Winning Results

LOIS Secures 100% Loss Transfer Arbitration Award Despite Statute of Limitations

In a case where less than half of the payments were timely per the three-year statute of limitations for loss transfer arbitration, Christopher Major and Senior Paralegal Jenifer Andrews secured an arbitration award of 100% liability and 100% damages against the respondent carrier. After refusing to engage in good-faith settlement negotiations and employing dilatory tactics, the respondent carrier left the workers’ compensation carrier no choice but to file for intercompany loss transfer arbitration. However, the injured worker had a related claim for bodily injury pending in the Supreme Court of the State of New York. The respondent carrier sought to use this as a basis for an indefinite deferment of the arbitration. In response, we argued that the summary judgment awarded in favor of the injured worker in the bodily injury case should serve as res judicata on the issue of liability in the loss transfer arbitration and that the respondent carrier should be estopped from relitigating the core issue of fault. Additionally, as liability had resolved in the bodily injury claim, we argued that there was no basis for a deferment as the only remaining issue to be resolved in both the arbitration and the civil claim was damages. During the arbitration, Christopher Major pushed for a finding of 100% liability and 100% damages, despite the statute of limitations, as the respondent carrier failed to raise the statute of limitations defense in its pleadings and had not contested the issue of damages at any point in the proceedings.

Ultimately, the arbitrator agreed with the arguments raised by LOIS and entered an award of 100% liability and damages in favor of the workers’ compensation carrier. By being creative and aggressive, we were able to secure $25,000 more via loss transfer than what the workers’ compensation carrier otherwise would have been entitled to!

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

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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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