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Workers' Compensation: The North Carolina Industrial Commission threatened to hold CNA in contempt of court because they refused to authorize the medical tests which would prove that the plaintiff was unable to do his job. This was a classic example of an adjuster getting an opinion from a reliable doctor and then refusing any other evaluation which could help the injured worker.

This case was a big win for us and illustrates the problems which come from combining company doctors and rehabilitation professionals who don’t strictly follow the rules.  Our client had fallen and injured his shoulder which ultimately led to surgery. The surgery went pretty well, but our client still had problems and his job required him to be climb ladders and carry heavy objects.  Having a bad shoulder really hurt the way he could do his job.

The defendants’ rehab professional violated the Rehabilitation Rules by having a private conversation with the doctor which led to a very low rating. Worse yet, the doctor released our client to return to work without any restrictions at all – even though the doctor had no idea what our client did for a living! When we got the Industrial Commission to order a Functional Capacities Evaluation, the adjuster simply refused to schedule it.

We successfully convinced the Industrial Commission that the workers’ compensation insurance company, CNA, was violating the law. Indeed the Commission ordered the Functional Capacities Evaluation to be completed within 30 days and threatened to hold the adjuster in contempt of court (with possible jail time) because we would not let this issue go.

Click to read the Industrial Commission decision.  User name is "public" and there is no password.


Read More About Workers' Compensation: The North Carolina Industrial Commission threatened to hold CNA in contempt of court because they refused to authorize the medical tests which would prove that the plaintiff was unable to do his job. This was a classic example of an adjuster getting an opinion from a reliable doctor and then refusing any other evaluation which could help the injured worker....

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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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