Resolving Complex Workers Compensation Claims

Hosts Matt Yehling and Patty Reinecke welcome back Dan Dalton, Chief Claims and Regulatory Counsel at MEC, to discuss the resolution process for complex and high-exposure workers compensation claims. Dan provides insights into when to begin settlement discussions, the steps involved in resolving these claims, and the role of mediation in reaching a compromise.

Discussion Points:

1.       Timing and Steps for Resolution: Dan explains when to consider settlement and outlines the steps involved in resolving excess claims, from identifying issues to determining exposure and engaging the other party.

2.       Involving Defense Attorneys: MEC strongly recommends involving a defense attorney, especially on large dollar claims, to protect the employer's interests, handle paperwork, and navigate the administrative system. Dan highlights the importance of having legal representation for both the claimant and the employer in complex cases.

3.       Mediation as a Resolution Tool: Dan discusses how mediation serves as an alternative dispute resolution process that brings parties together to reach a compromise. He explains that mediation is particularly effective for claims with disputed issues and high exposure, where a neutral mediator helps the claimant, their attorney, and the employer's representatives find middle ground.