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1 year ago · by · 0 comments

How Can Workers Prove Chronic Pain: Case Studies to Learn From

Unfortunately, you can’t actually see chronic pain. You can talk to someone who physically looks fine, yet is claiming they can barely stand up. Since pain is felt differently by different people, medical professionals and laypeople alike have difficulty categorizing and defining the more severe injuries. This leads to confusion and sometimes outright fraud. Let’s look at how pain is defined by using a specific case study.

A Question of Proof

How injured do you have to be to claim injury? Do you have to be constantly writhing in agony or is it only when you make specific motions? These are specific questions that get a bit touchy. Recently, a man who filed for compensation claimed that he needed a wheelchair but was then shown to be out of his home shopping without it (and seemingly without pain) through video surveillance.

They also had him on camera performing a number of other activities as well. He was arrested with the possibility of up to five years in jail. Since the amount paid out due to his injury was more than a half million dollars, it’s certainly brought about some attention in his area of Florida. The man was a deputy there, and was injured when bending to get his laptop from the trunk of his police cruiser in 2007.

After that, he went through surgery and stated that he couldn’t walk, drive or bend, which has then been shown to be false by videos. He states that he had always been consistent in reporting his pain to be inconsistent because no two days are alike. He says that while the video may show him driving and running errands, he can only do so in limited ways. He claims his whole life is a mess, with his job ripped out from under him and expenses piling up. It’s now up for the courts to decide who has the better claim and what will happen.

Employer Tips 

No employer wants to follow their employee around constantly to check up on their progress and verify the truth in their claims. Also, it’s difficult to accuse someone who’s experienced severe injuries of trying to game the system. However, sometimes it’s necessary with the case of chronic pain to be more involved. Medical professionals have been shown consistently to raise costs without cause in certain areas where they have direct financial incentives to do so as well.

Through questions and visits, you can start to see the character of the person behind the claim as well as the treatment they’re receiving. If you do suspect foul play on either side, then your insurance company will be more than happy to help. After all, they stand to lose out on fraudulent claims too.

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Scurich Insurance Services
Phone: (831) 661-5697
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(831) 661-5697

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