Alvarez-Velasquez v. ICAO - Workers' Compensation Appeal
Summary
The Colorado Court of Appeals affirmed the denial and dismissal of Jesus Alvarez-Velasquez's workers' compensation claim. The court found that the petitioner failed to establish a compensable work injury after an incident on a construction site.
What changed
The Colorado Court of Appeals, in case number 25CA1243, affirmed an order from the Industrial Claim Appeals Office (Panel) that denied and dismissed Jesus Alvarez-Velasquez's workers' compensation claim. The claim stemmed from an incident where the petitioner alleged an excavator bucket struck him, leading to neck and back pain. The Panel's decision, now upheld, was based on the finding that Alvarez-Velasquez failed to establish a compensable work injury, despite initial medical treatment and physical therapy.
This ruling means that Alvarez-Velasquez will not receive workers' compensation benefits for the alleged injury. For employers and insurers in Colorado, this case reinforces the importance of thorough investigation and documentation of work-related injuries, particularly when medical evidence does not clearly support a compensable claim. There are no immediate compliance actions required for other entities, as this is a specific case outcome, but it highlights the standards for proving a compensable injury within the state's workers' compensation system.
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March 19, 2026 Get Citation Alerts Download PDF Add Note
Alvarez-Velasquez v. ICAO
Colorado Court of Appeals
- Citations: None known
- Docket Number: 25CA1243
Precedential Status: Non-Precedential
Combined Opinion
25CA1243 Alvarez-Velasquez v ICAO 03-19-2026
COLORADO COURT OF APPEALS
Court of Appeals No. 25CA1243
Industrial Claim Appeals Office of the State of Colorado
WC No. 5-271-197
Jesus Alvarez-Velasquez,
Petitioner,
v.
Industrial Claim Appeals Office of the State of Colorado and SMH West,
LLC/SM Hentges and Sons, Inc.,
Respondents,
and
Western National Assurance Company c/o Umialik Insurance,
Insurer-Respondent.
ORDER AFFIRMED
Division III
Opinion by JUDGE DUNN
Harris and Moultrie, JJ., concur
NOT PUBLISHED PURSUANT TO C.A.R. 35(e)
Announced March 19, 2026
Amber Sliger, Colorado Springs, Colorado, for Petitioner
No Appearance for Respondent Industrial Claim Appeals Office
Hall & Evans L.L.C., Douglas J. Kotarek, Matthew J. Hegarty, Aaron
Helmberger, Denver, Colorado, for Respondent SMH West, LLC/SM Hentges
and Sons, Inc., and Insurer-Respondent Western National Assurance Company
c/o Umialik Insurance
¶1 Jesus Alvarez-Velasquez appeals an order of the Industrial
Claim Appeals Office (Panel) affirming the denial and dismissal of
his workers’ compensation claim because he failed to establish a
compensable work injury. We affirm the Panel’s order.
I. Background
¶2 In April 2024, Velasquez worked for SMH West, LLC/SM
Hentges and Sons, Inc. (Employer) as a top man on a construction
site. On April 17, Velasquez reported to the foreman that an
excavator bucket hit him while he was working.
¶3 Velasquez did not seek immediate medical attention. The next
day, however, Velasquez went to the hospital, complaining of neck
and back pain. Imaging scans were “unremarkable for significant
traumatic pathology” and showed “no acute fractures or other
injuries.” Velasquez was treated with pain-relieving medications
and released.
¶4 Velasquez followed up about a week later with his primary
care provider, Dr. Backlas, who excused him from work due to
reported back and neck pain. Velasquez continued treatment with
Dr. Backlas and engaged in physical therapy and chiropractic
treatments.
1
¶5 Velasquez filed a workers’ compensation claim and requested
a hearing. Employer and its insurance carrier, Western National
Insurance (collectively, Respondents), contested compensability and
requested an independent medical examination (IME).
¶6 Dr. Marc Steinmetz conducted the IME. In his report, Dr.
Steinmetz preliminarily concluded that the exam was “inconsistent
with any likely valid physical injury,” but he reserved his final
opinion until he received and reviewed additional medical records.
After reviewing the additional records, Dr. Steinmetz supplemented
his report and concluded that the medical records confirmed his
original impression that Velasquez did not suffer an “actual likely
injury from his activities at work.”
¶7 As allowed by statute, Velasquez arranged to have Dr. Sander
Orent present to observe the IME. Dr. Orent did not attend the IME
in person but observed it virtually through Velasquez’s phone. Dr.
