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Article
Prioritize Workplace Safety with an Effective Return-to-Work Program
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Learn MoreParking lots are the third most common place where crimes occur in the U.S., with nearly 1,400 violent crimes committed each day. Parking lot safety is imperative for healthcare facilities and physician clinics — where one incident could turn into a costly claim for your organization.
This claims study involves an employee who claimed she was assaulted after leaving an administrative meeting at the healthcare facility where she was employed.
Explore how La.R.S. 1208 played a role in deciding this case and how to make parking lots safer for your healthcare organization.
The employee worked as a certified nurse assistant and receptionist for a physician’s office where previous discord between the employee and physician had been reported. The employee alleged that she was left alone outside of the building when an unknown assailant forced her around the building to an isolated area and struck her in the head with a weapon, causing injury.
After calling for help from her cell phone, she was taken to the Emergency Department for treatment. ED records show no sign of trauma or injury to the employee, although it was reported the attacker struck her so hard that she lost consciousness for some time. None of her personal belongings — including her cell phone or purse — were taken during the incident. The claimant was also never able to provide any identifying information about her attacker, stating only that he was wearing all black and carrying a gun.
Following the ED visit, the claimant continued seeking medical care for post-traumatic stress disorder, migraines, and right shoulder pain along with neck and mid-back pain.
The claim was initially accepted by the workers’ compensation coverage as compensable. But during the investigation process, the claimant was sent for a second medical opinion where her alleged complaints were evaluated more closely. After further evaluation, benefits were suspended for violating La.R.S. 1208 — commonly called the fraud defense.
After the 1208 was filed, the claimant retained counsel and filed a 1008 dispute. During the discovery phase of the litigation, a witness was discovered who was in the parking lot in his vehicle at the time of the incident. The witness saw the claimant walking behind the building but testified that she was always alone.
Once this information was produced to the claimant’s attorney, the case was settled for a nuisance amount that included resignation from employment at the facility.
While this claim was satisfactorily resolved on behalf of the employer, some steps could have been taken to dispute the allegations made at the onset of the claim without the need for sometimes costly litigation.
Here are four ways to strengthen your fraud defense:
Parking lots pose many threats, from auto crashes to encounters with others that have nefarious intent. Employers can take several steps enhance parking lot safety for their staff and others.
Here are four parking lot safety tips to implement:
While the alleged attacker in the claim study above turned out to be fabricated, the claimant’s story could have been all too real. Parking lots and garages can be hotspots for crime and present true safety risks to your employees. Make parking lot safety a priority for your healthcare organization to lower the potential risk of a violent crime taking place in those areas and keep your employees safe.
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Want more workers’ compensation guidance? Join us for our annual Workers’ Compensation Symposium on August 13, 2024 at 8:00 am. LHA Trust Funds claims experts and national industry leaders will discuss current industry risks and how to handle them.
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