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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ383777
Regular
Apr 04, 2011

Roxanna Ortiz vs. ONE SOURCE, ESIS

The Workers' Compensation Appeals Board denied Roxanna Ortiz's petition for reconsideration of a prior findings and order. The initial ruling determined she sustained industrial injury only to her cervical spine as a janitor, not to other body parts or any resulting temporary/permanent disability or need for further medical treatment. Ortiz argued the judge erred by favoring defense medical reports and discrediting her testimony due to minor inconsistencies in her injury description. The Board adopted the WCJ's report, emphasizing deference to credibility determinations and that admissibility of medical reports should have been challenged at trial, not on reconsideration. A dissenting opinion argued the judge overemphasized minor variations in Ortiz's account and that medical evidence did not sufficiently support denial of other injuries or further treatment.

OrtizOne SourceESISWCABFindings and OrderPetition for ReconsiderationWorkers' Compensation Administrative Law Judgeindustrial injurycervical spineright arm
References
Case No. ADJ10204001
Regular
Oct 06, 2017

ANIBAL ALVAREZ vs. AMERICAN TIRE DISTRIBUTORS, XL INSURANCE OF AMERICA, BROADSPIRE

The Workers' Compensation Appeals Board denied American Tire Distributors' petition for reconsideration. The defendant sought to overturn a finding that applicant Anibal Alvarez sustained an industrial injury to his low back and cervical/thoracic spine. The Board affirmed the original judge's decision, relying on the applicant's credible testimony and the treating physician's opinion, which it found to be consistent with substantial medical evidence. The Board emphasized the judge's authority to weigh conflicting medical opinions and assess witness credibility.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and Orderindustrial injurylow backcervical spinethoracic spinelumbar spineforklift driverpanel Qualified Medical Evaluator
References
Case No. ADJ7969168; ADJ9330687
Regular
Mar 23, 2016

Mario Alcantar vs. Alfredo Melchor, Zenith Insurance Company

This case involves applicant Mario Alcantar's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision. The WCAB previously rescinded a joint finding and substituted a new one finding applicant sustained a lumbar spine injury but not a cervical spine injury during specified employment periods. Alcantar sought reconsideration to include a cervical spine injury during a different, unspecified period. The WCAB denied the petition, affirming its prior decision and incorporating it by reference.

Petition for ReconsiderationDecision After ReconsiderationJoint Findings of Factcumulative periodlumbar spinecervical spineindustrial injuryarising out of and occurring in the course of employmentWorkers' Compensation Appeals BoardZenith Insurance Company
References
Case No. ADJ10679103
Regular
Dec 14, 2017

LARRY SYKES vs. THE ANSCHUTZ CORPORATION, STARR INDEMNITY & LIABILITY COMPANY

The Workers' Compensation Appeals Board granted reconsideration of a prior finding of industrial injury to the applicant's lumbar spine. The Board found that the existing medical reporting from Dr. Hong, Dr. Jamasbi, and the PQME Dr. Schofferman did not constitute substantial evidence to support this lumbar spine injury finding. Therefore, the case is returned to the trial level to develop the record further on the lumbar spine injury issue.

Workers' Compensation Appeals BoardPetition for ReconsiderationIndustrial InjuryCervical SpineThoracic SpineLumbar SpineStagehandSecurity OfficerMedical Treatment RecordsSubstantial Evidence
References
Case No. ADJ6626529
Regular
Nov 05, 2015

NICOLAS WALKER vs. LOS ANGELES UNIFIED SCHOOL DISTRICT

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to further study the issues in this case. The WCAB rescinded the prior Findings of Fact & Award, denied the defendant's motion to be relieved of stipulation regarding the thoracic spine, and found that the applicant sustained industrial injury to his cervical spine, shoulders, and thoracic spine. The WCAB deferred issues of permanent disability, apportionment, and attorney's fees, returning the matter to the WCJ for further record development.

Workers' Compensation Appeals BoardNicolas WalkerLos Angeles Unified School DistrictSedgewick Claims Management ServicesInc.ADJ6626529Opinion and Decision After ReconsiderationFindings of Fact & AwardWCJcervical spine
References
Case No. ADJ9841969
Regular
Jul 23, 2019

MARIA ALBERTO vs. GUARDIAN HOME CARE, ZURICH AMERICAN INSURANCE COMPANY

This case involves a workers' compensation applicant who sustained injuries to her left elbow, left upper extremity, lumbar spine, and right knee. The WCAB granted reconsideration of an administrative law judge's decision to re-evaluate specific injuries and permanent disability. The Board found that further development of the medical record was necessary concerning alleged injuries to the right wrist, thoracic spine, and cervical spine. Consequently, the decision defers these issues and the determination of permanent disability pending further medical evidence.