Orent did not independently examine Velasquez.
¶8 At the hearing, Velasquez was represented by counsel. He
testified to his version of events — that he was hit by the excavator
bucket and then sought medical treatments for his resulting neck
and back pain. He testified that several people witnessed the
2
incident, but he neither subpoenaed nor presented any of the
alleged witnesses.
¶9 The construction foreman — Velasquez’s brother-in-law —
generally corroborated that Velasquez reported the incident but
admitted that he wasn’t present at the time and didn’t witness it.
The construction manager also testified that after he learned about
the reported injury, he went to the work site to investigate. He
testified that he spoke to “six or seven people on the crew” at the
time of the alleged incident and “[e]veryone else on the crew . . .
didn’t see anything.”
¶ 10 Dr. Steinmetz testified to his conclusion that Velasquez was
“inconsistent” and “unreliable” and did not suffer a work injury.
Dr. Orent testified to perceived deficiencies in Dr. Steinmetz’s IME
but offered no opinion about Velasquez’s medical condition or
whether he suffered a work injury.
¶ 11 After the hearing, an administrative law judge (ALJ) issued an
order denying and dismissing the claim, finding that (1) Velasquez
and the construction foreman were “not credible”; (2) Dr. Steinmetz
“credibly opined that [Velasquez] sustained no injury”; and
(3) Velasquez “failed to establish a compensable” work injury.
3
¶ 12 Velasquez appealed the order and the Panel affirmed.
II. Analysis
¶ 13 Velasquez appeals the Panel’s order affirming the ALJ’s finding
that he did not suffer a compensable work injury. He raises
multiple challenges to the ALJ’s findings. We are not persuaded.
A. Standard of Review and Legal Principles
¶ 14 Our scope of review is narrow. See Metro Moving & Storage Co.
v. Gussert, 914 P.2d 411, 415 (Colo. App. 1995). As relevant here,
we may set aside the order only if “the findings of fact are not
supported by the evidence” or the “denial of benefits is not
supported by applicable law.” § 8-43-308, C.R.S. 2025.
Substantial evidence is “probative, credible, and competent, such
that it warrants a reasonable belief in the existence of a particular
fact without regard to contradictory testimony or inference.” Life
Care Ctrs. of Am. v. Indus. Claim Appeals Off., 2024 COA 47, ¶ 14.
Assessing the weight, credibility, and sufficiency of such evidence is
the ALJ’s exclusive domain, and findings based on conflicting
evidence are conclusive on review. Delta Drywall v. Indus. Claim
Appeals Off., 868 P.2d 1155, 1157 (Colo. App. 1993). Thus, we are
“bound by the ALJ’s factual determinations even if the evidence was
4
conflicting and could have supported a contrary result.” Gilmore v.
Indus. Claim Appeals Off., 187 P.3d 1129, 1133 (Colo. App. 2008).
¶ 15 The Workers’ Compensation Act of Colorado compensates
employees for injuries arising out of and in the course of
employment. § 8-41-301(1)(c), C.R.S. 2025. The claimant,
however, has the burden of proof to establish the occurrence of a
compensable injury. Town of Kiowa v. Indus. Claim Appeals Off.,
2024 COA 36, ¶ 46; see also Faulkner v. Indus. Claim Appeals Off.,
12 P.3d 844, 846 (Colo. App. 2000) (claimant has the burden to
establish causation before any compensation is awarded). Whether
a claimant has met this burden of proof is a question of fact for the
ALJ. Cabela v. Indus. Claim Appeals Off., 198 P.3d 1277, 1280
(Colo. App. 2008).
B. Substantial Evidence Supports the ALJ’s Findings
¶ 16 Though Velasquez raises several discrete challenges to the
ALJ’s findings, threaded throughout all of them is his belief that his
work injury was “undisputed” and “unrefuted” and that he therefore
satisfied his prima facie burden. We disagree.
¶ 17 While Velasquez testified to his version of events, the ALJ
heard evidence that inferentially challenged Velasquez’s account.
5
For instance, though Velasquez and the foreman claimed several
people witnessed his injury, Velasquez did not subpoena or present
any of the alleged witnesses. See Dep’t of Pers. & Admin. Rule 18, 1
Code Colo. Regs. 104-3 (allowing either party to subpoena a witness
in a workers’ compensation action). The one witness Velasquez
presented to corroborate his account, the foreman, admittedly was
not a witness to the event. Beyond that, the construction manager
testified that he specifically spoke with “six or seven” crew members
present the day of the reported injury and none of them saw
anything. To the extent Velasquez claims the ALJ was required to
credit his testimony (even if the ALJ found it incredible), that’s not
correct. Indeed, a fact finder is not required to rely on testimony
even if it is uncontroverted, Levy v. Everson Plumbing Co., 468 P.2d
34, 35 (Colo. 1970), and the ALJ has discretion to credit or reject all
or part of a witness’s testimony, El Paso Cnty. Dep’t of Soc. Servs. v.
