February 17, 2007

Georgia Workers' Compensation Overview For Injured Workers

In an earlier post, I discussed the basics of Georgia’s workers’ compensation.  While many of my articles are targeted to the legal community, including other lawyers, I also want to provide information to those who have suffered on the job injuries.  A good client commented recently that the blog was interesting, but suggested that I write a series of articles to help injured claimants understand the Georgia workers’ compensation laws and system. 

There are four main benefits to which an injured employee is entitled: weekly benefits, medical benefits, benefits from a permanent partial disability rating, and rehabilitation benefits in catastrophic cases.  In this post, I will discuss the various types of weekly benefits.

There are two types of weekly income replacement checks that injured workers can get: temporary total disability (TTD) benefits and temporary partial disability (TPD) benefits.  Currently, the maximum weekly amount of TTD benefits is $450.00.  The maximum time allowed to collect these benefits is 400 weeks from the date of injury.  You also have to be out of work for 7 days to be eligible for workers’ compensation and your first check is not due until 21 days after the injury.  Generally, an injured worker can collect TTD benefits if the injured worker is out of work and has not been released back to work full duty by the Authorized Treating Physician.  In other words, if the Authorized Treating Physician restricts the clamant from doing any work or puts the worker on light duty, the worker can receive TTD benefits.  You receive TTD benefits if you are totally out of work. 

Continue reading "Georgia Workers' Compensation Overview For Injured Workers" »

February 17, 2007

How Insurance Companies View Car Accident Injury Matters

Have you ever heard that the best offense is a good defense? In order to properly evaluate, prepare, and go to trial, attorneys should recognize and address weaknesses in their cases.  Let's face it: insurance companies and their attorneys have greater resources than personal injury victims who have been hurt in car accidents.  In automobile accident and personal injury cases, insurance companies spend a great deal of time and money to find and exploit weaknesses in an injury victim’s case.  I have learned, through experience, that there are certain factors that insurance companies and their attorneys focus on to show weakness.  Not ironically, these factors are the same issues juries often cite when awarding little money and defense verdicts. 

A list of these factors, or major case weaknesses, include:
(1)  A liability dispute - the injured victim either caused the accident or contribute to the accident or, worse yet, the injured victim was under the influence of alcohol or drugs when the accident happened;
(2)  Delay in treatment - the injured person waited too long to get treatment so they must not be hurt;
(3) Insignificant vehicle damage - the vehicle in which the auto accident victim was in was not badly damaged, so how could anybody have gotten hurt;
(4) Pre-existing and subsequent medical issues - the injured person was already “broken” before the accident, so the insurance company is not responsible. Alternatively, the auto accident victim was hurt after the wreck in another incident so the insurance company is not responsible;
(5) Plaintiff is not credible - this theory is simply that the injured person is not worthy of belief or will not present well because of a number of factors, including past criminal convictions, past personal injury claims, bad conduct, or perceived exaggeration to get more money.  I have a simple motto.  I (and juries) prefer clients that are presentable, believable, and likable;
(6) Defendant is credible and likable - many insurance companies and their lawyers believe that a jury will not give a substantial award against a defendant who is well-received in the eyes of the insurance company;
(6) Venue - jurors in the county where the case will be held are known to not award a lot of money for injuries;
(7) The Plaintiff has lied - this is a major problem in any case.  Honesty is always the best policy.  Jurors and judges punish liars.

There are strategies that can help to minimize the negative effect of these weaknesses.  These strategies can vary on a case-by-case basis.   I have formulated many strategies in my practice.  If you have been injured in an car accident or tractor trailer accident, please feel free to contact me for a free case evaluation.  Likewise, if you are an attorney having trouble in a particular case, please do not hesitate to contact me.  Also, a good practice book that I recommend to attorneys handling automobile accident cases is called Maximizing Damages in Small Personal Injury Cases by James Publishing.

February 10, 2007

Medical Issues After A Car Accident or On-The-Job Injury

I am often asked what is the most important aspect of an automobile accident or personal injury case.  While there are many important factors, one of the most important aspects in any case is documenting, understanding, and proving injuries.

The first basic task in any case involves gathering medical records and medical bills.  While this may seem simple to many, it is very labor intensive.  Medical bills can especially be difficult to obtain and piece together.  I define the term medical provider to mean any person or entity that provides medical-related services or products.  The term can encompass physicians, nurses, hospitals, physical therapists, chiropractors, laboratories, x-ray / imaging companies, prosthetic companies, psychologists / psychologist, and specialized workers such as speech therapists, occupational therapists, and rehabilitation therapists.  Although cumbersome, the best way I have found to list, on a spreadsheet, each date of service (DOS) with the corresponding medical provider and amount. 