WCABReconsiderationPanel Qualified Medical EvaluatorAdministrative Law JudgePermanent DisabilityIndustrial InjuryCervical SpineThoracic SpineRight WristMedical Opinion
References
Case No. ADJ8558358
Regular
Sep 22, 2025

JOSE MEJIA vs. JB CRITCHLEY, INC., AMERICAN CLAIMS MANAGEMENT

The Workers' Compensation Appeals Board granted reconsideration to clarify that the defendant's prior appeals regarding the applicant's stipulated average weekly wage and permanent disability rate were exhausted and that the award was final as of October 2, 2024. The Board affirmed the imposition of penalties under Labor Code section 5814 and attorney fees under section 5814.5 due to the defendant's unreasonable delay in paying the final award. The defendant's arguments regarding seasonal employment and extrinsic mistake were rejected as the stipulated wages and findings were final and not adequately supported for setting aside. The original Findings and Award were rescinded and substituted to reflect the finality of the prior decision and the confirmed penalties and fees.

Labor Code section 5904Petition for ReconsiderationFindings and Awardsemi-truck drivercervical spinethoracic spinelumbar spinehearing losspsychehypertension
References
Case No. ADJ3745700 (OXN 0128625), APJ6812951
Regular
Dec 24, 2012

PAUL HARBER vs. PGP INC; CNA INSURANCE COMPANY; VARGAS EXCAVATING INC.; STATE COMPENSATION INSURANCE FUND

The Appeals Board granted reconsideration of the original award, which found industrial injury but denied reimbursement for self-procured medical treatment. The Board found the applicant's petition for reconsideration was timely filed. The Board amended the award to defer the issue of reimbursement for self-procured medical treatment expenses and returned the matter to the trial level for further proceedings. Otherwise, the original award finding industrial injury to the applicant's bilateral wrists, elbows, cervical spine, and lumbar spine was affirmed.

Workers' Compensation Appeals BoardReconsiderationJoint Findings Award OrderAdministrative Law JudgeCumulative Trauma InjuryIndustrial InjuryBilateral WristsBilateral ElbowsCervical SpineLumbar Spine
References
Case No. ADJ9815883 ADJ9815873
Regular
Apr 03, 2017

OCTAVIO AVILEZ vs. ANDRE LANDSCAPE SERVICE, INC., STARR INDEMNITY & LIABILITY CO.

The Workers' Compensation Appeals Board granted reconsideration to clarify the applicant's alleged industrial injuries to his cervical and lumbar spine. An agreed medical evaluator's reports present conflicting opinions regarding causation and permanent disability from the incidents on August 12, 2014, and January 9, 2015. The Board is deferring the spine injury issue pending further clarification from the evaluator on whether these incidents caused any disability or required medical treatment. The Board also expressly found no industrial injury to the upper and lower extremities and deferred all other body parts.

Workers' Compensation Appeals BoardPetition for ReconsiderationAgreed Medical EvaluatorOrthopedistIndustrial InjuryCervical SpineLumbar SpineUpper ExtremitiesLower ExtremitiesDeferred Issue
References
Case No. ADJ11756808
Regular
Apr 04, 2023

JASON KOLB vs. TAMPA BAY DEVIL RAYS, TRAVELERS INDEMNITY COMPANY

This case involves a professional athlete claiming cumulative industrial injury to multiple body parts. The Appeals Board granted reconsideration, finding that the initial judge erred by solely awarding benefits for the left shoulder, despite unanimous medical evidence of injury to other areas. The Board adopted the opinions of Dr. Kim, finding industrial injury to the cervical spine, lumbar spine, right shoulder, left elbow, wrists, hands, fingers, hips, and left knee. Consequently, the applicant's permanent disability award was increased from 3% to 41%.

ADJ11756808Petition for ReconsiderationFindings and AwardPermanent DisabilityIndustrial InjuryCervical SpineLumbar SpineRight ShoulderLeft ElbowWrists
References
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