File #: 21-5296    Version: 1 Name: Risk Management Workers Compensation Settlement - 1119498 Jimenez, Magdalena
Type: Workers' Compensation Claims (Risk Management) Status: Approved
File created: 9/15/2021 In control: Finance Committee
On agenda: 10/6/2021 Final action:
Title: WORKERS' COMPENSATION CLAIMS (RISK MANAGEMENT) Employee: Jimenez, Magdalena Job Title: 1360.Correctional Officer Department: Department Of Corrections Date of Incident: 4/2/2021 Incident/Activity: While securing another inmate, an inmate threw a chair which struck employee in the left shoulder and facial areas. Accidental Injuries: Shoulder(s) Petition and Order No: 21 WC 009241 Claim Amount: $8,090.30 Attorney: Al Koritsaris, Argionis & Associates, LLC Date of Subcommittee Approval: N/A Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims.
Indexes: DEANNA ZALAS, Director, Department of Risk Management

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WORKERS’ COMPENSATION CLAIMS (RISK MANAGEMENT)

Employee: Jimenez, Magdalena

Job Title: 1360.Correctional Officer

Department: Department Of Corrections

Date of Incident: 4/2/2021

Incident/Activity: While securing another inmate, an inmate threw a chair which struck employee in the left shoulder and facial areas.

Accidental Injuries: Shoulder(s)

Petition and Order No: 21 WC 009241

Claim Amount: $8,090.30

Attorney: Al Koritsaris, Argionis & Associates, LLC

Date of Subcommittee Approval: N/A

Prior/pending claims: The Department of Risk Management is submitting for your information the attached claims summary with all prior and pending claims.

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