#fraud

Adainelys Gallardo v. A D 1 Management, Inc d/b/a A D 1 Global and Bridgefield Casualty Insurance Company

In Adainelys Gallardo v. A D 1 Management, Inc d/b/a A D 1 Global and Bridgefield Casualty Insurance Company the JCC found that the claimant had made numerous misstatements concerning her prior medical care and treatment in deposition. However, he found that she was a credible witness and did not knowingly and intentionally make false […]

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Alberto Escobar v. Sunlight Windows, Inc. and US Administrator Claims

In Alberto Escobar v. Sunlight Windows, Inc. and US Administrator Claims the accident and injuries were originally accepted as compensable and the claimant was paid indemnity and provided medical benefits. The E/C then secured surveillance footage which showed the Claimant engaged in physical activities which were contrary to his representations in deposition. The unrepresented claimant

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Shahzad Munawar v. Family Dollar Stores of Florida and Sedgwick CMS

In Shahzad Munawar v. Family Dollar Stores of Florida and Sedgwick CMS the Claimant filed a Motion to Enforce Settlement Agreement and the E/C Responded in Opposition to Claimant’s Motion to Enforce Settlement Agreement. E/C moved to Vacate Settlement Agreement. A washout agreement had been entered at mediation. Thereafter, E/C filed a notice of denial

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Salila Joseph v. Courtyard by Marriot and Memic Indemnity Company

In Salila Joseph v. Courtyard by Marriot and Memic Indemnity Company Claimant was involved in two prior motor vehicle accidents but failed to disclose both accidents in her deposition. The Claimant also failed to disclose that she had received any medical treatment for the accidents. The Claimant sustained injuries resulting from the accidents, and the

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Agatha Chloe v. Dillard’s

Jacksonville Workers Comp Agatha Chloe v. Dillard’s (Gallagher Bassett Services) | Jacksonville Workers Comp In the Jacksonville workers’ compensation case of Agatha Chloe v. Dillard’s, the employer terminated benefits based on a misrepresentation defense. The claimant petitioned for reinstatement of both their indemnity and medical benefits. The employer refused and stated that the claimant had

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Ralph Williams, Jr. v. Waste Management of Orlando and Gallagher Bassett Services

The Florida workers compensation case of Ralph Williams, Jr. v. Waste Management of Orlando and Gallagher Bassett Services regarded a violent incident between two employees. The claimant was shot in an altercation with a coworker, and was diagnosed with post traumatic stress syndrome and major depressive disorder without an MMI. The E/C denied compensation on

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Jose Alvarado Ortiz v. Arrez Brothers Carpentry LLC

In Jose Alvarado Ortiz v. Arrez Brothers Carpentry LLC, the claimant was awarded compensation for an industrial accident three years prior. The E/C discovered that the claimant was an undocumented worker, working under a false name and social security number. The E/C denied compensability with a fraud defense. This was refuted due to Florida Statute

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Rodrigo Camacho v. Kim’s Painting/Norguard, NV Acquisition Mgmt, Epic Development

The case of Rodrigo Camacho involved three different E/C’s; Kim’s Painting/Norguard (E/C#1), NV Acquisition Management(E/C#2) and Epic Development(E/C#3). The site of the accident was owned by E/C#2, and the Claimant was contracted by E/C#1. The claimant was classified as an employee of E/C #1 based upon Florida Statute 440.02(15)(a) and 440.02(15)(c)3. Contractors are responsible for

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