WCPanelIQ
PanelQMEMed-legalGranted in Part

Muratalla, Katrina

KATRINA MURATALLA, Applicant vs. TELECARE CORPORATION; ARCH INDEMNITY INSURANCE COMPANY; Administered by GALLAGHER BASSETT SERVICES, Defendants

ADJ number
ADJ16305170
Decision date
Jun 29, 2025
District office
Santa Ana
WCJ
—
Claim administrator
Gallagher Bassett Services (administering for Arch Indemnity Insurance Company)
Commissioners
ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: neck, back, hands, wrists, fingers, shoulders, knees, feet

LC §5412LC §5909LC §5900LC §3208.1LC §5500.5LC §5500LC §3600LC §3202.5CCR §10856

Summary

Applicant, a licensed vocational nurse, claimed cumulative injury through May 8, 2022. The WCJ found AOE/COE injury to the neck and back, set the section 5412 date of injury as the date of the treating physician's initial report, and found the claim not barred by the statute of limitations. Defendant petitioned for reconsideration, arguing the WCJ improperly found injury to specific body parts (since parts were deferred), used the wrong date of injury, and lacked substantial evidence of causation. The Board granted reconsideration only to correct a clerical error in the date of injury (from June 2, 2022 to June 21, 2022) and otherwise affirmed the F&O. The Board found the PQME's opinion not substantial because it rested on an incorrect legal theory (post-termination defense) and an inadequate medical history, while the treating physician's reports combined with credible applicant testimony constituted substantial evidence.

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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