Donn, 865 P.2d 877, 881 (Colo. App. 1993); accord Kim v. Grover C.
Coors Tr., 179 P.3d 86, 96-97 (Colo. App. 2007).
¶ 18 And while Velasquez maintains that his medical records
somehow presumptively established his work injury, we disagree.
The admitted medical records reflect nothing more than Velasquez’s
6
reported account of the injury (though they do not reflect entirely
consistent accounts), which the ALJ found “not credible.” The
records do not, as Velasquez asserts, independently corroborate
and “confirm [Velasquez] was injured at work while doing his job.”
And contrary to Velasquez’s insistence, medical records — while
statutorily admissible — are not “presumptively reliable.” See § 8-
43-210, C.R.S. 2025. Evidence isn’t reliable simply because it is
admissible. See People in Interest of J.E.B., 854 P.2d 1372, 1376
(Colo. App. 1993) (“[I]ssues of credibility or reliability go to the
weight of the evidence, not its admissibility.”). It is again for the
ALJ to consider and weigh the evidentiary value of all the admitted
evidence. See Delta Drywall, 868 P.2d at 1157.
¶ 19 But even assuming the records had some independent
evidentiary value, Respondents challenged the injury as reported in
the medical reports through the testimony of Dr. Steinmetz. Dr.
Steinmetz concluded that Velasquez’s reported work injury was
inconsistent with his history, physical exam, and medical records.
Though Velasquez takes issue with Dr. Steinmetz’s opinion, he did
not present a contrary medical opinion. At most, he presented a
witness — Dr. Orent — who criticized how Dr. Steinmetz conducted
7
the IME. But Dr. Orent did not examine Velasquez and offered no
opinion on Velasquez’s purported injury. After considering the
evidence presented, the ALJ credited Dr. Steinmetz. See City of
Littleton v. Indus. Claim Appeals Off., 2016 CO 25, ¶ 51 (“The ALJ
has discretion to determine the weight to be accorded an expert
medical opinion.”); H & H Warehouse v. Vicory, 805 P.2d 1167,
1170 (Colo. App. 1990) (“The ALJ has great discretion in
determining the facts and deciding ultimate medical issues.”).
¶ 20 To the extent Velasquez contends that the ALJ erred by failing
to specifically address individual medical records, Dr. Orent’s
testimony, or other evidence or testimony that Velasquez believes
favors his position, we disagree. An “ALJ is required to make
specific findings only as to the evidence [the ALJ] found persuasive
and determinative.” Gen. Cable Co. v. Indus. Claim Appeals Off.,
878 P.2d 118, 120-21 (Colo. App. 1994). An ALJ has no obligation
to address every issue raised or evidence that the ALJ finds
unpersuasive. Id. Nor are we aware of any requirement that an
ALJ must review and discuss the testimony of every testifying
witness.
8
¶ 21 All that said, we recognize that different evidentiary inferences
could be drawn from the evidence. But the ALJ explicitly found
that Velasquez and the foreman were not credible — a finding that
Velasquez largely fails to acknowledge and that distinguishes this
case from Gates v. Central City Opera House Ass’n, 108 P.2d 880
(Colo. 1940). The ALJ instead credited the construction manager’s
testimony that no crew members reported seeing the accident, Dr.
Steinmetz’s conclusion that Velasquez did not suffer a work injury,
and other inconsistencies in Velasquez’s version of events. These
findings are uniquely within the ALJ’s purview, and we may not
reweigh the evidence or second-guess the ALJ’s credibility findings.
Hoskins v. Indus. Claim Appeals Off., 2014 COA 47, ¶ 10.
¶ 22 In short, viewing “the evidence as a whole and in the light
most favorable to the prevailing party,” and “deferring to the ALJ’s
credibility determinations and resolution of conflicting evidence,” we
conclude that the ALJ’s findings are supported by substantial
evidence. Benuishis v. Indus. Claim Appeals Off., 195 P.3d 1142,
1145 (Colo. App. 2008).
9
C. Right to a “Chaperone”
¶ 23 We next consider Velasquez’s claim that his statutory right to
have Dr. Orent “chaperone” the IME “was violated.” We disagree.
