Inside Pool Mag: Fraud

Wow, Powerlineman80. Thanks for sharing your story.

That's pretty jacked up that the Area Manager wanted you written up for your boots. That's petty. It's pretty sad the kind of levels companies will stoop to. And yes, they will tell you to "only see thier doctor". Sure, thier doc would have told you it was only a sprain, and you just need an air cast for a couple weeks. Scribble, scribble, scribble. Back to work you go. Those doctors the company sends you to are almost as bad as the "Independent Medical Exam" doctors from the insurance company.
Speaking of insurance companies, they'll do whatever they can to try to starve an injured worker out. I'm surprised they weren't able to stall your benefits because you "didn't have steel toe boots on".
And it's almost amusing how many times something at a multi-million dollar insurance company gets "misplaced", the claim numbers or reference numbers get "transposed" and "go to the wrong place", something was "never received by the pharmacy", "never sent to us", and whatever other BS they can come up with.
Good that you had a lawyer and doctor you could trust. Even though the lawyer's cut might seem like a lot, I'd wager it was worth just it to put the whole Workers Comp system behind you.

Any idea what the young man who won that tournament was out on Workers Compensation for in the first place ? Maybe his restrictions were within the guidelines his doctor prescribed. I'd be interested to find out.

Seems like the perception is that if you're injured at work, you have to be a hermit and not be able to do anything for yourself. That's hardly the case with a majority of WC injuries.
 
That's pretty jacked up that the Area Manager wanted you written up for your boots. That's petty. It's pretty sad the kind of levels companies will stoop to.

That same Area Manager has also been known to change around accidents so the company wouldnt be at fault. I never seen it, but was told by co-workers I trust very much. They thought the write up would clear them but once I quoted the company safety manual and it says they were only "preferred and not mandatory". I've never met a lineman that "does" wear steel toes unless the company provides them.

What was so stupid was the foreman called the Area Manager over Bluetooth over the speakers of his foreman truck and I heard the whole conversation. The AM said "do you think he can pass a drug and alcohol test?" and my foreman who hated me said "I think so" and then you could hear the AM thinking......"does he have steel toes on?" and the foreman asked me and I said "no". He tells the AM that and the AM says "does anyone else have any on?" and the foreman says "no". The AM says "write him up, give the others a warning".

It was a company called MasTec out of Miami. I dont see them in Alabama anymore and I wonder why....lol. As for the AM well who knows...
 
That same Area Manager has also been known to change around accidents so the company wouldnt be at fault. I never seen it, but was told by co-workers I trust very much. They thought the write up would clear them but once I quoted the company safety manual and it says they were only "preferred and not mandatory". I've never met a lineman that "does" wear steel toes unless the company provides them.

What was so stupid was the foreman called the Area Manager over Bluetooth over the speakers of his foreman truck and I heard the whole conversation. The AM said "do you think he can pass a drug and alcohol test?" and my foreman who hated me said "I think so" and then you could hear the AM thinking......"does he have steel toes on?" and the foreman asked me and I said "no". He tells the AM that and the AM says "does anyone else have any on?" and the foreman says "no". The AM says "write him up, give the others a warning".

It was a company called MasTec out of Miami. I dont see them in Alabama anymore and I wonder why....lol. As for the AM well who knows...

i usad to work for mastec. i worked for their telephoe division in memphis as a supervisor and then was promoted to an am in north miss. we parted on not too good of terms. i worked for them for 8 years up here. i also worked for there electric division in pensacola for a few months as a foreman then quit because i didnt like pensacola and they didnt have much work goin on. got tired of working 15 to 20 hours a week . came back to memphis. who was your am ?
 
David Webb was his name.

He is more than likely working for Diversified Services now (the old Gillette Electric up in Decatur/Hartselle in North Alabama).

Whats so bad is Diversified has hired some straight up goof balls to run their show too. Quentin's wife "owns" it as they were well off after Red Simpson bought them out. Its a shame because RSI was a good company to me before Pike bought them out. DS has Donnie Sims (failed Safety guy for Sumter Utilities as their VP of Operations and Allan Bass of Sumter Utilities as their Director of Operations).

Reason I bring them up is I worked under Bass one time in Birmingham and they didnt even give me a piss test! Believe that crap?!
 
David Webb was his name.

He is more than likely working for Diversified Services now (the old Gillette Electric up in Decatur/Hartselle in North Alabama).

Whats so bad is Diversified has hired some straight up goof balls to run their show too. Quentin's wife "owns" it as they were well off after Red Simpson bought them out. Its a shame because RSI was a good company to me before Pike bought them out. DS has Donnie Sims (failed Safety guy for Sumter Utilities as their VP of Operations and Allan Bass of Sumter Utilities as their Director of Operations).

Reason I bring them up is I worked under Bass one time in Birmingham and they didnt even give me a piss test! Believe that crap?!

i dont know any of those guys. only company you mentioned that im familiar with is pike. like i said i only worked for mastecs electric division for a few months, i worked for their telephone division for 8 years. i worked in the telephone industry for 28 years. started out as a laborer in 1973 and worked my way up to a manager. could tell you some hell of stories about the various companies views on safety. no way i would comment on a public forum though, even if it is a pool forum. i worked for several industry leaders and all you were was just a number.

i was lucky that i never got hurt on the job working for any of them . when i got hurt 18 months ago i was working for a small contractor that knew me personally for 2 years before i went to work for him. i think i was treated fair by him and his ins. company. just went back to work for him after the dr released me a few weeks ago.
 
