Winning Results

LOIS Achieves Disallowance in Construction Case Two Years in the Making

After over two years of litigation, LOIS Partner Meisha Powell and Paralegal Karen Olarte, were successful in not only securing a disallowance in a New York Workers’ Compensation complex construction claim, but also a discharge and removal from the claim for the client. “Securing a disallowance at the conclusion of trial was no easy feat,” commented Powell, “but the Law Judge found it hard to ignore all the parallels with this case and the cases involved in the RICO action that have been front and center as Carrier’s pursue fraudulent actors in an insurance scheme connected to the construction industry.”

The Claimant alleged that Powell’s insured was his Employer, which was deemed to be false. During cross-examination of the Claimant’s actual Employer, Attorney Powell was sure to set the record straight on employer/employee relationship: in this case, the Claimant presented evidence of a photograph on the construction site, wearing a hard hat with the name of Powell’s insured displayed on the front. Yet, during cross-examination of the Claimant, the Claimant painted a picture of inconsistencies and suspicions. To begin with, he testified that he only entered the United States a couple weeks before landing this construction job, alleging serious injuries, securing an attorney on the same date of loss, and filing a Workers’ Compensation case and a third-party action. Even though the Claimant conveniently presented photographs of himself on the jobsite and in his hospital bed, the Law Judge disallowed the claim.

Finally, before the Law Judge closed the record, Attorney Powell requested a formal discharge and removal finding for her client based on the totality of the evidence on top of a disallowance request. Powell used all the evidence presented during trial to argue that the Claimant failed to prove that me worked for Powell’s insured. Powell’s request was granted with no objections. The detailed and vigorous preparation of Powell and her team led to this favorable result for the client.

Download the New York Workers’ Compensation Law Handbook

Greg Lois’ practical, up-to-date, and easy-to-understand guide to workers’ compensation claims in New York.

This book is designed for employers, attorneys, claim adjusters, physicians, self-insured employers and vocational rehabilitation workers.

Download Now

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.

Learn More

Get articles delivered to your inbox, once a month

Subscribe Today!