Unfortunately, the answer to this is yes. We have pretty credible evidence of investigators following spouses of injured workers. In at least some of these instances itâs been done in a way that scared the heck out of the clientâs wife. In another, case the investigator closely followed the teenage girlfriend of our clientâs son, doing so for 15-20 minutes down a dark country road at night.
Weâve also taken issue with investigators who take what we believe to be unnecessary pictures of clientsâ minor children. Weâve repeatedly argued against this practice at the Industrial Commission â even letting them hear tapes of the investigators laughing about forcibly shaving the head of a young African American child â but nothing has come of it. Similarly weâve asked that insurance companies be prevented from hiring convicted child abusers to do private investigation work.
Until Gov. McCrory and the legislature intervene on these issues the best defense is a strong offense. If you have even a hint that you are being followed you should definitely call an attorney.
This may, or may not come as a shock to the adjuster but the answer is âabsolutely not.â While she may think that enough has been done it is up to the treating doctor to say that you donât need any more medical treatment. Even then, the adjuster must ask the Industrial Commission to sign off on closing your claim. If that has not happened your claim is still open regardless of what the adjuster may be telling you. There are deadlines and technicalities involved in this so itâs wise to give us a call and let us point you in the right direction.
This may be for a couple of different reasons. First, the doctor may have a standing agreement with your adjuster or employer that he wonât keep workersâ compensation claimants out of work as long as your employer will find something, anything, for you to be doing.
Second, many doctors believe there is a healing power in being active and out of the house. While we think that this may be overstated sometimes weâve seen plenty of instances where clients were worse off sitting in the house afraid to go out because of the network of private investigators working for the insurance company than they would be if they could be active and stay in shape.
Third, the doctor may honestly not have a good idea what your job actually entails. Part of this is that they live in their own world sometimes, but we have seen a lot of instances where a rehabilitation professional gave the doctor a job description which had been edited â sometimes by the RP, sometimes by the employer â to remove all the heavy lifting from it. Thus the doctor is relying on what he believes to be an accurate statement of your job. Donât count on your employer or your nurse showing this to you in advance. More than one client has reported having a nurse whip out a job description unannounced and presenting it to the doctor.
The first time a doctor releases you to return to work after having been out heâll likely put some restrictions on you. For the reasons weâve pointed out other places no one can really know if you are fit and capable for the work your employer is going to give you. Whether or not the doctor or the adjuster say so you are legally on a âtrial return to workâ for nine months. Technically this is true even if the doctor did not give you restrictions â but that trial lasts only 45 days. The idea is a good one: give you an opportunity to see if you can manage the job. If you cannot then the doctor signs off that the trial failed and the adjuster has not turn your checks back on. In practice itâs not quite the way it works. Adjusters and the rehabilitation nurses frequently forget to tell you that itâs a trial and often imply, or outright declare, that you have to do the work. Period.
The other issue is that you have to return to the doctor to be written back out of work. But the doctorâs office likely wonât set you an appointment unless the adjuster authorizes it. And the adjusters, being rather clever, will often fail to make this authorization. Weâve had to get the Industrial Commission order them to do so under threat of being held in contempt if they continue to refuse.
We think the best practice is to ask the doctor to set a return visit at the time that the doctor releases you to return to work. We think itâs fair to be pretty candid with the doctor on this point. Youâre going to give it a try and you would like a return visit with him in three weeks or so to report as to how itâs going. In our experience doctors find this to be reasonable. They are much more likely to agree to this than to a request to simply stay out of work longer.
First, make sure you have a return appointment with the doctor scheduled. Second, make sure you have the restrictions in writing. Third, preferably before but as soon as possible after returning to work, give your immediate supervisor a copy of your restrictions. We recommend doing this in writing and keeping a copy for yourself. Fourth, be patient with your company. Although some employers are evil most employers are good people. Admittedly, sometimes good people do stupid things. In most situations itâs not perfectly clear what ârepetitive motionâ means. It probably means different things to reasonable but different people. Likewise in most occupations the weights of the material you are working with isnât clear. Thus a limitation to 15 pounds lifting could reasonably be a bit vague when put into practice.