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HAMBERGER & WEISS LLP wins by arguing fraud was brewing at coffee shop! John Land developed the record and obtained the fraud finding in this case, which involves an established claim for the back. The claimant testified that his son owned a coffee shop and that he gave his son money to start the business as well as business advice. He testified that he did not work there, but just hung out with his friends and did not even know how to operate the cash register. He claimed that he would help out at the store but did not work there. Meanwhile, surveillance showed the claimant making a presentation at the town clerk's office to obtain a permit for the coffee shop. He was shown moving items into the coffee shop. On the opening day of the business, he was seated at the shop all day. He assisted with cleaning up at the store. A few days later, he was seen working at the shop and going on a ladder to assist with the sign. In the same timeframe, he was seen arriving in the morning, waiting for customers behind the counter, and counting out the cash register. ? The claimant told both his own doctor and the carrier’s consulting physician that he was severely disabled and in pain. After seeing the surveillance, however, the carrier’s consulting physician testified he believed that the claimant's actions did not match his presentation at the exam. ? In imposing a lifetime ban on indemnity benefits, the judge held that the claimant was in violation of the Workers' Compensation Law fraud provisions as he was actively performing business activities while claiming workers’ compensation benefits and was untruthful about this in his testimony. The judge wrote that he?was seen actively participating in the business, essentially running it from open to close, waiting on customers and working at the register on any given day, which he falsely denied when he testified. The judge imposed a lifetime ban on benefits, noting that the claimant flatly denied working at the business and stated he did not even know how to work the cash register. The judge noted that on 12/28/23, the claimant alleged a 9/10 pain level and asked for a note to retire from his doctor, having worked a full day at the coffee shop less than a week before. ? John was able to marshal the surveillance evidence and testimony of the claimant and the carrier’s consulting physician. In short, he was using the old “bean.” #hw #workerscomp #workerscompensation ???? ??

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Dan Bowers

Managing Partner at Hamberger & Weiss LLP

2 个月

John is on a hot streak!

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