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PanelQMEMed-legalDenied

Razo, Navin

NAVIN RAZO, Applicant vs. STATE OF CALIFORNIA, DEPARTMENT OF INSURANCE, legally uninsured; adjusted by STATE COMPENSATION INSURANCE FUND/STATE CONTRACT SERVICES, Defendants

ADJ number: ADJ11645837
Decision date: May 11, 2025
District office: Van Nuys
WCJ: —
Claim administrator: State Compensation Insurance Fund/State Contract Services
Commissioners: KATHERINE WILLIAMS DODD, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: cervical spine, lumbar spine, bilateral shoulders, right hand, psyche, fibromyalgia, gastritis, IBS, migraines, dermatitis

LC §5909LC §5900LC §5903LC §5952CCR §10964CCR §10600CCR §10620CCR §10670

Summary

Applicant Navin Razo, a senior insurance examiner/financial analyst, claimed a cumulative trauma injury (10/19/17-10/19/18) and a specific injury (10/25/18) to numerous body parts. The WCJ's January 21, 2025 Joint Findings of Fact, Order and Award found injury AOE/COE to multiple body systems and awarded retroactive temporary disability and permanent disability based on combined impairment. Defendant sought reconsideration arguing the treating physician reports (Drs. Edelman, Zlotolow, and Hannani) were not substantial medical evidence and that the retroactive TD award conflicted with a prior 2020 FA&O. The Board denied reconsideration, finding the physician reports constituted substantial medical evidence, refusing to consider reports never admitted into evidence, and concluding there was no conflict between the prior and current awards because they covered different time periods and changing medical determinations.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.