Workers' Compensation Academy

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Tune in to hear ways you can "Manage Risk to Improve Your Bottom Line" in workers' compensation matters in Pennsylvania, New Jersey and Delaware.

Workers' Compensation Academy


    • Sep 7, 2023 LATEST EPISODE
    • every other week NEW EPISODES
    • 37m AVG DURATION
    • 34 EPISODES


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    Latest episodes from Workers' Compensation Academy

    Defense Analysis of Materials Needed from Carriers and Clients for NJ Workers' Compensation Claims

    Play Episode Listen Later Sep 7, 2023 51:08


    What do you need to provide your defense counsel with for the defense of a claim? Partners Jennifer Laver and Robert Hanneman discuss what defense counsels need to give an accurate analysis of a claim, compensability, medical treatment, temporary benefits, and exposure risk. Jen and Rob also explain why information such as wage history, an ISO report, personnel file, leave of absence, medical records, and more are essential to handle the claim efficiently. During this episode, Jen and Rob provide examples of why getting this information can reduce exposure and get pre-existing credit.

    Detecting Fraud in New Jersey Workers' Compensation

    Play Episode Listen Later Aug 17, 2023 32:51


    Join us for this episode where our partners Vanessa Mendelewski and Scott Wilson delve into an informative discussion about detecting fraud in New Jersey Workers' Compensation claims. Vanessa and Scott break down the New Jersey Workers' Compensation Fraud Statute, highlighting its key components and shedding a light on implications for employers. This episode also looks at strategies employers can implement to raise fraud as a defense and the different types of fraud that exist within the context of workers' compensation. 

    Demystifying the Intersection Between NJ Workers' Comp & Employment Practice Liability

    Play Episode Listen Later Jul 27, 2023 20:43


    Join this podcast episode to delve into the cross between New Jersey workers' compensation and employment practice liability coverage. Partners Vanessa Mendelewski and Denise DePekary look at the exceptions to the exclusive remedy in New Jersey workers' compensation including when intentional wrongs are committed by the employer or another employee. Vanessa reviews what an intentional wrong is and what employees need to prove. Denise discusses the specific coverage in the employment practice liability coverage and why insurers will have to defend under the reservation of rights.  Vanessa and Denise provide insights, analyses, and real-world situations that help employers and businesses understand how to manage these types of claims. 

    10 Ways to Close a File - PA vs NJ Workers' Compensation

    Play Episode Listen Later Jul 13, 2023 39:09


    Closing files, and thereby reducing reserves, are two of the most important metrics by which insurance carriers, third-party administrators and employers measure success. Weber Gallagher's Workers' Compensation Co-Managing Partners, Paul Fires and Jeffrey Newby, discuss ten of their many creative ways to close a file. In doing this, Paul and Jeff also compare differences between Pennsylvania and New Jersey workers' compensation laws and regulations, analyze case law standards and provide practical suggestions. During this engaging conversation, Paul and Jeff delve into specific topics such as worker recovery, job flexibility, medical control, re-openers, employee relationships, Medicare complications, and how you settle cases in each state. This program will teach you how to move a file to its inevitable conclusion and when and whether litigation can be a last resort to achieving your goals.

    Strategies to Manage Costs of Medical Care in a PA Workers' Compensation Claim

    Play Episode Listen Later Jun 29, 2023 44:42


    Do you want to learn more about controlling excessive medical costs on your Pennsylvania workers' compensation claims? Tune in as our lawyers, Sherri Dougherty and Dawn Nicholson, discuss the use of utilization reviews, use of panel providers, and defending fee reviews. They go into detail about what happens if medical treatment is found unreasonable and unnecessary by utilization review, why you might file a petition to review, or why not use a utilization review at all. Learn more by listening now.

    The Ins and Outs of Medical Treatment in New Jersey Workers' Compensation Claims

    Play Episode Listen Later Jun 9, 2023 48:03


    Weber Gallagher Workers' Compensation Partners Alan A. Arsenis and Robert R. Hanneman Jr. discuss the ins and outs of medical treatment in New Jersey Workers' Compensation claims. In this episode, Alan and Rob give a brief overview of the benefits a petitioner is entitled to under the Worker's Compensation Act, address potential mistakes that could be made during the claims process and review the difference between curative and palliative care. They also examine what happens if a claimant becomes non-compliant and what that could mean for the case. Alan and Rob explain how and why they chose specific experts for second opinions, which can be crucial for managing the overall medical treatment. The discussion will also touch on opioid medication and the use of medical marijuana in treatment for workers' compensation claims. Finally, they delve into maximum medical improvement, level of functionality, peer reviews verse independent medical evaluation (IME) and providing treatment without prejudice.

