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Workers’ Comp WA

Workers’ Comp Case Study

Due diligence saves an employer from $100,000+ in workers' compensation claim costs.

Situation & Background

  • Press brake operator filed a workers’ compensation claim due to left knee pain
  • Worker was on the job for two months before filing the claim
  • Employer is a Washington manufacturer with over 500 employees
  • Washington State Labor and Industries (L&I) allowed the claim as an industrial injury
  • Employer is a member of Vigilant’s workers’ compensation retro plan

Actions

  • Employer contacted Vigilant who immediately reviewed the worker’s job application and discovered the worker had extensive prior work history (six years) as a press brake operator, with another employer
  • Vigilant protested the industrial injury claim with L&I, stating the condition was due to prolonged use of the worker’s leg, and therefore was the result of occupational disease
  • L&I reconsidered the injury as a result of Vigilant’s protest, and new paperwork was processed, confirming the worker’s belief that the condition was “an occupational problem due to operating a press brake for six years with all his weight on his left leg"

Outcome

  • L&I cancelled allowance of the claim as an industrial injury and allowed the claim as an occupational disease claim
  • Liability to the current employer was deemed less than 10% due to the length of employment; the previous employer was deemed more than 90% responsible for the injury
  • The current employer avoided total claim costs estimated at more than $100,000 (as a result of surgery, time loss, and retraining)
  • The injured worker was still cared for as a result of the claim
  • Assistance from Vigilant throughout the entire claim process was covered by the employer’s retro program fee

Want to learn more about Washington's workers' comp retro program and how Vigilant can help YOU?

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