ClaimCave

Workers Comp

Workplace injury claims

Liberty Mutual workers comp carrier denied my permanent partial disability rating after a forklift accident crushed my left foot requiring three surgeries and a partial amputation of the fourth and fifth metatarsals because the IME doctor assigned a 6 percent whole-person impairment instead of the 19 percent rating my treating orthopedic surgeon assigned. Won 17 percent PPD rating using the AMA Guides 6th Edition framework, the Combined Values Chart analysis, and the cross-examination strategy on the IME. The five-element attack on lowball IME ratings

Sharing this because the independent medical examination (IME) used to assign permanent partial disability (PPD) impairment ratings is the single most contested phase of any serious workers...

Posted by worried_homeowner_933•
6 comments

Liberty Mutual denied my workers' comp claim for a herniated L4-L5 disc from lifting a 90-lb compressor at work claiming it was 'pre-existing degenerative disease' even though I had no prior back complaints in 12 years of employment. Won permanent partial disability rating of 18% body as a whole using the AMA Guides 6th Edition, an IME challenge, and Wisconsin's preponderance-of-evidence standard. The aggravation-of-pre-existing-condition framework

Sharing this because the "pre-existing degenerative disease" defense is the single most common carrier tactic for denying workers' compensation back injury claims, and the legal framework for...

Posted by determinedHomeowner76•
7 comments

Workers comp claim journey - 18 months later

Hurt my shoulder at work, thought it would be straightforward. 18 months later Im still dealing with it. Multiple IMEs, disputes over treatment, delays on everything. Just got my settlement approved...

Posted by annoyed_driver_75•
3 comments