WCPanelIQ
PanelQMEMed-legalDenied

Raul Radilla — ADJ12660780

RAUL RADILLA, Applicant vs. CARAVAN FOODS II, INC.; GREAT AMERICAN INSURANCE CO., administered by STRATEGIC COMP, Defendants

ADJ number
ADJ12660780
Decision date
Aug 30, 2026
District office
San Francisco
WCJ
Hillary R. Allyn
Claim administrator
Strategic Comp (administering for Great American Insurance Co.)
Commissioners
—

Injury / body parts: neck, low back, left shoulder

LC §4659LC §5909LC §5900LC §5903LC §5952LC §4660LC §3202.5LC §4660.1CCR §10628

Summary

Applicant Raul Radilla sustained an admitted industrial injury to his neck, low back, and left shoulder while working as a machine operator. The WCJ found 96% permanent partial disability based on QME Dr. Raymond Chan's reporting, which used Almaraz/Guzman to increase the left shoulder and lumbar impairments and rebutted the Combined Values Chart (CVC) under Vigil/Kite to add rather than combine the impairments. Defendant sought reconsideration, arguing Dr. Chan's opinion did not constitute substantial evidence and that the CVC should have been used. The Appeals Board denied reconsideration, adopting the WCJ's Report and finding Dr. Chan's reporting and deposition testimony constituted substantial medical evidence supporting both the Guzman analysis and the addition of impairments.

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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