WCPanelIQ
PanelQMEMed-legalDenied

Jimenez Herrera, Amada

AMADA JIMENEZ HERRERA, Applicant vs. SWEET T’S RESTAURANT + BAR; LP/ ILLINOIS MIDWEST INSURANCE AGENCY, LLC, on behalf of PROCENTURY INSURANCE COMPANY, Defendants

ADJ number
ADJ17939202
Decision date
Jan 11, 2026
District office
Santa Rosa
WCJ
Katie F. Boriolo
Claim administrator
Illinois Midwest Insurance Agency, LLC on behalf of ProCentury Insurance Company
Commissioners
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Injury / body parts: right shoulder

LC §5909LC §5900LC §4453LC §4653LC §5952CCR §10152

Summary

Applicant Amada Jimenez Herrera, a dishwasher/kitchen helper, sustained an accepted industrial injury to her right shoulder on June 7, 2022. The WCJ issued a Findings and Award relying on QME Dr. Daniel Solomon, awarding 22% permanent disability with a P&S date of November 8, 2024, and TTD from April 12, 2023 through November 7, 2024 at a rate to be determined. Defendant sought reconsideration challenging the average weekly earnings methodology, the P&S date (arguing it should be August 20, 2024 per the PTP), Dr. Solomon's application of the AMA Guides, and alleged misstatements in applicant's trial brief. The Appeals Board denied reconsideration, adopting and incorporating the WCJ's report, which found Dr. Solomon's reporting constituted substantial medical evidence and that earning capacity, rather than pre-injury actual earnings, more accurately reflected applicant's true earnings given a post-injury wage increase.

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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