#misrepresentation
Matthew Turner v. Millman National Land Services and Foremost Insurance
The alleged accident/injury in this case was a spider bite to claimant’s right lower extremity. The hospital medical records did not reflect the finding of any insect bite or wound at the time of admission. Claimant’s testimony was diametrically opposed to the hospital records and other evidence in the case. The JCC found claimant had …
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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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Norman Evans v. Vets USA II, Inc. and Amtrust North America of Florida, Technology Insurance Company
In Norman Evans v. Vets USA II, Inc. and Amtrust North America of Florida, Technology Insurance Company the Claimant is requesting a follow up appointment with an authorized provider and payment of a medical bill. The E/C defends the issues on the defense of major contributing cause, failure to provide timely notice of alleged accident, …
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 …
Patricia Lindgren v. Centene Corporation
Patricia Lindgren v. Centene Corporation was a Fort Myers workers compensation case in which the E/C accused the claimant of fraud and denied their benefits. They had previously authorized a doctor who testified that the MCC of the claimant’s condition was a result of the industrial accident. The E/C also sought the evaluation of an …
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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