Mr. Q was working as a car salesman when a confrontation with a co-worker unexpectedly escalated.
As Mr. Q turned to walk away, the co-worker punched him violently in the face, causing him to fall backward and strike his head on concrete. He suffered a serious head injury, required emergency medical care, and was hospitalized.
Despite the severity of his injuries, the workers’ compensation insurance company denied the claim, alleging that Mr. Q started the fight and was therefore responsible for his own injuries.
The insurance carrier took the position that:
This denial left Mr. Q without:
The evidence the insurance company relied upon was incomplete, inaccurate, and did not reflect what actually happened.
Attorney Thomas DeBenedetto immediately challenged the denial and launched a full investigation.
Key steps included:
Thomas issued subpoenas and secured actual video footage of the incident, which showed:
Medical records and expert evaluations established the seriousness of the head trauma and the need for ongoing treatment.
Because the carrier refused to reverse its denial—even after reviewing the video—Thomas prepared the matter for a full trial before a workers’ compensation judge.
At trial, Thomas presented:
The workers’ compensation judge ruled entirely in Mr. Q’s favor.
As a result, Mr. Q was awarded:
This represented a complete reversal of the insurance company’s original denial.
This case highlights several important truths for injured workers:
Even when the facts seem clear, carriers often deny claims involving altercations, assaults, or disputed liability.
This case confirms that workers still have powerful rights, and those rights can be upheld in court.
If your workers’ compensation claim has been denied, disputed, or delayed, you do not have to handle it alone.
For more than 33 years, Attorney Thomas DeBenedetto has helped over 10,000 injured employees recover over $1+ billion in California workers’ compensation benefits.
Schedule a free consultation today.
We will review your case, explain your rights, and fight to secure the benefits you deserve.
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