Continue reading "Medical Issues After A Car Accident or On-The-Job Injury" »

February 10, 2007

Case Law Update - TIG Insurance Co. v. Dust-Away, Inc. et al.

On February 6, 2007 the Georgia Court of Appeals handed down a decision in what I call a two-insurer battle case.  Often, there is a dispute between two or more insurance companies as to which company bears responsibility for an injured claimant's medical treatment and income benefits.  TIG Speciality Insurance Co. v. Dust-Away, Inc. is one of these cases. 

The facts in this case are straight forward.  In December of 2000, the claimant was injured while working for Dust-Away.  At this time, Dust-Away was insured by TIG.  In February of 2002, Dust-Away changed workers' compensation insurance companies from TIG to Zenith.  In May of 2002, the injured worker became unable to work due to the on the job injury and TIG began to pay income benefits to the injured worker. 

The Court of Appeals holding is that the insurance company providing coverage on the date the employee was no longer able to work because of the aggravation or worsening of his or her injury bears responsibility for payment of income benefits.

Continue reading "Case Law Update - TIG Insurance Co. v. Dust-Away, Inc. et al." »

February 8, 2007

It's More Than Size: A Tractor Trailer Wreck Is Not An Automobile Accident

Obviously, getting into a wreck with an 18-wheeler can be much more serious than getting into a collision with another automobile. Beyond the obvious difference in size, tractor trailer cases should be handled in a special manner. While many of the aspects of handling these claims and trial preparation is the same, there are many new options associated with truck cases. 

First, what are some of the primary differences between it comes to another automobile causing the accident or a large truck? The term large truck is meant to include 18-wheeled big rig trucks that can weigh up to 80,000 pounds fully loaded.  If these trucks weigh over 80,000 pounds, they must be driven as “oversized” in accordance with additional laws and regulations. 

Typically, these vehicles are called tractor trailers, eighteen-wheelers, big rigs, and semi trucks, and semis. Another category of smaller, yet often equally dangerous trucks, are trucks that have fewer than eighteen wheels, yet are larger than ordinary pick up trucks. These trucks can come in many shapes and sizes and include box trucks, small flat bed trucks, refrigerated trucks, and cargo trucks.

In Georgia, there is a law in the books called the Direct Action Statue at O.C.G.A. § 46-1-1, et. seq. This law allows for an injured party to sue not only the individual truck driver and his or her employer but also the insurance companies that insured the company and the driver of the truck. Although, there are many complicated definitions as to what types of trucks are included under the Direct Action Statue, this issue should be addressed early-on.  In a recent case, I filed a lawsuit under the Direct Action Statue naming two separate insurance companies. In that case, there was a narrow exception under the Direct Action Statue that states that a truck and company that uses truck to exclusively hall its own products (i.e. a truck that is not “for hire”) does not fall under the Direct Action Statue.

In my opinion, there is an even more important set of rules than Georgia’s Direct Action Statute.  Congress has passed laws governing trucking safety.  Many of these laws are found at 49 U.S.C.S. 30100.  There are additional rules regulating truck safety that fall under the Federal Motor Carrier Safety Administration and are found in the Code of Federal Regulations in a section referrer to as Federal Motor Carrier Safety Regulations.  These rules can be found here

There are good trucking companies and bad trucking companies. Some trucking companies seem to have a policy problem of putting profit ahead of safety. Congress has passed certain laws related to the trucking industry for the safety of the general public. Often during the course of a case, it is discovered that the trucking companies and or the driver in a particular case has violated one or several safety regulations.  There is a broad list of laws and regulations that can be violated.  Here is a list of common issues and violations that arise in tractor trailer cases: violations of hours of service regulations & rest periods by drivers, log book violations, unqualified drivers, safety inspection violations, unlicenced commercial drivers, drivers bad driving records, drug and alcohol use while operating a tractor trailer, and exhaustion while behind the wheel of an eighteen wheeler.

    It is essential in trucking cases that an injured party gets to a attorney as soon as possible. Insurance companies and trucking companies often hire highly regarded experts and private investigators to go out to the scene of the wreck as soon as it happens.  Injured parties should also employee these experts.  One such reputable company is Southeast Collision Analysis  eaded by Julian R. “Bucky” Beaver.  The point is that valuable evidence can be lost and witness statements can be taken long before an injured party has a chance to conduct an investigation.  I encourage you to consult with us or another qualified law firm, sooner rather than later, if you find yourself involved in a wreck with a large truck.

