Jacobi Journal of Insurance Investigation

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Jury Awards $145M: Insurance company held accountable for denying worker’s legitimate claim

April 14, 2025 | JacobiJournal.com – A California jury has awarded $145 million to a worker after determining that his workers’ compensation claim was wrongfully denied by his employer’s insurance company. The ruling highlights the financial consequences that insurers face when denying legitimate claims in bad faith.

Case Background

The worker, employed in construction, suffered serious injuries after falling at his worksite. His workers’ compensation claim was submitted in accordance with California law but was rejected by the insurance company, which cited insufficient evidence of injury severity. As a result, the worker had to pay for his medical treatments out of pocket, leading to financial and emotional distress.

Legal Ruling and Jury’s Decision

After a lengthy trial, the jury ruled that the insurance company acted in bad faith by unreasonably denying the claim. The jury found that the insurer’s actions caused undue hardship for the worker, who had no alternative for covering medical expenses and lost wages. Jury Awards $145M

“This ruling sends a strong message to insurers that they cannot deny legitimate claims without facing serious consequences,” said the worker’s attorney. “This award speaks to the harm caused by bad faith actions in workers’ compensation claims.”

Broader Implications for Insurers

This landmark case is expected to set a significant precedent for future workers’ compensation lawsuits in California. Legal experts suggest that insurers will now face heightened scrutiny regarding their claim review processes. The verdict underscores the importance of ensuring timely and fair compensation for workers injured on the job.

For more insights into workers’ compensation law and similar cases, visit our workers’ compensation section.

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🔗 Source: Legal News Network

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