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About MECC
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Excess Workers’ Compensation
Assumed Reinsurance
Large Deductible
Group Captives
about
MECCSince its formation in 1986, MECC has focused exclusively on providing workers’ compensation excess insurance products to individualemployers, groups and insurance companies nationwide. While thepolicy coverages offered by carriers may look similar, whatdifferentiates MECC is our approach to helping customersachieve best practice performance in their workers’compensation program. MECC focuses on helpingcustomers take greater control of their costs byproviding innovative solutions that will lower theirtotal cost of risk.
Superior Strength
• Superior Strength
• Early Identification & Intervention
• Best-In-Class Excess Claims Management
• Willing to Invest in Better Solutions to Achieve Better Outcomes
A+A.M. Best Rating:
(Superior),FSC XV ($2 Billion or Greater)
MECC is a member company of W.R. Berkley Corporation,a Fortune 500 company.
products
Workers’ Compensation Excess Insurance Products
We provide tailored workers’ compensation excess insurance
products that meet the unique needs of individual employers,
groups and insurance companies, nationwide. Industries include,
but are not limited to: Manufacturing, Healthcare, Education,
Public Entities, Agriculture, Construction, Transportation,
Non-Profit and Retail.
COVERAGE• Excess Workers’ Compensation: Individual & Group Self-Insurance
• Assumed Reinsurance
• Group Captives
• Large Deductible
DISTRIBUTIONMECC distributes its insurance products
and effective solutions through a nationwide
agency network, which is supported by
MECC’s underwriting and field sales support
team. Our sales and underwriting professionals
work with agents to tailor coverage and
services to the specific needs of each client.
services
Willing to Invest in Better Solutions to Achieve Better Outcomes
MECC understands the importance of creating a culture of safety,
as well as best-in-class excess claims management. Developing
and maintaining an effective program takes time and
resources. Our services are available to supplement
and strengthen your program.
CONSULTING& ONLINE RESOURCES• Industry Practice Leaders (Education / Healthcare / Public Entity)
• Client Advisors
• Large-Claim Expertise (Pharmacology/Medical/Legal)
• Predictive Analytics on Migratory Claims
• Performance Benchmarking Analytics
• Frequency & Severity Analytics
• Web Seminars
• Return To Work Resources
• On-site Loss Prevention
• Vendor Partners
claimsWith caseloads that are 50% below the industry
average, you can rest assured that we will be able to
devote the time required to provide consultation to
help customers manage the most complex claims,
starting on day one.
Best-In-Class Excess Claims Management
CLAIMS EXPERTISEMECC clients have access to the most experienced and respected excess workers’ compensation claims professionals and best-in-class resourcesin the industry.• Medical Director (Physician)• Medical Management Consultants (Registered Nurses)• Claim Analysts• Claim Attorneys• Specialty Vendors• Top-Rated Centers of Excellence• Medicare Set Asides• Opioid Management• Settlements• Pharmacy Benefit Management• Peer to Peer Reviews• Return to Work• Bill Negotiations• Medical Intervention• Functional Restoration• Catastrophic Ancillary Services• Home Modification Services• Investigations• Predictive Analytics
Early Identification & Intervention
predictive analytics
MECC’s early identification and intervention
strategy consists of two predictive models:
Model #1 This model identifies claims likely to exceed
$50K. Our clients are able to prioritize their
claims and align the proper interventions to
improve the injured worker’s quality of life,
ultimately saving money in lower claim costs.
Model #2For claims predicted to exceed the self-insured
retention, MECC’s best-in-class excess claims
experts apply effective intervention strategies
that result in better outcomes for all.
reportsMECC clients have full access to their workers’ compensation program
data. These reports include benchmark, performance matrix, policy
coverage terms, and total cost of risk.
BENCHMARKThis report shows multiple views of how your workers’ compensation program is currently performing compared to your peers.
PERFORMANCE MATRIXSee how your claim frequency and average cost per claim compare to your unique benchmark expectation.
POLICY COVERAGE TERMSReview your current and historical policycoverage terms with MECC.
TOTAL COST OF RISKThis report shows you the impact of alllosses and expenses associated with on the job injuries and their administration for each policy period.
optum
Opioid Defense Manager is designed to protect employees, physicians and employers by
reducing inappropriate drug use while maintaining the necessary balance to provide pain
relief for the claimant.
MECC has partnered with Optum, an innovative, best-in-class provider of claim
management solutions using advanced technology that recognizes at-risk clamants.
PHARMACY BENEFIT MANAGEMENT (PBM)
OTHER SERVICES• Clinical Services• Durable Medical Equipment• Home Health Services• Home & Vehicle Modifications• Orthotics & Prosthetics• Electrotherapy• Translation Services• Transportation Services
msa optimizerOur nurses proactively work with your claim professionals prior
to settlement discussions and MSA preparation to engage
expert clinical interventions. This includes reducing unnecessary
treatment, prescription costs and improving injured
worker function, leading to lower ongoing
medical costs. This is a free service on your
reportable excess claims.
WHAT IS AN MSA?A Medicare Set Aside (MSA) is the tool used to fund future Medicare-covered expenses that arise from a Medicare beneficiary’s work related injury. MSAs are the recommended methos to protect Medicare’s interests..
HOW IS THE MSA AMOUNTDETERMINED?The amount is determined after a reviewof lifetime projected medical services iscompleted by a third party vendor and then submitted to Centers for Medicare andMedicaid Services (CMS) for approval.Medical cost projections for individualMSAs vary dramatically among vendors.MSA submissions that are “under-estimated” can be increased substantially by CMS; those that are “over-estimated” can leave money on the table and be an unnecessary financial burden to the employer.
Superior Strength
Early Identification & Intervention
Best-In-Class Excess Claims Management
Willing to Invest in Better Solutions to Achieve Better Outcomes
www.mwecc.com