February 8, 2007

Getting Attorney's Fees & Civil Penalties In A Georgia Workers' Compensation Case

    In America, litigants are generally expected to pay their own attorneys’ fees. In many other countries there is a looser pay system where by the losing party has to pay the winning party’s attorneys’ fees. Of course, they are countless exceptions to this general rule.

    As an attorney representing injured workers throughout Georgia, I often find that insurance companies act unreasonably. Fortunately, there are several ways in which attorneys who represent worker’ compensation clients can get attorneys fees in these cases. I was asked recently by a fellow attorney to post a list of every possible insurer wrong that can get a workers’ compensation claimants lawyer assessed attorneys' fees.  While I may not know every way to get attorneys fees assessed against an employer or insurance company in a Georgia workers’ compensation case, here are a few recommended methods and strategies.

    The basic statutes in Georgia’s workers’ compensation law that allows attorneys’ fees are O.C.G.A. § 34-9-108 and O.C.G.A § 34-9-221. Many know about the traditional ways to get attorneys fees under 34-9-108. This section provides that attorneys fees can be awarded to either party if the case is prosecuted or defended without reasonable grounds. Second, I frequently request attorneys fees under O.C.G.A. § 34-9-108(b)(2) and O.G.C.A. § 34-9-221. Under 34-9-108(b)(2), attorneys fees can be awarded if any provision of O.G.C.A § 34-9-221 is not followed. Fortunately for injured workers and their attorneys, O.C.G.A § 34-9-221 is filled with pit falls for employers and insurance companies. For example, if income benefits are not paid when due on the 21st day after the employer has knowledge of the injury or death, attorneys fees can be requested. Also, if weekly checks are not sent properly, which is a very common problem that my clients have to deal with frequently, you can request awarded attorneys fees. Perhaps my favorite basis for attorneys fees comes under O.C.G.A § 34-9-221(d) which requires that if an employer controverts or denies an injured workers right to compensation, it must file a controvert on or before the 21st day after knowledge of the alleged injury or death. Often times, Employers/Insurers fail to file controverts altogether.

    Another good strategy to employees is to request civil penalties against an employer and insurance company. The civil penalties range from $100.00 to $1,000.00 per violation. While claimants' attorney and clients do note receive fines leveed as civil penalties, they is a strong deferent to employers and insurance companies. A claimants attorney would be wise to carefully review Board Rule 61. For example, Board Rule 61 requires that a WC-4 Case Progress Report be filed within certain time-frames. In one of my cases where an insurer was acting unfairly, I filed a motion outlining their failure to file the form WC-4 and requested civil penalties and attorneys fees. I believe that a motion can be brought if an employer/insurer fails to comply with any of the form filing requirements outlined in Board Rule 61. Furthermore, attorneys are free to request civil penalties and attorneys fees for almost any Rule 61 violation on behalf of the employer/insurer. Another basis for civil penalties and attorneys fees is the failure of an insurer to respond properly to a form WC-102 requests for documents. Yet another opportunity for a claimants attorney to seek civil penalties and attorneys fees is when an insurer fails to sign counsel to a case within 21 days after receiving a hearing notice pursuant to Board Rule 102(b)(2). I know a attorney who routinely files a motion in this regard when an attorney is not assigned by an insurer in a timely fashion. Of course, this is not a list of ways in which attorneys fees can be obtained. It is my personal belief that if more attorneys pursued these matters, insurers would be more likely to comply with the law.

February 4, 2007

Avoding A Car Accident In Georgia - - Is Driving Dangerous?

The National Highway Traffic Safety Administration has detailed statistics about the dangers of driving in the United States.  A great deal of eye opening information can be found here

Interestingly, the injury rate of occupants of vehicles decreased about 20% between 1992 and 2004.  In 2005, there were 39,189 fatal crashes in the United States.  In that same year, there were 14.66 people killed in an automobile wrecks for every 100,000 in population.  Thus, your odds of being killed  on the roadways in an automobile accident or tractor-trailer wreck in 2005 were 1 in 6,821.  The good news is that there has been small but steady decrease in fatalities over the past 10 years.   

February 3, 2007

Managing Injury Cases In Douglasville Without Paper

Paper Paper Everywhere But Not A Drop Of Ink

I will tell everybody right off the bat that I am a huge fan and implementer of office technology.  The legal community and judiciary, steeped in tradition, has been slow to embrace technology. I, too, am very traditional and have even been accused of being old fashioned.  However, my use of technology and reliance upon it have paid big dividends. 

