits system will provide you with support in the unfortunate event that you suffer an injury on the job. At Pulgini & Norton, we are standing by and ready to assist you with determining whether you are entitled to benefits and the best method for asserting any rights that are available to you.

In a recent case, the Massachusetts Court of Appeal discussed some of the issues that can arise when an employee travels across state lines for work. If you are one of these employees, then it is important for you to be aware of how workers’ compensation rules may apply to you should you suffer an injury on the job.

The worker was a tractor-trailer driver who entered into a contract with his employer in Pennsylvania. The hiring process that the driver had to complete was complex and thorough and a job offer was not extended until the applicant completed an orientation program that required the applicant to travel to Roaring Springs, Pennsylvania. At the end of his training program, the worker was extended an offer in Pennsylvania, which he accepted.

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Severe injuries can be devastating for a worker and cause serious disruption in his or her life. Workers’ compensation claims can take a long time, especially if the injury requires ongoing medical treatment. When other injuries happen while another claim is pending, it can be difficult to determine whether the new injury is also associated with the original injury. Our seasoned team of Boston work injury lawyers are ready to assist you with asserting your right to workers’ compensation benefits.

In a recent claim, the worker suffered a major rotator cuff tear in his left shoulder while working as a crane operator. He worked as an ironworker for his entire adult life. He often was required to demonstrate tasks to other workers. His employer’s insurer accepted liability for the accident and the worker underwent surgery and other medical treatments. He returned to light duty work including clerical tasks.

Roughly two years later, the employee slipped while getting out of his work truck on his way home from work suffering an injury to his right shoulder. The employee testified that when he started to fall, he tucked his left shoulder into his body in a protective posture, causing him to strike his right shoulder on the vehicle’s running board. He went to the emergency room and received medical treatment. He returned to work the next day and worked until he underwent a second left shoulder surgery. The employee filed claims seeking benefits for his left shoulder injury and right shoulder injury. The claim involving the left shoulder was filed against a second insurer

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If you are injured at work, it is important to make sure that you receive wage benefits compensation for your medical bills that are related to your injury. The Massachusetts workers’ can be difficult to navigate, especially if you are also struggling to overcome painful injuries and major disruption in your life. At Pulgini & Norton, our experienced team of Boston work injury lawyers is standing by and ready to help you navigate your right to workers’ compensation benefits.

In a recent claim, the employee claimed that he suffered two injuries. The first was to his left shoulder and the second was to his back. The employer’s insurer accepted liability and paid benefits for the employee’s missed wages. Several months later, the insurer canceled the benefits on a number of grounds including an allegation that the injuries stemmed from a pre-existing injury, that the employee could not prove a causal relationship between his job duties and the injuries, and disability.

The employee then filed a claim seeking maximum benefits for his injuries. The judge awarded benefits for the shoulder injury but not the back injury. Both parties filed appeals. Eventually, the worker sought compensation for the reasonable cost of a shoulder surgery, but the judge stated that the employee sought medical benefits in a general sense. The judge also concluded based on medical opinions admitted in evidence that the employee had reached maximum medical improvement and that the surgery was not necessary. The judge awarded benefits for the worker’s lost wages and the parties appealed again.

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There are some instances of work-related injuries where the employee is able to recover to full capacity. In other instances, the employee faces a lifetime of pain and physical limitations. Ensuring that you receive the compensation and medical expenses reimbursement that you deserve is a key aspect of navigating the Massachusetts workers’ compensation system. As seasoned Boston work injury lawyers, we are committed to helping injured workers and their families to secure the outcome that they deserve.

A recent claim explores a situation where an injured worker suffered permanent injuries. The worker was a delivery driver who claimed that she suffered an injury to her leg when she was stepping out of her large delivery truck and into a pothole. She received temporary incapacity benefits and filed a claim for additional benefits. The employer, a self-insurer, accepted liability for the accident but challenged the extent of the disability and the employee’s earning capacity.

The worker underwent an independent medical examination and the parties submitted additional medical evidence. The judge ultimately adopted the opinion of the medical examiner stating that the worker suffered from a series of serious complications including complex regional pain syndrome. The doctor who authored the report also reported that there was no doubt that the work accident caused the injury. The judge also adopted the employee’s testimony that she experienced chronic pain that caused her to wake up multiple times during the night and that although she took serious medications like Valium and Tramadol it did not provide her with meaningful pain relief.

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