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Claims Services Midwest Employers Casualty offers comprehensive claim services to ensure our clients receive personalized service throughout the claim process. Best-in-Class Claims Team Medical Cost Mitigation Our clients have access to the most experienced and respected We partner with premier vendors to negotiate discounts on excess workers’ compensation claim professionals in the industry. the significant cost drivers on large claims, including but not Our in-house staff includes: limited to: • Chief Medical Officer — helps oversee difficult cases and • Hospital and surgical bills • Durable medical equipment performs medical reviews to determine appropriateness of • Attendant care rates • Prosthetics care. • Long-term facility rates • Home modifications • Medical Management Consultants — experienced CAT nurses that work with the employee and their families to advocate for Chronic Pain Management the injured employee and to secure the best care available, and Injured workers often need a variety of interventions to help them achieve the best possible outcome for the employee. cope with their injuries. We partner with Functional Restoration • Specialized Analysts and Attorneys work with you to manage Centers of Excellence that specialize in treating and helping the legal issues. most seriously disabled workers. Our experts can evaluate each case individually and recommend the best and most cost-effective Claim Consultation long-term solution for each injured Our consultative claim team will meet with our insureds to discuss worker. claims and work to find the best possible solutions. We’ll work to find solutions for these complex workers’ compensation claims, Settlements often well within their retention. On Staff Attorneys — work with you to identify loss mitigation opportunities, develop aggressive settlement strategies and can Medical Centers of Excellence work with your defense counsel or negotiate directly with the We have “network contracts” to secure the transfer of the injured injured employee’s counsel to achieve optimum settlement results worker to a medically appropriate center of excellence. at no additional cost. Pharmacy Management XCEL Analytics© Clients are able to save on Pharmacy Benefit Management (PBM) XCEL Analytics®helps identify claims likely to escalate within the by leveraging our buying power. Our PBM also provides excellent self-insured retention. With an emphasis on early identification clinical services to ensure proper utilization and conversion to of potential large-loss claims, we assist the adjuster by identifying generics. We utilize strategic partners to manage costs on the claims with actionable opportunities for achieving better most complex cases, resulting in significant lifetime savings. outcomes. Medicare Set-Aside (MSA) Optimizer Our MSA certified Medical Management Consultants and Attorneys review vendor prepared MSAs to ensure they are consistent with medical records and comply with Medicare protocols. We identify cost mitigation opportunities to drive down the cost of the MSA, making settlement more cost-effective. Visit www.MECasualty.com to learn more. Page 55 of 201