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Showing posts with the label duty to investigate

Court of Appeals Holds that Claimant Has a Duty to Investigate Probable Compensable Nature of a Claim Where an Injury Has Manifested and Claimant Knows the Injury was Work-Related

  City of Harlan v. Thygesen , No. 21-0265 (Iowa App. March 30, 2022) In this hearing loss case, claimant suffered a hearing loss some ten years prior to the time claimant filed his claim and knew that his injury was work-related.  Claimant alleged that despite these facts, the statute did not begin to run on his claim until either 2014 (when he was provided with audiogram results) or 2015 (the date assigned by the employer because he did not appreciate the nature, seriousness and probable compensable character of the injury until those dates.  Defendants alleged that claimant failed to timely notify them of the claim and failed to timely file the claim. The commissioner found that claimant, despite being aware of hearing loss and the fact that the hearing loss was caused by employment, did not appreciate the severity of the claim, crediting the testimony of claimant.  The district court reversed and found that claimant knew the nature, seriousness and probable compe...

Court of Appeals Affirms Denial of Penalty Benefits

  Cochran v. Quest Liner, Inc. , No. 21-0288 (Iowa App. Jan. 12, 2022) Claimant suffered an injury at work and was paid healing period benefits for a time.  Defendants sent claimant a notice that healing period benefits would be ended as required by section 86.13.  Claimant alleged that he was entitled to additional healing period benefits and the arbitration decision found that claimant was entitled to continuing healing period benefits.  Penalty benefits were denied as the commissioner indicated it was reasonably debatable whether claimant was entitled to continuing benefits. Claimant appealed, arguing that defendants failed to obtain an impairment rating or do any further investigation to determine if he was entitled to further benefits after their authorized treating physician placed him at MMI.  On appeal, the court finds that the issue raised implicates the application of law to fact standard of review and that the decision will only be overturned if the a...