WCPanelIQ
PanelQMEMed-legalGranted

Lozano, Daniel

DANIEL LOZANO, Applicant vs. FLEET MAINTENANCE SOLUTIONS; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ12435916
Decision date
Mar 26, 2026
District office
Bakersfield
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, PAUL F. KELLY, COMMISSIONER

Injury / body parts: left hand finger, left wrist, left hand, left shoulder, left arm, left upper extremity

LC §59LC §5909LC §5900LC §3600LC §4060LC §4061LC §4062.3LC §5903LC §5952LC §5313LC §5701LC §5906CCR §10600CCR §10787

Summary

Applicant Daniel Lozano, a mechanic, sustained an admitted industrial injury to a finger of his left hand and left wrist on June 11, 2017, resulting in 11% PPD. He later claimed that an April 16, 2023 dirt-bike accident—in which his left hand allegedly seized up causing him to lose control—was a compensable consequence of the 2017 injury, adding left shoulder, arm, and upper extremity injuries. The PWCJ found the 2023 injury nonindustrial and not a compensable consequence, relying on the QME's opinion. The Appeals Board granted reconsideration, finding the QME's causation opinion conclusory and not substantial medical evidence because it ignored applicant's documented ongoing left wrist/hand symptoms (including the wrist 'seizing up') shortly before the accident. The Board affirmed the F&A but deferred the issues of other body parts, MMI, permanent disability, compensable consequence, and attorney's fees, and returned the matter for further development of the medical record.

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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