In an article for Business Insurance, Causation questions limit COVID comp claims, John M. Novella, a partner in Goldberg Segalla’s Workers’ Compensation practice, was quoted on why COVID-19 claims are getting denied at a higher rate than non-COVID related claims.
John spoke about the complexity around COVID-19 claims, “If you have a case where it’s a car accident, it’s clear you are going to accept (the claim). But with occupational illness like COVID exposure … we don’t have all the facts so we can’t recommend the client accept the case without all the facts,” he said.
When the claims are appealed John went on to say “there are a lot of avenues to explore for investigating,” and “Obviously, we have to get medical records, family doctor records; those would have information on a history of the claimant,”.
John M. Novella draws on more than two decades of experience in the defense and counsel of insurance carriers, self-insured employers, and third-party administrators in complex workers’ compensation claims throughout New Jersey. He has defended private companies and public entities concerning the full range of workplace accident and occupational exposure claims. John has extensive experience handling workers’ compensation bench trials, motion hearings and pretrial conferences, and also has considerable experience representing clients in jury trials and arbitrations, writing appellate briefs, and handling Social Security disability claims. As a member of the New Jersey Workers’ Compensation Lien Subrogation team, he is able to assist employers and insurance carriers in navigating all issues pertaining to compensation liens and subrogation, including calculating and protecting liens, responding to requests for lien compromises, and obtaining lien recoveries for clients.