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Craig Claver — ADJ11990093

CRAIG CLAVER, Applicant vs. STATE OF CALIFORNIA, DEPARTMENT OF CORRECTIONS, legally uninsured, adjusted by STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ11990093
Decision date
Aug 15, 2021
District office
Redding
WCJ
Curt Swanson
Claim administrator
State Compensation Insurance Fund
Commissioners
—

Injury / body parts: right hip, right knee, right ankle, left knee

Summary

Applicant Craig Claver, a teacher with the Department of Corrections, claimed industrial injury to his right hip, right knee, right ankle, and left knee from a specific injury on 1/22/19 and a cumulative trauma period from 7/11/13 to 1/22/19. The IME, Dr. Gerard Dericks, initially attributed 100% of disability to the specific injury but later modified his opinion to a 50/50 apportionment between the industrial injury and prior surgeries/pre-existing degeneration. The WCJ found this apportionment opinion did not constitute substantial evidence because Dr. Dericks failed to explain how and why the non-industrial factors caused the disability or how they accounted for 50%, as required by Escobedo. The WCAB adopted the WCJ's report and denied the defendant's Petition for Reconsideration, rejecting the argument that due process required development of the 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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