Winning Results

Claimant’s Own Medical Proof Fails to Establish a Work-Related Wrist Injury

A delivery driver alleged a right wrist injury after falling in a physician’s waiting room when his back reportedly “froze.” Rather than adding unnecessary defense medical expense, Lois Law Firm Partner Christian Sison and Paralegal James Calabro concentrated on whether the claimant’s own proof satisfied the burden of establishing a causally related wrist injury.

The LOIS team reviewed the medical reports in detail and cross-examined the claimant’s physician. The physician acknowledged that the claimant declined emergency treatment after the alleged fall and that the report did not contain a definitive wrist diagnosis. Instead, the physician had recommended diagnostic testing only to explore whether an injury existed.

Attorney Sison then submitted a written summation explaining why the claimant’s medical evidence did not establish causal relationship. The New York Workers’ Compensation Law Judge agreed and disallowed the wrist claim. The result eliminated potential lifetime medical exposure and possible permanent impairment exposure for the carrier, while demonstrating that a creative defense sometimes means proving the insufficiency of the claimant’s case rather than multiplying expert costs.

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New York Workers’ Compensation Defense at Lois Law Firm

We represent insurance carriers, self-insured employers, third party claim administrators, and employers before the New York State Workers' Compensation Board. We handle cases from cradle-to-grave. We want to be by your side, moving cases aggressively to closure from the start of litigation all the way through to settlement.

We only assign one attorney and one paralegal to each case. This means that your team members always have one contact to go to for any questions. We do not have 'hearing attorney' or a 'negotiation attorney' or 'appeal department' or anything else! All of our attorneys handle all of those roles – meaning cases are not 'passed around' as they move through the litigation process. Your risk professional or adjuster always knows who is assigned – because the attorney does not change.

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