Winning Results

LOIS Obtains Full Disallowance of an Occupational Disease Injury

LOIS Associate Elias M. Aydin and Paralegal Shannon Fitzsimmons obtained a full disallowance at the trial level in a New York Workers’ Compensation occupational disease claim. The Claimant alleged bilateral carpal tunnel syndrome after performing repetitive job duties, where his symptoms began in 2008 but alleged that the condition was not determined to be work-related until 2024. Ms. Fitzsimmons conducted a thorough investigation, which led to the discovery that the Claimant had received treatment when the symptoms initially began and took time off from work. The investigation further revealed evidence of treatment thereafter and an underlying condition appearing to be the cause for the symptoms. Fitzsimmons’s meticulous investigation enabled Aydin to obtain concessions from the Claimant that he was well aware that the alleged condition was work-related in 2008, in addition to obtaining concessions from the Claimant’s treating physician demonstrating a lack of knowledge regarding the Claimant’s medical history and job duties in formulating a recognizable link between the alleged condition and a distinctive work-feature.

At trial, Aydin executed a time-bar defense pursuant to WCL Sections 28 and 45, as the claim was filed well beyond two years after the date of disablement and after the Claimant knew the condition was work-related. Aydin further argued that the Claimant failed to meet his burden of proving causal relationship for the alleged condition being a result of a distinctive feature of Claimant’s employment. Ultimately, the Law Judge agreed with Aydin’s arguments in finding the Claimant and the physician’s testimony as unpersuasive. The Law Judge noted that the physician’s testimony demonstrated a lack of knowledge regarding the Claimant’s specific job duties and that reviewing the prior medical records would be necessary in determining whether there is another cause for the Claimant’s condition. In light of the foregoing, the Law Judge found insufficient evidence to establish an occupational disease claim, and thus the claim was disallowed in its entirety.

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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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