Case Study 1
We had a case with an employee claiming he had a permanent injury to his lower back, neck, and bilateral shoulders. He was off of work indefinitely at a weekly rate of $552.86. He was entitled to 130 weeks up to $71,871.80. He likely would have reached this amount because his attorney refused to allow him to go to an independent medical evaluation due to COVID-19. His attorney indicated that he was incapable of returning to work because he could barely walk and had a low immune system, so he could not be treated in a large clinical setting. His employer hired us to conduct surveillance, and we ended up finding him walking everywhere, including at a casino with no mask and a mall. As a result, his benefits ended, and the judge ruled in favor of maintaining the denial on those benefits. In the end, his employer only paid him $4,313.86 in benefits versus $71,871.80, which equates to a total cost savings of $67,557.94.