    Best Practices for Litigation to Help After an Accident

    Play Episode Listen Later May 25, 2023 12:15


    Proper safety procedures are key in defending a case if an accident were to occur. Keeping a record of these procedures and ensuring employees are trained, can be a huge benefit when litigating a claim.   Partner Catherine De Angelis explains the importance of safety procedures and what documents need to be kept after an accident. She talks listeners through best practices and how to handle a slip and fall accident. In this episode, Cathy explains what juries want to see if the case were to go to trial.  

    Unusual Claims in New Jersey Workers' Compensation

    Play Episode Listen Later Apr 28, 2023 52:13


    When it comes to New Jersey workers' compensation claims, there are several common yet unusual claims. There are specific ways these claims need to be handled and addressed for a good defense. In this podcast episode, partners Robert Hanneman, Cheryl Binosa and Vanessa Mendelewski discuss unusual claims including eye injuries, hearing loss, hernia, horseplay, minor children, homeowners, and employer sponsored recreational activities. Rob, Cheryl, and Vanessa walk through each of these unusual claims and the best practices for defending them. They also provide some tips to businesses and insurance carriers on how to prevent these claims.  Learn more by listening below.

    Pennsylvania vs New Jersey Workers' Compensation

    Play Episode Listen Later Apr 6, 2023 46:00


    Weber Gallagher Workers' Compensation Co-Managing Partners Paul Fires and Jeffrey Newby discuss the differences between Pennsylvania and New Jersey workers' compensation laws in a lively exchange designed to bring claims professionals and risk managers up to date on claims practice in these adjacent states. Paul and Jeff cover impactful workers' compensation topics such as the online court system, medical treatment guidelines, case settlements and Section 20's, notice and statute of limitations effects, average weekly wage and rates, minimum and maximum indemnity rates, subrogation, when forms are important, and many more topics. Every subject covered in this podcast episode compares PA and NJ workers' compensation legislation, regulations, case impacts, and best practices in each state.

    Best Practices for Dealing with Drivers After an Accident

    Play Episode Listen Later Mar 23, 2023 32:43


    It is important to not overlook or ignore the driver of a truck after a catastrophic accident. Their participation and corporation can play a huge role in any litigation down the road. In this podcast episode, Commercial Transportation Co-Managing partner, Jim Wescoe discusses best practices for dealing with drivers including providing specific examples. He explains strategies and tactics that lead to better litigation practices to lessen the financial impact on insurance carriers. Learn more by listening now.

    How to Evaluate a New Jersey Workers' Compensation Case

    Play Episode Listen Later Mar 9, 2023 34:49


    The value of a New Jersey workers' compensation case can be dependent on several factors. Weber Gallagher attorneys Scott Wilson and Kelsi Feldman discuss what these factors are and how surgery can increase the value of the case. In this podcast episode, they also review how a petitioner's health is evaluated during a claim, how lost time is calculated, and return to work. They provide actual examples of using the disability chart and more. Learn more about the different factors by listening now.

    Securing Evidence After an Accident

    Play Episode Listen Later Feb 23, 2023 10:54


    Securing evidence following an accident is critical and can ultimately save time, money and resources down the line. In this episode, partner Catherine De Angelis discusses the steps to ensure accurate documentation is captured following an accident. Cathy discusses what details should be collected and what is useful for potential litigation. Additionally, Cathy provides best practices and tips to help preserve the evidence of the accident.

    Emerging Trends in Broker Liability

    Play Episode Listen Later Feb 2, 2023 32:17


    There are approximately 3.5 million daily shipments across the United States. About 30% of these shipments are brokered. While brokers do not own the trucks, transport the material goods, or employ drivers, they can still be involved in lawsuits following an accident. In this podcast episode, partner Jim Wescoe looks at what brokers have been up against in recent litigation and what brokers can expect in the future. Jim explains recent court rulings and how different circuits are ruling.

