Decisions Show That Adjusters Need to Fully Investigate Claims to Avoid Attorney Fees

Adjusters, beware: Compensation judges and appeals court decisions have made it clear that some claims require an extra level of investigation, communication with the employer and record-checking. So said a panel on the last day of the Workers' Compensation Institute's national conference, held online Wednesday. The panel included claims managers and an attorney for one of the largest comp carriers in the state. On fraud and misrepresentation cases, for example, surveillance video does not always prove that an injured worker is committing fraud, said attorney Thomas McDonald, of...