Author: Jones Jones

Congratulations to Associate Daniel Levit and his team on securing a disallowance before the New York State Workers’ Compensation Board (The Board) on behalf of a transportation client, eliminating the client’s exposure to significant workers’ compensation benefits.

In this case, the claimant alleged injuries to their neck, right shoulder, right wrist and psychological condition after being assaulted while commuting home from work in their work uniform.

Although the medical evidence was uncontroverted, Daniel successfully argued that the claim was not compensable under New York’s coming-and-going rule. This rule states that regular commutes to and from work are outside the scope of employment, and therefore any related injuries are excluded from workers’ compensation.

Using the claimant’s testimony and citing case law, Daniel and the Jones Jones team were able to successfully demonstrate that the claimant failed to establish a credible exception to the coming-and-going rule.

The Board upheld Jones Jones’ argument and disallowed the claim in full, saving the client from substantial medical expenses, lost wage benefits and any future schedule loss of use awards.

Congratulations to Daniel and his team for their thorough work on this case. If you are in need of assistance with a workers’ compensation case, please contact our team at concierge@jonesjonesllc.com.

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Jones Jones LLC is pleased to congratulate New Jersey Partner Jackie Mancino and her team on another major win for clients. After achieving nearly $6 million in savings in 2025, Mancino and her team are well on their way toward delivering impressive results for Jones Jones’ clients with a tally of $4 million in client savings already in 2026.

These results build on Mancino’s continued success handling medical provider claims involving New Jersey doctors and patients with New York workers’ compensation claims. Through diligent research, close attention to detail and a strong defense strategy, Mancino and her team continue to deliver significant results for Jones Jones’ clients.

Jackie Mancino joined Jones Jones’ New Jersey practice in 2024 and has since settled or dismissed more than 94 medical provider claims. You can read about Jackie’s previous success in handling medical provider claims here. Congratulations to Jackie and her team on their continued success!

If you are in need of assistance with a workers’ compensation case, please contact our team at concierge@jonesjonesllc.com.

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Congratulations to Jones Jones Associate Samantha Sokoloff for securing a significant victory that reduced a claimant’s schedule loss of use (SLU) award and saved the client nearly $50,000.

In this case, the claimant’s medical exam showed a 50% SLU to the right shoulder, which was approved by the Workers’ Compensation Board in September of 2025. After reviewing the case, the Jones Jones team found the claimant had undergone a reverse prosthetic total arthroplasty, a type of shoulder joint replacement, to the right shoulder which would entitle the claimant to no more than a 35% SLU.

Samantha and her team challenged the Board’s decision, highlighting the deficiencies in the claimant’s medical record. After appealing the Board’s decision, a hearing was held. At the hearing, Jones Jones cross-examined the opposing doctor’s SLU findings and argued for a 35% SLU. The judge issued a reversed decision in support of Jones Jones’ argument.

Through a careful examination of the provided medical evidence and thorough knowledge of New York SLU guidelines, Samantha and the Jones Jones team were able to reduce the claimant’s SLU by 15% and save the client nearly $50,000. Congratulations to Samantha and the Jones Jones team for their success with this case.

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Jones Jones LLC is pleased to share that Diane Mandleur and her team recently secured the successful dismissal of a schedule loss of use (SLU) claim on behalf of a self-insured employer (SIE), preventing Section 114-a fraud.

In this case, the claimant alleged slip and fall injuries to the right shoulder, right elbow, right knee, right ankle and right tarsal tunnel syndrome. A causal relationship was established with the independent medical examiner (IME) finding SLU of 98.3% to the right arm, 40% to the right leg and 15% to the right ankle. These permanency numbers were unusually high, leading Diane and her team to look more closely at the case when the claimant put forth a second Occupational Disease, Notice, and Causal Relationship (ODNCR) claim for the back and the right hip in 2025.

As the second matter was litigated, the team investigated the claimant and upon finding evidence the claimant was operating a business, advised the SIE to conduct additional research on the claimant’s work status. During this discovery, Jones Jones urged the IME to secure the claimant’s testimony that they were not working.

During a July 2026 hearing, the Jones Jones team presented the IME’s testimony and substantial evidence that the claimant was working despite their previous statement. The law judge ultimately found the claimant to be in violation of Section 114-a, dismissing the SLU claim and barring the claimant from receiving any future monetary awards due to the claimant’s egregious behavior and inconsistent statements to their doctors and the IME. This finding both saved the SIE an additional $200 to $300,000 in monetary awards and prevented future Section 114-a fraud.

Congratulations to Diane and her team for the dismissal of this claim. If you need assistance with a workers’ compensation case, please contact our team at concierge@jonesjonesllc.com. We take claims of fraud seriously.

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Congratulations to Jones Jones Associate Diandra Archibald on the successful disallowance of a workers’ compensation claim on behalf of an insurance carrier client before the New York State Workers’ Compensation Board Panel.

This case involved a claimant who alleged injuries to the left knee obtained in a workplace incident in March 2025. The claimant alleged that while walking to his work vehicle, he stepped off a curb, causing injury to his knee. The Workers’ Compensation Law Judge initially established the claim based upon claimant testimony and medical opinions finding causal relationship.

On appeal, Jones Jones argued on behalf of the carrier that the alleged injury was idiopathic in nature and did not arise out of the claimant’s employment. The Jones Jones’ team emphasized there was no evidence of any work-related hazard, traumatic event, fall, slippery surface or employment-related cause contributing to the alleged injury. The Board Panel agreed and rescinded the established finding due to a lack of credible evidence to demonstrate that the injury resulted from a work-related incident.

As a result of Jones Jones’ successful argument, the Board Panel reversed the prior decision and fully disallowed and closed the claim. By arguing against the causal relationship of the injury, Jones Jones secured a complete defense victory for the client, saving more than $100,000 in potential indemnity and medical exposure. Given the difficulty in prevailing idiopathic injury defenses at the appellate level, this decision represents a significant victory.

Congratulations to Diandra and the Jones Jones team on securing this major win on behalf of an insurance carrier client. If you are in need of assistance with a workers’ compensation case, please contact our team at concierge@jonesjonesllc.com.

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