    Pre-Existing Conditions and Abdullah Credits in New Jersey Workers' Compensation

    Play Episode Listen Later Jan 19, 2023 35:03


    An Abdullah Credit is a credit for a pre-existing function loss to the same part of the body for which an award is being paid. In this episode, Weber Gallagher partners Jennifer Laver and Vanessa Mendelewski discuss Abdullah Credits and best practices for employers when they are seeking credit. Jen and Vanessa review the process of getting credit, how to obtain medical evidence, the investigation process and more. Our attorneys also discuss how Section 20 settlements can come into play when seeing credits.

    Slippery When Wet: Parking Lot and Sidewalk Workers' Compensation To pay or not to pay

    Play Episode Listen Later Jul 5, 2021 28:38


    Attorneys Vanessa Mendelewski and Jeffrey D. Newby review the statute and case law regarding the Workers' Compensation Act in New Jersey and injuries occurring on sidewalks and parking lots while employees are coming to work or headed home. These scenarios happen all too often. You need to know what issues to look for and facts to gather. Questions that are answered in this discussion include: · What forms of evidence should employers and insurance carriers consider to properly defend a workers' compensation claim for an off-premise injury? · Are workers eligible for workers' compensation if they are injured enroute to and from work? · What constitutes an off-premises injury, and at what point of the walk to work does the employer become responsible? Will pending legislation have a significant impact on these claims?

    2020: A Unique Year in Many Ways Including Changes in New Jersey Workers’ Compensation

    Play Episode Listen Later Jan 5, 2021 47:42


    How will legislation from 2020 impact New Jersey workers' compensation claims in 2021 and beyond? Workers' Compensation Partners Jeffery D. Newby and Cheryl A. Binosa provide a recap and update on significant legislative changes and case law updates in New Jersey Workers' Compensation from 2020 that could impact businesses and insurers. This episode covers the hand & foot bill, coverage for cannabis, the coming and going rule, subrogation cases, jurisdiction defense, COVID-19 presumption, surveillance, and the Odd lot Doctrine. Jeff and Cheryl discuss how each topic is impactful and ways businesses and insurers should prepare for potential claims.

    Requests by Defense Counsel – A Defense Analysis of Materials Needed from Carriers and Clients for NJ Workers' Compensation Claims

    Play Episode Listen Later Dec 7, 2020 50:39


    What do you need to provide your defense counsel with for the defense of a claim? Partners Jennifer Laver and Robert Hanneman discuss what defense counsels need to give an accurate analysis of a claim, compensability, medical treatment, temporary benefits, and exposure risk. Jen and Rob also explain why information such as wage history, an ISO report, personnel file, leave of absence, medical records, and more are essential to handle the claim efficiently. During this episode, Jen and Rob provide examples of why getting this information can reduce exposure and get pre-existing credit.

    Exclusivity Provisions of the PA Workers’ Compensation Act

    Play Episode Listen Later Dec 1, 2020 33:34


    Will COVID-19 end the exclusive remedy provision in the Pennsylvania Workers' Compensation Act? Workers' Compensation partners, Christian (Chris) A. Davis and Sherri L. Dougherty explore how COVID-19 exposure in the workplace could end the exclusive remedy provision. Chris and Sherri also discuss pending cases and how their outcome will affect future workers' compensation cases.

    The Smoking Gun: Importance of Investigation in Insurance & Workers’ Compensation

    Play Episode Listen Later Nov 16, 2020 44:40


    Investigation can be a crucial part of any workers’ compensation case. Weber Gallagher associates, Vanessa Mendelewski and Scott Wilson explain why wage and rate, medical records, personnel files, and an ISO search are important preliminary investigation pieces the carrier should be conducting. Additionally, guest Earl Anderson, of Investigative Solutions LLC, discusses social media and surveillance, explaining the type of surveillance he runs and why the information gathered can be necessary for a case.

    Independent Medical Evaluations Considerations for Pennsylvania Workers' Compensation Cases

    Play Episode Listen Later Nov 2, 2020 23:05


    What considerations should businesses examine when obtaining an Independent Medical Evaluations (IME) in workers' compensation matters in Pennsylvania? In this episode, Weber Gallagher Partner Peter Harrison and Associate Patrick Cummings dive into using an IME before and during litigation. They discuss why you should consider all medical evidence, the experts, which body parts are involved and more. Tune in now to learn more and understand how to be more prepared for the next claim.

