Sarah Thomas, our managing partner offers her thoughts on settling claims involving surgery to Workers’ Compensation Experts. Read more insight on this process from Sarah here.
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Sarah Thomas, our managing partner offers her thoughts on settling claims involving surgery to Workers’ Compensation Experts. Read more insight on this process from Sarah here.
On October 8, 2021 the NYS Workers’ Compensation Board issued a bulletin in regards to Section 32 Agreements: https://content.govdelivery.com/accounts/NYWCB/bulletins/2f633a4. The main points of the Board’s announcement are as follows:
What does this mean for your settlement program? If your insured, carrier, or self-insured employer wishes to move forward with a Section 32 agreement along with any other agreement, such as a release- all terms must be included within the language of the Section 32 Agreement. Please contact us at clientservices@jonesjonesllc.com to discuss the implications of this Board bulletin and how it may affect how your Section 32 Agreements are written and their subsequent review by the Board. As always, the attorneys of Jones Jones LLC look forward to working with you and your team to navigate your settlement program towards great success.
Jones Jones LLC is an industry leader in identifying and securing mitigation opportunities for carriers, TPAs, and self-insured employers. Loss transfer is a perfect example of how the winning litigation strategies utilized by our attorneys will bring you and your team the very best savings available for your claims.
Just in the first half of 2021 alone, the experienced Jones Jones LLC loss transfer team-lead by Partners Jacqueline Mancino and Agnes Neiger, have recovered over $2.3 million dollars for clients by way of loss transfer. In fact, our recovery rate is over 96% for the amount of loss transfer recovery sought. Moreover, the Jones Jones LLC team has saved millions of dollars for clients in the defense of loss transfer claims brought against them. This is a major win for many clients as loss transfer is a vital mitigation tool that should always be reviewed, and if applicable, utilized fully in the claims process.
What is loss transfer? How can you ensure that you and your team are taking full advantage of loss transfer opportunities?
Loss transfer is the process by which an insurer or self-insurer that pays No-Fault benefits or Workers’ Compensation benefits in lieu of No-Fault benefits can recover reimbursement from the insurer of the party at fault for the accident. For a claim to qualify for loss transfer, the underlying loss must arise from a motor vehicle accident involving a vehicle for hire or a vehicle weighing in excess of 6,500 pounds. Loss transfer claims are resolved either by way of a settlement or they are heard via mandatory inter-company arbitration. Arbitration Forums, Inc. is the sole forum designated by the State of New York to hear loss transfer matters. A Workers’ Compensation carrier or self-insured employer can seek reimbursement of up to $50,000.00 in past payments on each Workers’ Compensation claim. However, a No-Fault carrier can seek over $50,000.00 via loss transfer if they have Optional Basic Economic Loss coverage. The Jones Jones LLC team is excellent at identifying and protecting clients’ rights in rare situations where Workers’ Compensation carriers can assert a lien for the first $50,000 paid on a claim arising from a motor vehicle accident. Our team guides clients in order to avoid making common mistakes that can cost them thousands or even millions of dollars over time.
The loss transfer attorneys of Jones Jones LLC have nearly three decades of combined experience in working in the loss transfer arena, from inter-company arbitration hearings up to the highest appellate courts in the State of New York. They have also served as arbitrators with Arbitration Forums, Inc. Additionally, Partner Jacqueline Mancino is the Secretary for the New York State Loss Transfer Advisory Committee. Partners Neiger and Mancino, and their highly skilled team, have the experience and knowledge to ensure that all of your claims with a loss transfer opportunity are fully vetted to obtain the maximum amount of recovery afforded to each claim. Our attorney and paralegal team reviews each case referred to the loss transfer department to confirm that the claim is eligible for recovery. They then undertake an extensive review of the payments made on qualifying claims to identify all recoverable payments and review all accident documents to determine how best to prove liability.
The loss transfer attorneys of Jones Jones LLC are excited to assist you in the loss transfer process. Contact us today at clientservices@jonesjonesllc.com for all of your loss transfer needs.
Jones Jones LLC knows that workers’ compensation claims can be complex. In an industry bogged down by forms, statutes, and filings, we aim for efficiency in all we do. To that end, we wanted to make sure that you, our clients, had access to the most up-to-date pertinent information regarding New York workers’ compensation.
Are you an examiner that is looking for a quick reference? Are you a risk manager overseeing New York claims? Are you an employer addressing your first workers’ compensation case? Please look no further than the Jones Jones LLC New York Workers’ Compensation Fact Sheet.
New York Workers Compensation Fact Sheet 2022 edits
We would like to take this opportunity to thank you for playing such an important role in the rapid growth that we have experienced over the past few years.
Now it will be even easier for employers, insurance carriers, third party administrators and other businesses in New Jersey to gain access to the legal experience, innovation, efficiency and excellence that has made us a leading defense team in the workers’ compensation industry.
Clients of our New Jersey workers’ compensation practice expect to receive the same high quality, client-focused service that we have been providing in New York for over 100 years.
That includes:
While Jones Jones LLC has a prestigious 100-year history, you can count on us to continue to evolve and expand so that you, our clients, always have responsive, convenient access to the superior legal service you need.
“Legal Defense Refreshed” is not just an empty slogan; we work hard every day to stay on the leading edge of workers’ compensation defense.
Ready to make a referral to our New Jersey workers’ compensation practice? Contacts us at clientservices@jonesjonesllc.com.