I used to handle quite a bit of federal litigation.  Federal courts have been paperless for several years.  I think Georgia's state courts have fallen behind the times in a big way, although change in coming.  For example, the courts in Fulton County, which covers most of the City of Atlanta, now allow electronic filing for many types of cases.  I am well aware that funding is low for technology in the courts, especially in smaller counties.  What I believe needs to happen is a state-wide plan of action to address technology needs of the state court system.  How beneficial would it be if e-filing was the norm in every Georgia county, no matter the size and resources? This could be accomplished in a state-wide and uniform system.  In fact, I found an article about automation in the courts.  It was written in 1998.  In reading the article I really wonder how far we have really come and how much further we could progress.

For those attorneys out there who are skeptical or resistant to going paperless, I will say this: at the end of the day it is absolutely worth the effort, even though it may be an uphill battle.  For me, it was only slightly uphill.

I will not discuss the intricacies of exactly how I transformed by practice to being paperless at the risk of boring you.  There are other blogs out there to help with things such as Adobe and the .pdf format. Here are a few: Adobe For Legal Professionals and PDF For Lawyers. The efficiency that I gained has been tremendous.  Sure there have been hardware upgrades such as a larger hard drive on our server computer, large flat screen monitors, thumb (USB) drives, portable printers, etc.  Back-up has also been a concern.  However, I will say that these costs have been minimal compared to the efficiency being paperless brings. 

A good quote: "It is not the strongest of the species that survives, nor the most intelligent, but  the one most responsive to change."

February 3, 2007

Georgia Workers' Compensation Website by Douglasvile Attorney Jack Clay

My practice is devoted to representing injured people.  I take a great interest in the medical issues in my clients' cases.  My representation of injured clients goes beyond car accidents and 18 wheeler wrecks.  Many Georgians suffer on-the-job injuries each day.  Please keep in mind that my workers' compensation practice is state-wide.  If you, a loved one, or friend are in need of a free consultation, please have them review my workers' compensation website and/or contact me. 

February 3, 2007

Car Accident & Truck Accident Essentials: Four Legged Stool

Imagine a stool with four legs.  Each leg must be strong enough to support a lot of weight.  If one leg is weak, the whole stool will break.  Even if it does not break, the other legs must be stronger to make-up for the weak leg.  Personal injury case are very heavy.  Much time, effort, emotion, and expense goes into each case, especially when it comes time to file a lawsuit and prepare for trial.

When I started practicing law, a wise mentor told me that every personal injury case needs to be have three major components: liability, collectability, and damages.  Since then, I have come to learn that there is a fourth major component, the credibility of the injured party.  Now, I tell clients and attorneys that do not handle accident cases that these four legs are essential to building a stool upon which an injury case will rest. 

You may ask what do I mean when I use these terms?  Here is a simple explanation.  The first leg, liability, is simply who is at fault.  Or, put another way, is there somebody or something that clearly is responsible for your injuries?  If a personal injury case cannot be settled, a jury or judge will make a decision.  If you cannot show fault pretty clearly and, instead, have to dance through hoops to show an injured party is not to blame for his or her own harm, the value of the case is diminished.  Most of my automobile accident cases involve rear-end collisions.  Many also involve left turn failure to yield cases.  Some involve running red lights and stop signs. 

The second leg of the stool is collectability.  This term refers to available insurance that covers the wrongdoer(s) and the injured person.  It also refers to assets of the defendant to "go after" if there is inadequate or non-existent insurance coverage.  All avenues of insurance must be pursued, including the defendant's bodily injury liability coverage, the injured party's uninsured motorist coverage, medical payments coverage, excess lines coverage, umbrella coverage, homeowners' coverage (in certain cases), and uninsured motorist insurance of the injured party's resident relatives. 

Damages is the third leg of the stool.  This includes medical bills, lost wages, permanency of the injury, pain & suffering, and diminished earning capacity.  In catastrophic injury cases, these damages can include home modifications, life care planning, attendant care, etc.  Perhaps the most important component of damages is causation.  This means simply is the injured person's medical condition related to the incident in question or something else.  Are there pre-existing medical issues?  Was the car accident really serious enough to cause severe and permanent injuries?  Was the person honest when revealing their prior medical history to their doctors.  Another important question is how should an injured party be compensated beyond medical bills and lost wages.  I have employed certain methods which I will discuss in the future. 

The fourth leg of the stool is the credibility of the injured party.  This is especially important as we live in an era where insurance companies have done a good job as convincing the public there are too many frivolous lawsuits, especially in the area of personal injury.  When an injured victim walks into court in the present climate, he or she must overcome this stigma before even a word is said about the case.  The jury is sizing-up plaintiffs with notions of lawsuit abuse in their minds more now than ever.  In my opinion, my client must be presentable, believable, and likable in order to maximize their chances of prevailing.

