Home/Case Law/SERGIO ALEJANDRO ORTIZ vs. PINDLER & PINDLER, INC.; AMTRUST; BERKSHIRE HATHAWAY HOMESTATE COMPANIES
Regular DecisionRegular Panel Decision

SERGIO ALEJANDRO ORTIZ vs. PINDLER & PINDLER, INC.; AMTRUST; BERKSHIRE HATHAWAY HOMESTATE COMPANIES

Filed: Sep 29, 2025
Anaheim
ADJ11665067

CompFox AI Summary

The Workers' Compensation Appeals Board granted reconsideration of a June 18, 2021 Findings and Order (F&O) which determined that the applicant did not sustain an industrial injury. Lien claimant Bell Community Medical Group petitioned for reconsideration, asserting that the Qualified Medical Evaluator's report established injury arising out of and in the course of employment (AOE/COE). Upon review, the Board rescinded the F&O and substituted new findings, concluding that applicant Sergio Alejandro Ortiz sustained industrial injury to his lumbar spine, bilateral shoulders, and right hand and wrist. Additionally, the Board found that compensation is not barred by Labor Code section 3600(a)(10), and the matter was returned to the trial level for further adjudication.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board granted reconsideration of a June 18, 2021 Findings and Order (F&O) which determined that the applicant did not sustain an industrial injury. Lien claimant Bell Community Medical Group petitioned for reconsideration, asserting that the Qualified Medical Evaluator's report established injury arising out of and in the course of employment (AOE/COE). Upon review, the Board rescinded the F&O and substituted new findings, concluding that applicant Sergio Alejandro Ortiz sustained industrial injury to his lumbar spine, bilateral shoulders, and right hand and wrist. Additionally, the Board found that compensation is not barred by Labor Code section 3600(a)(10), and the matter was returned to the trial level for further adjudication.

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