¶ 24 An employee is entitled to have a physician, provided and paid
for by the employee, present during an IME. § 8-43-404(2)(a),
C.R.S. 2025.1
¶ 25 It’s undisputed that Dr. Orent was virtually present and
observed the IME. Indeed, Dr. Orent testified that he was present
during the IME and opined that the IME was deficient. That’s all
the statute requires. See id. While Dr. Orent did not observe
Velasquez before or after the IME — and Dr. Steinmetz did —
Velasquez doesn’t direct us to any authority that requires the
observing physician to view the patient before or after the IME.
While Dr. Orent could have attended the IME in person and
perhaps observed Velasquez before and after, he attended virtually.
And it was Velasquez who initiated the virtual contact and chose to
do so only when he entered the exam room. This hardly constitutes
1 Although the parties refer to the statutory right to a “chaperone”
during the IME, the statute does not use that term. See
§ 8-43-404(2)(a), C.R.S. 2025.
10
Dr. Steinmetz “effectively refus[ing] [Velasquez’s] right to have a
physician present for the examination.”
¶ 26 Velasquez’s real complaint seems to be that Dr. Steinmetz
considered Velasquez’s physical abilities and movement before the
IME, in addition to examining Velasquez and reviewing medical
records, in forming his opinion that Velasquez did not suffer a work
injury. But that argument goes to the weight of his testimony. See
City of Littleton, ¶ 51. And having heard from Dr. Orent and Dr.
Steinmetz, the ALJ specifically found that Dr. Steinmetz “credibly
opined that [Velasquez] sustained no injury.” We may not second-
guess that determination. See Hoskins, ¶ 10.
D. Unavailability of Witnesses
¶ 27 As we understand it, Velasquez contends that a prehearing
ruling that allowed Respondents to withhold the home addresses of
its employees prevented him from calling witnesses “who were at
the scene and saw the incident.”
¶ 28 But Velasquez doesn’t explain how the ruling prevented him
from presenting any corroborating witnesses. After all, Velasquez
identified the witnesses he claimed could support his version of
events and had the right to subpoena those witnesses. See Dep’t of
11
Pers. & Admin. Rule 18, 1 Code Colo. Regs. 104-3. We see nothing
in the record that suggests Velasquez attempted to subpoena any
witness but was somehow prevented from doing so.
¶ 29 To the extent that Velasquez claims that the ALJ erred by
failing to consider the “unavailability of Respondent’s witnesses,”
again, nothing shows any witness was “unavailable.” The ALJ
credited the construction manager’s testimony that “no one present
[was] able [to] confirm the incident occurred” and found “the
contrary insistence of [Velasquez] to be not credible.” We are bound
by that determination.
E. Exclusion of the Claim File
¶ 30 The Panel agreed with Velasquez on one point. Specifically, it
concluded that the ALJ improperly excluded the claim file because
it was the Respondents’ record, but that the exclusion was
harmless. Velasquez argues that the error wasn’t harmless because
the file “held admissions that tended to corroborate [his]
testimony.”2
2 Respondents now argue that the Panel erred by ruling that the
ALJ should have admitted the claim file, but they failed to file a
conditional cross-appeal of the order.
12
¶ 31 We agree with the Panel, however, that the claim file merely
showed that Velasquez made a workers’ compensation claim based
on the alleged incident and that the claim was under investigation.
Contrary to Velasquez’s assertion, the claim file does not contain
“admissions uniquely probative of liability.” Among other things,
the claim file states that “[t]here was an alleged incident where
[Velasquez] was struck by a piece of equipment” and “there were no
witnesses to the injury.” Beyond these neutral statements, the
information in the claim file was largely cumulative of other
properly admitted evidence. Because nothing in the claim file
corroborated Velasquez’s claim and it was cumulative of other
evidence, the exclusion of the claim file was harmless. See
§ 8-43-310, C.R.S. 2025 (“[T]he court shall disregard any
irregularity or error . . . unless it affirmatively appears that the
party complaining was damaged thereby.”).
F. Appellate Attorney Fees
¶ 32 Having concluded that substantial evidence supports the
ALJ’s finding, we disagree with Velasquez that Respondents’
“defense is frivolous.” We therefore deny his request for an award of
appellate attorney fees “[p]ursuant to C.A.R. 39(a).”
13
III. Disposition
¶ 33 The order is affirmed.
JUDGE HARRIS and JUDGE MOULTRIE concur.
14
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