WCPanelIQ
PanelQMEMed-legalDenied

Courtney Roberts — ADJ13685348

COURTNEY ROBERTS, Applicant vs. SECURITAS SECURITY SERVICES USA, INC., permissibly self-insured, administered by SEDGWICK, Defendants

ADJ number
ADJ13685348
Decision date
May 5, 2021
District office
San Jose
WCJ
—
Claim administrator
Sedgwick (administering for Securitas Security Services USA, Inc., permissibly self-insured)
Commissioners
ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER
LC §5904CCR §10843CCR §10955

Summary

Defendant Securitas Security Services USA (permissibly self-insured, administered by Sedgwick) petitioned for reconsideration of a WCJ's February 22, 2021 Findings and Order, challenging only the WCJ's determination that chiropractic was the appropriate specialty for the QME panel. The Appeals Board first analyzed whether the WCJ's decision was final (subject to reconsideration) or non-final (subject to removal), noting the decision was a hybrid containing both a threshold finding and an interlocutory QME specialty issue. Because defendant disputed only the interlocutory QME specialty determination, the Board applied the removal standard. The Board concluded that defendant failed to demonstrate significant prejudice or irreparable harm, and that reconsideration would be an adequate remedy if a final adverse decision later issued. Accordingly, the petition was denied.

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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