There was another story I read (and again, if I can find the link, I'll add it) regarding a person accused of working while on Workers Compensation. I can't remember all the precise details, but the major points are there.

An insurance company got wind that a 50-something year old claimant was working while on Workers Compensation. He worked only on Saturdays, and this clown's only mistake (if you can call it that) was placing a sign in front of the establishment where he was working, advertising his services.
The insurance company went ball$ out, spending considerable amounts of money hiring private investigators, ordering surveillance, and the like. They even called local law enforcement and the media, stating that they were going to 'out' this faker and send a message to other fakers and malingerers that this sort of thing would not be tolerated in society.
Saturday morning comes. The media is at the ready. The PI's have confirmed the workers location, the local library. He's wearing a red wig, a baggy polka-dot body suit, and oversize shoes.
The insurance agent strolls up to this "clown", and proceeded to interrogate him as to what he was doing working at the local library while he was supposed to be on Workers Compensation. He began to explain that the library was ok with him being there, but the insurance agent wanted to hear nothing else of it. The agent then struts back up to the front of the library and demands to speak to the 'person in charge'. When the head librarian comes forth, the insurance agent demands that SHE be taken to jail as well, for employing the 'faker'.
The librarian looks at the police officers standing with the insurance agent and explains that the 'clown' is volunteering his services, and is in no way receiving any sort of financial compensation. He goes to the library every Saturday, spends time putting on a show for the kids, making balloon animals, putting make-up on kids that want it, etc.
It didn't go well for the insurance agent after that.

Everything this 'clown' did was within the limits set by his treating physician. When authorities asked why he was clowning around (sorry, I couldn't resist), his response was simple. He was bored at home and going stir crazy. This was something he could do despite his injuries. And his doctor suggested getting out and doing something. Short walks, trips to the YMCA, join a book club, anything. The doctor felt some sort of activity would be theraputic in aiding toward his recovery.

So no, just because someone is injured on-the-job or otherwise, doesn't mean they can't have some sort of life.
 
Wow, Powerlineman80. Thanks for sharing your story.
...Any idea what the young man who won that tournament was out on Workers Compensation for in the first place ?

...Seems like the perception is that if you're injured at work, you have to be a hermit and not be able to do anything for yourself. That's hardly the case with a majority of WC injuries.
The article said it was a back injury...
 
Ok, so he has a back injury and cant work.

Did he have a job prior to getting his injury that afforded him WC?

If he wasnt working beforehand and isnt getting comp, i dont see what the big deal is.

If he got hurt as a result of his job and is getting WC, good. Bill collectors dont care if youre missing fingers, toes, arms, legs, etc. They still want their $$.
Regardless of WC claims, there is an investigation on behalf of 3 parties. The Company, The Insurer, and a 3rd party private (which covers the doctor that cleared him for WC) so if hes playing and is legit, he has no worries. If hes playing and gets caught, then nobody else BESIDES him has any worries.
 
Ok, so he has a back injury and cant work.

Did he have a job prior to getting his injury that afforded him WC?

If he wasnt working beforehand and isnt getting comp, i dont see what the big deal is.

If he got hurt as a result of his job and is getting WC, good. Bill collectors dont care if youre missing fingers, toes, arms, legs, etc. They still want their $$.
Regardless of WC claims, there is an investigation on behalf of 3 parties. The Company, The Insurer, and a 3rd party private (which covers the doctor that cleared him for WC) so if hes playing and is legit, he has no worries. If hes playing and gets caught, then nobody else BESIDES him has any worries.

There are always plentry of worries from the self rightous gossip crowd in here. As bad as a bunch of old bittys at a bingo game at times. Sad thing is if the closet was opened on some of them a pile of crap big enough to sink a ship would fall out.
 
Here is another WC story and how they can treat you...

I was helping one of our so called "lineman" set a pole one morning at work. I had just started with this crew so I assumed he knew what he was doing. WRONG! He starts jerking the boom while I'm on the butt of the pole with my rubber gloves on trying to keep the pole top out of hot phases above my head. He got so bad he threw me into the truck with the pole top almost smashing my hand between the pole and truck.

At this point I'm in survival mode and get the butt out from under the truck and as I do I slip in a ditch and the pole top comes with me, pinning my left ankle under the pole. I start feeling the pain of a 2,500lbs. 50 foot pole and scream to him to "boom left" to get the pole off my ankle. Instead of booming left he lays the boom straight down and at this point the pole is STANDING straight up on the inside part of my left ankle. If I didnt wear my 16" high climbing boots everyday the doctors said I wouldnt have had my foot today.