    Strategies to Manage Costs of Medical Care in a PA Workers’ Compensation Claim

    Play Episode Listen Later Jul 21, 2020 51:54


    Do you want to learn more about controlling excessive medical costs on your Pennsylvania workers’ compensation claims? Tune in as our lawyers, Sherri Dougherty and Dawn Nicholson, discuss the use of utilization reviews, use of panel providers, defending fee reviews, challenging payment for medical marijuana and compromising medical bills on a contested claim. They go into detail about what happens if medical treatment is found unreasonable and unnecessary by Utilization Review, why you might file a petition to review, or not use a utilization review at all. Sherri and Dawn also review how medical marijuana payments in Pennsylvania workers’ compensation claims are currently being handled.

    New Jersey Workers' Comp: Medical Marijuana and Opiates

    Play Episode Listen Later Jul 6, 2020 42:32


    John C. Kutner and Scott Wilson discuss medical marijuana and opiates as it pertains to workers' compensation claims. John and Scott look at the different reasons why medicinal marijuana and opiates might be prescribed, how a carrier or insurance company should handle the claim and best practices for moving forward. They also provide an overview of the current state of medical marijuana laws around the county.

    Pennsylvania COVID-19 Update: Layoff or Furlough from Light Duty as a Result of COVID-19

    Play Episode Listen Later Apr 21, 2020 21:53


    Weber Gallagher Workers’ Compensation Partners David Greene and Jeffrey Seyfried discuss how COVID-19 is affecting employers who have to layoff or furlough workers from light-duty and if you have to reinstate total disability benefits.

    New Jersey, an Update on COVID-19 and its Impact on Workers' Compensation

    Play Episode Listen Later Apr 13, 2020 38:43


    Weber Gallagher Workers’ Compensation Partners Jeffrey D. Newby, Jennifer G. Laver and Penelope Caamaño discuss how New Jersey workers' compensation has been impacted by COVID-19 and what future claims may look like.

    Proposed Legislation and Reduced Regulation - Managing Workers’ Compensation Claims Amid COVID - 19

    Play Episode Listen Later Apr 2, 2020 30:32


    Join our attorneys as they present information regarding COVID-19 and how it could affect workers' compensation legislation and reduce regulations in Pennsylvania. Stay tuned for future updates.

    New Jersey Temporary Disability and Permanency Disability Calculations and Benefits

    Play Episode Listen Later Feb 24, 2020 48:05


    Weber Gallagher Workers’ Compensation Partners Jennifer G. Laver and Robert R. Hanneman Jr. discuss the different types of benefits employees are entitled to following a work accident. Jen and Rob review the two types of indemnity payments New Jersey allows, which are temporary and permanency benefits. Rob delves into specifics regarding temporary benefits, including what average weekly wage is, when you can collect, how to calculate and more. Jen then details specifics about permanency benefits, which include permanent partial disability (Section 20 and Order Approving Settlement) and briefly discusses total permanent disabilities.

    10 Ways to Close a File - PA vs NJ Workers' Compensation

    Play Episode Listen Later Jan 27, 2020 39:14


    Closing files, and thereby reducing reserves, are two of the most important metrics by which insurance carriers, third-party administrators and employers measure success. Weber Gallagher's Workers' Compensation Department Co-Chairs, Paul Fires and Jeffrey Newby, discuss ten of their many creative ways to close a file. In doing this, Paul and Jeff also compare differences between Pennsylvania and New Jersey workers' compensation laws and regulations, analyze case law standards and provide practical suggestions. During this engaging conversation, Paul and Jeff delve into specific topics such as worker recovery, job flexibility, medical control, reopeners, employee relationships, Medicare complications, and how you settle cases in each state. This program will teach you how to move a file to its inevitable conclusion and when and whether litigation can be a last resort to achieving your goals.

    The Ins and Outs of Medical Treatment in New Jersey Workers' Compensation Claims

    Play Episode Listen Later Dec 15, 2019 48:44


    Weber Gallagher Workers’ Compensation Partners Alan A. Arsenis and Robert R. Hanneman Jr. discuss the ins and outs of medical treatment in New Jersey Workers’ Compensation claims. In this episode, Alan and Rob give a brief overview of the benefits a petitioner is entitled to under the Workers' Compensation Act, address potential mistakes that could be made during the claims process and review the difference between curative and palliative care. They also examine what happens if a claimant becomes non-compliant and what that could mean for the case. They explain how and why they chose specific experts for second opinions, which can be crucial for managing the overall medical treatment. Alan and Rob touch on opioid medication and the use of medical marijuana in treatment for workers’ compensation claims. Finally, they delve into maximum medical improvement, level of functionality, peer reviews verse independent medical evaluation (IME) and providing treatment without prejudice.

