WCPanelIQ
PanelQMEMed-legalGranted

Conley, Matthew

MATTHEW CONLEY, Applicant vs. NORTHROP GRUMMAN CORPORATION, and AIG administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ16819991
Decision date
Nov 8, 2023
District office
Van Nuys
WCJ
—
Claim administrator
Sedgwick Claims Management Services (administering for AIG)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: back, lumbosacral spine, L5-S1 disc

LC §5952CCR §10517

Summary

Applicant Matthew Conley claimed a back injury on May 25, 2021 while working as a structural mechanic for Northrop Grumman. The WCJ found no injury AOE/COE and ordered applicant take nothing, relying heavily on inconsistencies regarding the date of injury and a nurse's Illness and Injury Report indicating different dates. The QME, Dr. Santaniello, found the back condition medically reasonable and related to the claimed injury, but had not been provided the Illness and Injury Report. The Appeals Board granted reconsideration, finding the QME's opinion was not substantial evidence because it was not based on an accurate and complete medical history. The Board rescinded the F&O and returned the matter to the WCJ to develop the record by sending the complete Illness and Injury Report and trial testimony to Dr. Santaniello for a supplemental report.

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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