WCPanelIQ
PanelQMEMed-legalLienDenied

Cheng, Colly

COLLY CHENG, Applicant vs. BENIHANA; ZURICH NORTH AMERICA, ADMINISTERED BY BROADSPIRE, A CRAWFORD COMPANY, Defendants

ADJ number
ADJ12445186
Decision date
Nov 26, 2023
District office
Los Angeles
WCJ
William M. Carero
Claim administrator
Broadspire, A Crawford Company (administering for Zurich North America)
Commissioners
—

Injury / body parts: shoulders, left arm, left elbow, fingers, low back, legs, knees, high blood pressure (hypertension), dental, headaches, psyche

Summary

Applicant Colly Cheng, a server at Benihana for 22 years, claimed a cumulative trauma injury affecting multiple orthopedic body parts, psyche, and dental (bruxism). The WCJ found industrial injury supported by PQME Dr. Balian's orthopedic findings, Dr. Francisco's psychological report, and Dr. Schames' dental reporting. Defendant Zurich (administered by Broadspire) sought reconsideration, arguing the medical reporting was not substantial medical evidence and that the claims were timely denied. The WCAB denied reconsideration, adopting the WCJ's report, but declined to adopt the 'Denials' section because the timely-denial/presumption-of-compensability issue was not raised in the Petition. The Board found the decision supported by substantial medical evidence.

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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