    Managing Pennsylvania Workers' Compensation Claim Risk

    Play Episode Listen Later Dec 2, 2019 30:16


    Weber Gallagher Workers’ Compensation Partners Christian Davis and Peter Harrison discuss strategies to manage Pennsylvania Workers’ Compensation risk both from a pre-litigation and litigation standpoint. Chris and Pete provide strategies to employ before claims are filed and how to manage exposure once a case goes into litigation.

    The Best Offense Can be a Good Defense - Part 2

    Play Episode Listen Later Nov 25, 2019 35:22


    Weber Gallagher Workers' Compensation Attorneys Joe Borucki and Vanessa Mendelewski examine several tactical and litigation strategies to help create a strong defense when dealing with workers' compensation claims in New Jersey. In the second half of this two-part episode, they review why the facts of the cases are essential when forming a defense. Joe and Vanessa then delve into why major and minor deviations are important. They look at several other defenses available to respondents including, horseplay, workplace assault, and the intoxication of the worker. A few other items they will discuss include causal relationships and wage/rate issues. Throughout the second part of this episode, they will review what information is important when formulating a defense, why it's essential and how they use it in their practice.

    Effective Use of IMEs

    Play Episode Listen Later Nov 11, 2019 24:56


    Weber Gallagher Workers' Compensation Attorney, Jeffrey Seyfried is joined by Dr. Robert Mauthe, Pain Management and Rehabilitation Expert certified in Independent Medical Evaluations (IME). In this episode, they discuss how important an IME can be to employers and insurance companies in helping to manage their risk. Throughout this episode, Jeff and Dr. Mauthe discuss the IME cover letter, pre-existing conditions, causation, mechanism of injury, and the review and interpretation of medical records and diagnostic tests. They address aggravation versus the recurrence of injuries in workers' compensation matters. Jeff and Dr. Mauthe also discuss recognizing symptom embellishment, and they describe the best approach to obtaining and impartial and thorough examination of an injured worker.

    The Best Offense Can Be a Good Defense – Part 1

    Play Episode Listen Later Oct 28, 2019 42:51


    Weber Gallagher Workers' Compensation Attorneys Joe Borucki and Vanessa Mendelewski examine several tactical and litigation strategies to help create a strong defense when dealing with workers' compensation claims in New Jersey. In the first part of this two-part episode, they review claim handling guidelines, medicals and intake materials including the claim petition and claim file documents. Joe and Vanessa then delve into specifics detailing offenses such as Statue of Limitations, Illegal Aliens, Independent Contractors, Notice and New Jersey Jurisdiction. Throughout this episode, they will review what information is important when formulating a defense, why this information is essential and how they utilize this information in their practice.

    Filing Initial Bureau Documents in PA Workers’ Compensation Claims

    Play Episode Listen Later Oct 14, 2019 46:22


    Weber Gallagher Workers’ Compensation Attorneys Edward D. Barket Jr. and Brian F. Dunstone discuss the standard Bureau Documents issued at the outset of a workers’ compensation claim in Pennsylvania. These documents including a Notice of Compensation Denial, Notice of Temporary Compensation Payable, Notice Stopping Temporary Compensation Payable, Notice of Compensation Payable, and Statement of Wages. Ed and Brian discuss these documents, what they are used for, when to file each, and how they impact the flow of a workers’ compensation claims in Pennsylvania.

    PA versus NJ Workers’ Compensation

    Play Episode Listen Later Sep 26, 2019 46:22


    Weber Gallagher Workers’ Compensation Department co-Chairs Paul Fires and Jeffrey Newby discuss the differences between Pennsylvania and New Jersey workers’ compensation laws in a lively exchange designed to bring claims professionals and risk managers up to date on claims practice in these adjacent states. Paul and Jeff cover impactful workers’ compensation topics such as the online court system, medical treatment guidelines, case settlements and Section 20’s, notice and statute of limitations effects, average weekly wage and rates, minimum and maximum indemnity rates, subrogation, when forms are important, and many more topics. Every subject covered in this podcast episode compares PA and NJ workers' compensation legislation, regulations, case impacts and best practices in each state.

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