HomeMy WebLinkAboutRe_ Brett Klein DOL 12_19_2020 Claim 3015741 08.10.22Tim,
DIARY REVIEW
Event: This is a bodily injury claim that was submitted by counsel for the claimant regarding a solo bicycle accident in which the claimant rode over an asphalt lip obstruction for a
driveway in the bike lane, lost control and fell injuring himself.
Statute of Limitations: 12/19/2022
Action plan items from last review and status:
1. On 05/18/2022 I Spoke with Elliot of CIGNA Heath Care that has a lien in the amount of $22,554.20. He was to provide the lien to the claimant’s attorney.
2. On 08/09/2022 I spoke with the claimant attorney. He reported that the claimant’s treatment may be completed and that they will follow-up to confirm. He expects some possible residuals,
and their demand should follow with the next few months.
Coverage: Confirmed under the MOC.
Liability Review: I view this as a case of probable liability on the part of the City for their failure to properly construct and maintain the road surface of the bike lane.
Damages Review – Property Damage: Unknown bicycle damages.
Bodily Injury: Fractured clavicle and six ribs with leg and knee lacerations and contusions.
Submitted Medical Bills: Eisenhower Medical Center for 12/19/2020 ER care at $24,520.43 reduced to $4,200.69,
Desert Regional Medical Center for 12/19-20/2020 service at $55,101.00 reduced to $11,683.89. Recent referral to Orthopedic doctor for evaluation and physical therapy.
Considered: Note probable on-going long-term medical issues during recovery.
Residuals: Possible malunion of the fractured clavicle.
Loss of Earnings Alleged: Yes
Reserve Review: $100,000.00 Appears adequate based on current available information and client protocol.
Updated Action Plan:
1. Obtain sufficient medical information within which to attempt to resolve his matter to avoid litigation.
2. Await any possible action by claimant attorney.
3. I will evaluate for liability and exposure to recommend further handling and monitor the file for the Statute of Limitations.
Subrogation Referral: N/A
William Rice | Claims Examiner
Carl Warren & Company, LLC | A Venbrook Company
PO Box 2411, Tustin, CA 92781
Office: (657) 622-4319 | Fax: (866) 254-4423
Because Quality and Integrity Matter... please EMAIL <mailto:tvaron@carlwarren.com> my Supervisor about the service you received.
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