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  1. #1
    Join Date
    Jul 2018
    Posts
    1

    Default Worker's Comp Claim Denied by Two Different Insurance Carriers

    My question involves workers compensation law for the state of: Florida.

    I'm a female in my 40’s from FL with no prior back conditions. In the past 3 years I hurt my lower back at work twice, first time in March 2015 and after 4 month I was released by the work comp DR to go back to work on full duties with no restrictions. The second injury was on January, 2017 and I returned directly to my work comp Dr. and instantly received treatment. Work comp doctor send me for 3 MRI in the past 3 years.

    The MRI results indicated multiple bulging discs, multiple central canals stenosis, multiple annular tears, inherited as well as fusion disc. Treatments included 1 cortisone and 2 Epidural, 18 physical therapy sessions and variety prescription drugs. Currently, I have pain in lower back radiating to my left leg and numbness in groin and inner thighs. The Dr. sent me back to work on light duties but employer did not have work for me and after 4 months they fired me. I'm out of work from April 2017 and still under work comp doctor restrictions.

    For the last year and a half the work comp doctor and the insurance company/employer treated my second injury as an extension of the first one. However, this was changed last month (June 2018) when I received letter from the 2015 insurance company denying my claim that on the date of my second injury the company I used to work for had different insurance carrier. The insurance company argues that the "major contributing cause" was in the second injury so this is not their responsibility.

    In the same time I received letters from the 2017 insurance carrier claiming that "there was no injury by accident that resulted from employment and failed to timely report accident" so they denied my claim as well. Currently, my case is denied by 2 different insurance companies and I'm not getting any compensation and or treatment. What will be the best way to handle this situation? Your help is greatly appreciated!

  2. #2
    Join Date
    Jun 2006
    Location
    Massachusetts
    Posts
    23,956

    Default Re: Worker's Comp Claim Denied by Two Different Insurance Carriers

    When you contacted a workers comp attorney and discussed the matter with him, what did he say?

  3. #3
    Join Date
    Sep 2005
    Location
    Behind a Desk
    Posts
    98,846

    Default Re: Worker's Comp Claim Denied by Two Different Insurance Carriers

    That was perhaps not the best way to word it but, yes, odds are that you're going to need the help of a workers' comp lawyer to sort this one out.

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