Preparing A Claim For Hearing- The Perspective Of A Former Hearing Officer

Post on 12-Jul-2015

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Carl E. Habekost, Esq.

BUGBEE & CONKLE, LLP

405 Madison Avenue, Suite 1300

Toledo, Ohio 43604-1238

(419) 244-6788

www.bugbee-conkle.com

OVERVIEWIntroduction

Purpose

Preparation

Presentation

Fact Pattern Hearing Review

INTRODUCTION Time is of the essence

Typical Hearing Officer schedule

20 hours of hearings per week

4 hearings per hour at 15 minutes per hearing

80 hearings per week

40 hours x 60 minutes per hour = 2,400 minutes

2,400 minutes 80 hearings = 30 minutes perhearing file

15 minutes per hearing, 15 minutes to review andwrite order

Hearing Officer Memo K5 requires that thehearing officer issue a final written order within 24hours of the conclusion of the hearing

O.R.C §4121.34

District Hearing Officers

O.R.C §4121.35

Staff Hearing Officers

O.R.C §4121.36

Industrial Commission Hearing Rules

Elements for Order Writing

Statutes

PURPOSEWIN!

Win with an order written in

your favor.

Alternative Purpose

The Teaching of the Vizier

Ptahhotep

PREPARATION

O.A.C. 4121-2-01

Standard of Practice

O.A.C. 4121-3-09

Conduct of Hearings

PREPARATION Identify:

Your “case”

What do you want the hearing officer to do

for you?

Supporting evidence

Facts

Medicine

Law

Traffic Light Analysis

•FACTS

•MEDICINE

•LAW

Traffic Light Analysis

The party with the burden of proof

needs three green lights to prevail.

Who has the burden of proof?

The moving party.

FactsW4 + H

Accident, investigationand police reports

Attendance records

Witness statements

Job descriptions

Employee handbook

Social media search

Medicine

Emergency room reports and medical records

Medical history

Diagnostic studies

IME reports

Medical forms regarding disability and causation

Law Claim allowance

In the course of and arising out of employment…

Natural degeneration of tissue

Employee v. independent contractor

Compensation

Voluntary abandonment

Maximum medical improvement

Refusal of job offer

Statute of Limitations

Occupational disease v. “wear and tear”

Hearing Room Issues

Need more than 15 minutes?

Contact the Hearing Administrator

Need a court reporter?

Hearing Officer Memo R2

Audio visual evidence?

Hearing Officer Memo R7

Submitting Documents

Industrial Commission Online Network (ICON)

All documents submitted are imaged into the

electronic claim file.

Hearing officers review the evidence on ICON to

prepare for hearing using the electronic claim file.

PRESENTATION

“Sure he stretched some things, butmostly he told the truth.”

- Mark Twain.

PRESENTATION

• Hearing presentation is the art of

eliminating the unnecessary.

• Know your audience

• Focus upon the issue(s) noticed for

hearing

StrategyLead with your strongest point

Tell the hearing officer what you want and

what evidence and/or legal theory you are

relying on as support

Refer to evidence on ICON with the date

imaged

Discuss evidentiary issues with opposing

counsel prior to the hearing

DO …

Be respectful to:

Hearing Officer

Injured Worker

Employer

Opposing Counsel

Remain professional

Stay focused on the issue noticed for hearing

DO NOT … Argue irrelevant facts, medicine or law

Take more time than allotted

Argue directly with the opposing party or opposing

counsel

Speak poorly about a hearing officer inside or outside

of hearing room. THE WALLS HAVE EARS!!!

Fact PatternMachine malfunction

Drug impairment

Voluntary

abandonment

VSSR

Intentional Tort

CONCLUSION The purpose of the hearing is to persuade

the hearing officer to write an order in

your favor.

Show respect for the hearing officer by

being prepared, precise, polite and

knowledgeable.

Carl E. Habekost, Esq.

chabekost@bugbee-conkle.com

BUGBEE & CONKLE, LLP

405 Madison Avenue, Suite 1300

Toledo, Ohio 43604-1238

(419) 244-6788

www.bugbee-conkle.com