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DISCLAIMER: Please note that every case is different and these verdicts and settlements, while accurate, do not represent what we may obtain for you in your case.

A Real-Life Example of an Adjuster Misusing Vocational Rehabilitation.

The Case: Before his accident, "Richard" was a skilled electrician. Unfortunately, one day while at work, he fell off a ladder rupturing a disk in his back. The road to recovery was a long one – first surgery, then physical therapy. His doctors even sent him to work conditioning (a form of therapy designed to simulate the work environment). At the conclusion of his treatment, he underwent a functional capacities examination. The examination revealed that Richard had permanent physical restrictions that prevented him from being an electrician.

After this happened, Richard's employer informed him that they had no job available within his restrictions. Richard was very concerned. He could no longer do job which he had knowledge and experience doing. He was unsure about his future. When the workers' comp vocational rehab profession contacted him initially, he was thrilled. He had been looking for work on his own but had had no luck. He thought that maybe the vocational rehab professional would send him back to school to learn a new trade in a less physical field. He was very disappointed to learn that was not the case.

From the beginning, the vocational rehab professional provided Richard with a handful of menial job leads. Most of the jobs she suggested were outside of his restrictions. Many of the jobs were miles away from his home. One thing all of the jobs lead had in common, they paid significantly less than his old job as an electrician.

In addition to relying on the voc rehab professional's leads, Richard was instructed to look for additional leads on his own. Each week, he would search the classifieds and go down to the local EEOC office search for job postings. Unfortunately, neither he nor the voc expert could find him a job.

Weeks turned into months, and months became a year. Richard noticed that the voc rehab professional seemed to become increasingly frustrated. She started accusing him of not fully cooperating with voc rehab. Their weekly meetings became very uncomfortable. Her monthly reports started including comments about him failing to follow instructions. She urged Richard not to mention his back injury when applied for work. He began to feel that she wanted him to be less than honest with prospective employers. The tensions grew each week. Before too long, the voc rehab professional accused him of failing to look for work on his own. That's when Richard learned firsthand that the voc rehab professional's reports had an impact on his case.

The workers' compensation carrier, based on the voc rehab professional's account, threatened to terminate Richard's weekly benefits for failure to cooperate. Had they have been successful, Richard could have gone months without benefits waiting for a hearing to prove that he had been cooperative.

What we did: We informed Richard from day one the perils of not cooperating with vocational rehabilitation. When he was released to work by his doctors, we told him to keep a journal of what potential employers he contacted and whether he would be appropriate for such jobs. Fortunately, this information allowed us to counter the false claims by the voc rehab professional. Without it, it is likely that the carrier would have filed for motion to terminate benefits.

This claim settled recently at mediation. Richard is considering going into business for himself in a less physical capacity using his settlement proceeds as start-up money.


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FAQs

Workers' Compensation

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Case Studies

Workers' Compensation

What Can Go Wrong with a Return to Light Duty Work.

How a Functional Capacities Evaluation Can Wreck a Claim.

An Example of a Workers' Comp Adjuster Manipulating the Recorded Statement.

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