Winning Results

Medical Inconsistencies Defeat a 41.67% Knee Schedule Loss of Use Claim

The claimant sought a 41.67% Schedule Loss of Use award for the left knee, creating approximately $90,500 in compensation reserve exposure. Earlier records documented knee range of motion from zero to 130 degrees when the claimant was released to work without restrictions, followed by zero to 85 degrees and then a dramatically reduced 10 to 35 degrees at the carrier’s later independent medical examination.

The carrier’s examiner declined to provide a Schedule Loss of Use opinion because the claimant did not appear to give maximum effort and the measurements were inconsistent with the prior record. LOIS Associate Marigold T. Bridgeman developed that testimony through deposition. The LOIS team then organized the medical chronology and supporting record, and prepared the summation requesting a finding of no permanent impairment, or alternatively no more than a minimal award.

The New York Workers’ Compensation Law Judge found insufficient medical evidence of permanency because the record did not explain the drastic deterioration in range of motion. No Schedule Loss of Use award was made, preserving the approximately $90,500 reserve. The result demonstrates how coordinated attorney-paralegal preparation can turn medical inconsistency into a clear, measurable financial benefit for the client.

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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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