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Collaborating to Mitigate Costs on Complex Workers Compensation Claims
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Manage episode 417963429 series 3363966
Hosts Matt Yehling and Patty—Reinecke are joined by Gina Holt, former Client Consultant Manager and current ISI Underwriter at MEC, to discuss how MEC collaborates with clients and TPAs to mitigate costs on complex, potentially excess-level workers compensation claims. Gina shares insights on MEC's hybrid role, early intervention strategies, and leveraging internal resources to improve claim outcomes.
Discussion Points:
- Early Intervention and Collaboration: Gina emphasizes the importance of early intervention and collaboration among MEC, clients, and TPAs to prevent medical costs from compounding. MEC's team reviews claims to identify red flags and provide mitigation strategies.
- Managing Excess Claims: Gina outlines the key components of successfully managing an excess claim: communication and trust. MEC takes a holistic approach, engaging their resources to develop mitigation strategies in collaboration with the TPA and defense attorney.
- Connecting with Injured Employees: Gina shares an example of how MEC's interventions, such as medication reviews, can significantly improve an injured worker's quality of life by addressing issues like over-medication and helping them return to a more functional lifestyle.
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