Adjudication Of Claim Case Paper

After several X-rays, it was determined that Plaintiff suffered a fractured vertebrae of the L4 vertebrae. See Defendant’s Response to Plaintiff’s Request for Admissions No. 17, Exhibit No. 5, Plaintiff’s Medical Chart/Notes dated February 11, 2014 and Exhibit 8, Plaintiff’s back X-ray dated February 11, 2014.

Witnesses Gustavo and Armando said they refute the claimant’s CT: 6/2014 through 6/2015 which included cumulate trauma of injuries to the claimant's shoulders, back, lower extremities, left elbow, hands, fingers, legs, knees, stress and anxiety. The also contested the specific claim of injury that allegedly occurred on 2/2015 when the claimant alleged injured his back, lower extremities and left knee at work.

It appears that Ms. Smyth sent a request to Jim (Assigned Case Manager) to amend her claim on August 25, 2015. On August 27, 2015, Ms. Smyth provided the amendment information to Jim.

On the morning of August 16, 2017, Wilma Waedle came to my office to discuss a past workman’s comp claim. According to her personnel file, the workman’s comp claim that she was referring to was closed in 2015. That released her to full duty as a Qualified Medical Administration/Certified Nursing Assistant. Ms. Waedle stated that her arm from the previous claim was still causing her pain. She also stated that she had the doctor cleared her so she could continue to work but did not get to the real cause of her pain.

Ms. Yu claimed during her interview that she had no information to give as to the claimant’s evaluation, attendance and her past employment history. Furthermore, she had no information about the claimant’s medical history, injuries at previous employers, or any other work related injuries with this employer.

My office has completed the necessary steps to address the anomalous claim. My office is awaiting a response from your office to proceed with her request for a new claim.

Your affiant interviewed C1’s attending doctor. IT reported that IT visually examined C1’s injuries. The injuries were appeared to be minor. IT further reported that C1 was under influence of alcohol and pending other medical testing report.

The applicant has also alleged an injury to his neck, left upper extremity and left lower extremity. These claims have been denied.

After the claimant’s termination, Ms. McClellan alleged the company was the company was served with a subpoena regarding the claimant and her attorney’s intent to file a workers comp claim in behalf a specific claim reported on 2-21-15, with regards to multiple injuries associated with the claimant’s upper and lower extremities.

There has been an error in the court system. Apparently, the court has associated this date of injury with a different issuer. We have been in constant contact with the applicant’s attorney to correct this issue. The employer on the Application for Adjudication of Claim clearly listed Salinas Tallow Company, LLC as the employer, but for some reason, the court had a different employer listed. As soon as we fix this error, we will file a Notice of Representation. I will then file an Answer to the Application for Adjudication of Claim, specifically asserting our statute of limitation

We have also received correspondence from co-defendant’s attorney, Law Offices of Stacey L. Tokunaga, requesting any information supporting the filing of our Application for Adjudication of Claim. We have also

Facts: This is a UIM claim arising from a motor vehicle accident in Oxford, Alabama. The plaintiff and your insured, Jamie Holt, was stopped behind another vehicle at a red light on Highway 21. A vehicle struck Mr. Holt’s vehicle from the rear while traveling at approximately 40 mph, pushing Mr. Holt’s vehicle into the vehicle directly in front of his. Mr. Holt was taken to Regional Medical Center in Anniston, Alabama via ambulance. Mr. Holt has already settle with the tortfeasor insurer, Progressive, for the policy limits of $100,000.00.

The claimant has a 55% schedule loss of use of the right leg. There is no permanency to the back.

As you know, the case is established for an injury the neck and right shoulder with an average weekly wage of $707.03. She has not had any compensable lost time and the issue now is one of permanency.

With reference to my claim resulting from the accident I was involved in on the 29th of June 2014.