Defense Base Act Compensation Blog

The Modern Day DBA Casualty

Posts Tagged ‘Third Party Medical Providers’

Defense Base Act War Hazards Act: Overly Zealous Representation in Defending Against a DBA Claim

Posted by defensebaseactcomp on June 27, 2012

employer/carrier’s inadequate or overly zealous representation in defending against a DBA claim may be grounds for denying all or some portion of a request for WHCA reimbursement.

So Mr Rayburn how many War Hazards reimbursements has the DFEC denied

in part or whole over the following

Overly Zealous DBA Insurance Company Defense Tactics ?

The use of repeated Defense Medical Examinations with Doctors Over Paid to produce a report detrimental to the claimant, to run them through the drill

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The claims process being drug out for as long as nine years with no end in sight while the defense racks up ever more legal fees, the insco keeps charging administrative fees, not to mention the claimants attorneys fee’s, while the claimant goes without  medical and/or indemnity

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Unnecessary mileage, airfare, lodging, expenses paid out due to due coercing claimants to travel as far as five states away to attend Defense Medical Examinations, Mediations, Depositions, Hearings

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The use of private investigators, some even criminals themselves, to stalk and intimidate injured contractors and their families far beyond simply confirming a claimants status

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The use of  Third Party Administrators to handle claims processes that could easily be done without the added expense and fees.

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Unnecessary fines and interest due to non payment or late payment of  indemnity

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The financial ruination of injured contractors and their families caused by the overly zealous controverting of legitimate claims

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The Temporary Disabilities which are now Permanent due to their failure to provide medical care under the guise of investigating clearly legitimate claims.  Now the US taxpayer is responsible for disabilities far beyond what they ever had to be.

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The PTSD Suicides caused by the Insurance Companies, their claims examiners, and their attorneys

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The break up of families caused the constant pressure and abusive tactics used by the Employer/Carrier

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The forced acceptance of inadequate settlements or stipulated agreements due to starving the claimant out for years on end and/or threatening the claimant and family that if they do not accept the inadequate settlement they will make them miserable for the rest of their lives (see The Weaponization of the Defense Medical Examination)

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Unfairly denying the claimants attorneys fees in order to discourage good attorneys from handling these claims

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FECA BULLETIN NO. 12-01

XI. Miscellaneous

1. DFEC requires, before acceptance of any WHCA reimbursement claim, that the employer/carrier has made only reasonable and prudent efforts in presenting all meritorious defenses against a DBA claim without regard to whether the case is eligible for WHCA reimbursement. An employer/carrier’s inadequate or overly zealous representation in defending against a DBA claim may be grounds for denying all or some portion of a request for WHCA reimbursement.

CECILY A. RAYBURN
Director, Division of Planning, Policy and Standards

Posted in ACE, AIG and CNA, Chartis, Civilian Contractors, Contractor Casualties and Missing, DBA Attorneys Fees, Defense Base Act, Defense Base Act Attorneys, Defense Base Act Insurance, Defense Base Act Law and Procedure, Defense Base Act Lawyers, Delay, Deny, Department of Labor, Hope that I die, Injured Contractors, KBR, Political Watch, PTSD and TBI, Suicide, Veterans, War Hazards Act | Tagged: , , , , , , , , , , , , , , , , , | 7 Comments »

Insurance Companies are the Fraud, Medical Waste and Opportunity

Posted by defensebaseactcomp on September 3, 2010

And CNA must be at the top of the list !!

Administrative Inefficiency and Redundant Paperwork

Fraudulently taking an illegitimate cut

CNA hires three different medical providers to fill one $30 prescription, plus their Claims Adjuster, plus their attorneys, How much does this plus 15% cost the taxpayer in the end?

Posted in ACE, AIG and CNA, Civilian Contractors, Contractor Casualties and Missing, Defense Base Act Law and Procedure, Department of Labor, Injured Contractors, War Hazards Act | Tagged: , , , , , , , , , , | Leave a Comment »

Intimidation Tactics by CNA Claims Adjusters and Third Party Medical Providers

Posted by defensebaseactcomp on August 16, 2010

Disclaimer:  This post is regards those injured contractors who were so badly mutilated and incapacitated that they required home health care services after leaving the hospital.  Also those injured contractors in UK, South  Africa, and Australia that CNA calls their Tacticor Dogs on.  These abusive tactics are not limited to CNA, but today, we aim directly at them.  May they get what is due them.

We’re betting that none of you injured contractors or your  family members ever dreamed that in the event you or you loved one was injured in Iraq or Afghanistan that the Cost Cutting Risk Managers at CNA were going to attempt to control your life and your health care.

We have thoroughly read through the LHWCA and DBA and nowhere does it say that DBA Insurance is a HMO or any other kind of managed medical plan.  Nor does it say they can make medical decisions for you.

But trust that as soon as CNA is notified that you are injured you now have double trouble.  CNA now has control of your health care, not to mention your finances, under the pretense of being qualified to determine what kind of medical care you require.  Never mind what the doctor ordered.

If CNA is intimidating your wife and family by threatening to have you removed from your home because your family is questioning the health care and the third party medical provider about the services you are enduring

CALL AN ATTORNEY IMMEDIATELY

This is a standard intimidation tactic used by CNA

You do not have to allow them into your home, you do not have to allow them in the examining room at the doctors office.  You may choose your own doctor, not Tacticor’s, not CNA’s.

You did not become their property, do not have to put up with their intimidation tactics and harassment.

Video, record, and email, no telephone calls that cannot be documented.

Remember, if you are this badly injured your death benefits, if your family ever gets them, are worth much less than your long term care…….

Posted in AIG and CNA, Civilian Contractors, Contractor Casualties and Missing, Defense Base Act Law and Procedure, Follow the Money, Hope that I die, Injured Contractors, PTSD and TBI | Tagged: , , , , , , | 4 Comments »

 
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