WCPanelIQ
PanelQMEDenied

Resendiz Morales, Susana

SUSANA RESENDIZ MORALES, Applicant vs. COAST SEAFOOD COMPANY; ZURICH AMERICAN INSURANCE COMPANY, administered by GALLAGHER BASSETT, Defendants

ADJ number
ADJ10653838
Decision date
Sep 4, 2025
District office
Santa Rosa
WCJ
Heidi K. Hengel
Claim administrator
Gallagher Bassett (administering for Zurich American Insurance Company)
Commissioners
—

Injury / body parts: low back, lower extremities, digestive, head, neck, left shoulder, left wrist, psyche

LC §5909LC §5900LC §5902LC §5410CCR §10600CCR §10972

Summary

Applicant Susana Resendiz Morales, acting in pro per, sought reconsideration of a Joint F&O finding she did not sustain new and further disability and dismissing her Petitions to Reopen in three cases against Coast Seafood Company. The WCJ relied on QME Dr. Wayne Anderson, who opined that any worsening of applicant's condition—including alleged depression—was attributable to a subsequent April 2, 2020 injury with a different employer (AMB Labor Services), not the prior Coast Seafood injuries. Applicant argued the WCJ failed to adequately consider her mental health evidence. The Appeals Board denied reconsideration, adopting the WCJ's Report, which noted the petition lacked specific references to the record and that Dr. Anderson's reporting constituted substantial medical evidence. The Board also addressed the timeliness of its decision under amended Labor Code section 5909.

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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