A good book written on the subject of why juries decide is written by David Ball of North Carolina. I keep a copy on my bookshelf and, in fact, it is one my top 10 books.  The book, called David Ball on Damages, can be found here.

February 3, 2007

Georgia Automobile Accident & Truck Wreck Website

As most of you know, I exclusively represent injured people.  My practice also encompasses personal injury cases, especially those injured in automobile accidents.  I recently launched another website / blog dedicated for those injured in automobile accidents and tractor-trailer collisions.  It is called the Georgia Automobile Accident & Injury Law Blog and can found at www.georgiainjured.com.  Please pass it on to your loved ones and friends who have been injured on roadways. My new blog has only just begun, so stay tuned and check back often for updates. 

February 3, 2007

Case Law Update - Reid v. Georgia Building Authority, et. al

The Georgia Court of Appeals decided Reid v. Georgia Building Authority, et. al on February 2, 2007.  The facts in this case are familiar to any attorney who handles workers' compensation cases.  Ms. Reid was suffered an on-the-job injury to her hand.  The injury was serious enough that Ms. Reid, who was sixty-six years old when she was injured, would not be able to do her housekeeping work for the rest of her life.  In fact, she had been a housekeeper for her entire life.  According to her doctor, she was permanently and totally disabled from performing her job as a housekeeper.  Ms. Reid sought to have her claim deemed catastrophic.  The Administrative Law Judge for the Georgia State Board of Workers' Compensation ruled in her favor as did the Appellate Division / Full Board.  When the employer appealed to Superior Court, the decision was overturned.  The Court of Appeals upheld the Superior Court's decision and found there was not enough evidence on the record to show this was a catastrophic case.   

There are several lessons to be learned in this case.  The Court of Appeals starts the opinion by pointing-out that Ms. Reid's attorney did not properly make citations to the record in violation of court rules.  Later in the opinion, the Court of Appeals points out that Ms. Reid could have secured testimony from a vocational rehabilitation expert which was not done.  In this case, the Court of Appeals needed more.

This is a bad case for employees.  While Ms. Reid did not have a vocational expert, she had strong medical evidence from her doctor and through testing by a physical therapist which outlined her limitations.  The Administrative Law Judge thought this was enough as did the Appellate Division of the State Board.

This case also illustrates another important point.  For a claim to be catastrophic, the injured worker must show that there are no jobs available for him or her in "substantial numbers in the national economy."  Most often, this can be shown when an injured worker is awarded Social Security Disability benefits.  Admittedly, this standard is open to a lot of interpretation.  It is also a heavy  and high burden to be taken seriously.  As I counsel my clients, a claim is not catastrophic just because you cannot do your job or your line of work again, even for the rest of your life . Much more needs to be proven and the best place to start is with a well-respected vocational rehabilitation expert.

February 2, 2007

Automobile Accidents Don't Just Happen

I am an attorney located near Atlanta, Georgia.  My practice is devoted to represented people injured in automobile collisions, tractor-trailer wrecks, and on-the-job injuries.  My other website, which covers work injuries, is called the Georgia Workers' Compensation Law Blog.   

I decided to start this blog for several reasons.  First, 100% of my practice is devoted to helping people who are hurt.  I represent folks from all walks of life and backgrounds.  Whether they are injured in car accidents or due to the negligence of a big rig truck driver, my clients come to me with many questions and concerns.  Second, there is a great deal of misinformation floating around in cyberspace.  I want to establish a forum for those who have been injured through no fault of their own.  I also receive a great deal of case referrals from other attorneys who do not handle injury cases.  I also know many other injury attorneys.  For those in the legal community, my goal is to provide valuable information about the law, changes in the law, share my experiences, and discuss my strategies.

774605_car_accident_2.jpg

So, why do I say accidents just don't happen?  There are many definitions of the word accident.  I have formulate my beliefs after handling hundreds of injury cases.  However you chose to interpret the term, I do not believe that collisions are accidents.  In almost all cases, there was a conscious disregard for the safety of other which is at the core of a life changing automobile collision. On the other hand, I have yet to meet a defendant who I believe intended to cause a wreck.  Attorneys often look for aggravating factors such as being under the influence of drugs or alcohol, reckless conduct, a bad driving history, and violations of the Federal Motor Carrier Safety Act.  Many people are surprised to learn that, upon conducting a thorough investigation, attorneys are able to uncover reckless conduct in many cases.