So after the grunt runs over to grab the pole butt I hobble up the ditch and sit in the road in front of the truck and pick myself up with the winch and big metal bumpers we use. From there I do everything by the book. Call the foreman, report it, he immediately calls our Area Manager and he tells my foreman to write me up for not wearing steel toes (at the time they were NOT mandatory) and he asked every member on the crew did they have on steel toes and they said no. So I was wrote up so they could try to get out of paying my comp claim even though I had no idea what workers comp was at the time. We go to the E.R. where my forearm just drops me out at the sliding doors (mind you I still couldnt put weight on my left foot) and I try to hop with 10lbs. of boots on. Luckily a woman sees me and runs out with a wheelchair.

The initial diagnosis was strained tendons/ligaments in my ankle/foot and they splint me for the weekend. If I wasnt better by the next Monday (this was our last day of work as we worked 4/10's) I was told to go to the orthopedic doctor. Monday comes and I go. Still in major pain and he puts me on light duty and puts a walking cast on up to my knee. Well in linework there is no "light duty" and they tell me to stay home. Monday my boss calls and asks how come I didnt come to work and I told him why. He tries to raise his voice to me and back then I was a 23 year old hot/hardheaded man and I rip him a new one over the phone. I knew he hated cussing so I cussed him out. He said since I was at my friends house that I could come to work. Like most normal human beings I drove my Dodge Quad Cab 4x4 automatic with just my right foot so I didnt have to use my left foot. He tells me then that I "looked ok" when I left after the E.R. the day of my injury. I then cuss some more and tell him I left in a splint and crutches you idiot. I continue to cuss more and then hang up on him.

Well that same week a woman comes to my parents house (I worked on the road so I never bought a home as it would be useless) and I answer the door with my cast on. The woman then tries to interrogate me and asked me repeatedly if I was working somewhere else. I finally had to tell her off and to talk to my lawyer as I wasnt putting up with this crap anymore. She then asks about me working elsewhere before I shut the door in her face. She was there for an insurance company I cant really say as in my final settlement I was told I couldnt bad mouth them but they are a large insurance company.

During this time I walked a good bit to see my little nephew play teeball, etc. but never overdone it. I was on permanent light duty until noted otherwise so I'm at home making 70% (or close) of my check a week from the insurance company. Even though we were working in Alabama, the branch my powerline contractor was out of was Douglasville Georgia so I had to go by Georgia rules on WC. 70% check and the lawyer could get 25% of my check instead of 10% less on both if it was under Alabama law. To say the insurance company gave me a run around they did for over 2 years. They would wait until the last minute to pay my bills (to the point where they would almost file it on my credit), and even one day turning down my meds and trying to make me pay $300 for them. My lawyer was out of Atlanta and I thought I had a good one until he starts telling me he knew the insurance companies lawyers (they were out of Atlanta too) and he told me I'd get fixed up and make about $7,500 off of it. So I start asking around and people are telling me he's screwing me. After some more calls and he doesnt help me in crunch time I dump him and pick up a lawyer in very very South Georgia. He was your typical shyster lawyer and was even in trouble and temp disbarred for mismanaging funds which I asked him about and he told me the truth about it. I tell him whats going on and he goes after the insurance company like a pitbull because he wants some money.

So now I'm happy that I have a lawyer I trust and I finally found a doctor I liked (dont let them tell you that you can only see one doc as I seen about 6) and the only thing I hated was the walking cast. I did go out and would play golf and even though I'm a Southpaw I played golf right handed so I could put all my weight on my back foot and could swing a club as the cast stopped me from twisting my foot. After awhile though I could tell my ligaments would strain easily as it would have my left foot throbbing and I would quit playing then. That was the only hobby I could still do being that limited. Pool I couldnt play as it messed with my stance.

Halfway through that 2nd year they determined I damaged all the nerves in my ankle/foot and it was NOT fixable. So we decide to set up mediation to settle the suit and get it over with. We settle in mediation in Columbus Georgia for $54k and my lawyer got like $12k or so as I dont feel like doing the math. But it still shows you that someone on workers comp can STILL do things. I could only work on light duty and we didnt have light duty. You cant be on a linecrew with no boots on. So I was told to go home. The same could apply to this guy that won money in that tourney.

Sadly enough now I'm on permanent disability and my Neurosurgeon thinks my disease will NOT progress from where it is now. My spine swells everyday and I'm in intense pain 24/7/365. I still play pool, but can only play for so long before the back pain is too bad I cant go further. There are members on this board that I played on an APA league team with that can tell you by looking at me if I was hurting bad or not. One member on this board hosted me every Wednesday and he could tell you the same, and he could tell when I had my bad days or good days. Most shots on the table if there are no balls on the table I'll lay down on it to try and keep the pressure off my back. Its the only hobby I have left. I cant play golf anymore, can throw the baseball with the nephew every now and then (very short), cant swing a bat or run or pick up anything over 5lbs. or I risk paralyzing myself. But I'm lucky to shoot twice a month if I'm that lucky. It takes an OxycontinIR just to get me out of bed just to function. Muscle relaxers out the ying yang as well. I know there are others worse than me that play and I dont say "well he's cheating the system" because I dont know what he goes through like he doesnt with me. So I wouldnt be so quick to judge the guy until I found out what he has wrong with him.

It probably happened to you because you use a Meucci...:D
 
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