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ALTERNATIVE DISPUTE RESOLUTION NATIONAL WEBINAR June 17, 2014 (c) Teddy Snyder 2014

Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

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Page 1: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

ALTERNATIVE DISPUTE RESOLUTION

NATIONAL WEBINARJune 17, 2014

(c) Teddy Snyder 2014

Page 2: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

Teddy Snyder mediates Workers Compensation cases throughout California.

An attorney since 1977, she has concentrated on claim settlement for over 20 years.

Teddy was in the first group LEXIS-NEXIS named as notable persons in Workers Compensation in 2008.

She is a nationally recognized expert on Medicare Secondary Payer and Affordable Care Act issues affecting settlement, having written and spoken extensively on these subjects.

Page 3: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

I keep six honest serving-men(They taught me all I knew);Their names are What and Why and When And How and Where and Who.

Rudyard Kipling

Page 4: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration
Page 5: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

AND THEN THERE’S LONGSHORE

Page 6: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

AND DEFENSE BASE ACT

Page 7: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

ARBITRATION

MEDIATION

Page 8: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

ALTERNATIVE DISPUTE CHOICES

ALTERNATIVE TO WHAT?

Page 9: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

AT PUBLIC OR PRIVATE FACILITY

MAY BE PUBLICLY OR PRIVATELY FUNDED

Page 10: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

USUALLY BY AGREEMENT

CARVE-OUTS

Page 11: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHAT IS ARBITRATION?

PRIVATE

SUBSTITUTE FORCOURT PROCEEDING

CONDUCTED BY A NEUTRAL

WHICH RESULTS IN A RULING

Page 12: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

RULES

WHEN TO ARBITRATEWHO CAN BE ARBITRATOR

WHAT ISSUES TO ARBITRATEHOW TO INTRODUCE EVIDENCE

HOW TO ENFORCE AWARD

Page 13: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

ARBITRATION

DEFINITIVE RULINGCAN BE BINDING

No right of appealOR

NON-BINDINGCan Request Trial De Novo

Page 14: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

ADVANTAGES OF ARBITRATION

FASTER THAN A COURT PROCEEDINGStart Date/Continuity of Proceedings

Speed Saves Money

CAN CHOOSE THE ARBITRATORFairness Issues

Page 15: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHAT IS MEDIATION?

A voluntary meeting where a neutral person, the mediator chosen by the parties,

helps the parties communicate to resolve their disputes

Page 16: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHAT IS MEDIATION?

Mediation is facilitated negotiation

Page 17: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHY DO YOU NEED IT?

Most likely, your attorney is a gladiator, not a settlement expert

Page 18: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

MEDIATION

Get a SettlementNot a hearing-no rules

Any IssueNo admission of evidence

Not Binding

Page 19: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHO’S USING MEDIATION?MORE THAN A DOZEN STATES HAVE

WORKERS COMPENSATION MEDIATION PROGRAMS

Alabama (ombudsperson)Florida Georgia Indiana (ombudsperson)LouisianaMichiganMississippi

MontanaNorth CarolinaOhioOregonPennsylvania South Carolina West Virginia

Page 20: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHO’S USING MEDIATION?

STILL PRETTY NEW IN CA

HARDLY USED IN NY

Page 21: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

MANDATORY MEDIATION CHANGES

HOW CLAIMS ARE LITIGATED

LITIGATION IS GEARED TOWARD SETTLEMENT

Page 22: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHY WOULD AN EMPLOYER CLOSE CLAIMS?

• UNCERTAINTY OF OUTCOME• “STOP THE BLEED”• INFLATION RISK• MORTALITY RISK• CLOSE RESERVE• RECOVER BONDING EXPENSE• COST OF ADMINISTRATION

Page 23: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHY WOULD AN APPLICANT CLOSE A CLAIM?

• UNCERTAINTY OF OUTCOME• CONTROL OF MEDICAL TREATMENT• NEED FOR CASH• GET ON WITH LIFE• LEAVE AN ESTATE

Page 24: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WE DON’T WANT TO SHOW OUR HAND

Page 25: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

CONFIDENTIALITY

EVIDENCE CREATED SOLELY FOR MEDIATION IS NOT ADMISSIBLE

MEDIATOR CANNOT BE SUBPOENAED

Page 26: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHEN TO CONSIDER MEDIATION?

CLAIMS WHERE THE PARTIES ARE CONSIDERING A COMPLETE SETTLEMENT

CLAIMS WHERE THE APPLICANT HAS REACHED

MAXIMUM MEDICAL IMPROVEMENT

IMMINENT TRIAL

Page 27: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHICH CLAIMS ARE GOOD MEDIATION CANDIDATES?

OLDER CLAIMS

CLAIMS WHERE THE PRESENCEOF A KNOWLEDGEABLE NEUTRAL

WOULD BE HELPFUL“Other side is unreasonable”

Applicant gets to tell the story- Update Applicant’s statusGet a neutral view- preserve attorney-client relationship

COMPLEX CLAIMS

Page 28: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHICH CLAIMS ARE GOOD MEDIATION CANDIDATES?

APPLICANT IS 61 YEARS OLD

DEATH CASES

CLAIM WAS STIPULATED BUT MEDICAL ISSUES ARE ACTIVE

PRO SE/ IN PRO PER

CLAIMS WHERE THE PARTIES WANT TO PRESERVE A RELATIONSHIP

Page 29: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

EARLIER IS BETTER THAN LATER

PARTIAL RESOLUTION IS BETTER THAN NO RESOLUTION

Page 30: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHEN?

THE PARTIES CHOOSE THE TIME, DATE, AND DURATION OF THE MEDIATION

No waiting for court calendarsNo frustration with too little time to air the issuesNo wasted Court appearancesYou can mediate pending appeal or reconsideration

How about tomorrow?

Page 31: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

PRELIMINARIES

AGREEMENT TO MEDIATEFinancial Arrangements

ACKNOWLEDGEMENT OF CONFIDENTIALITY

Page 32: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHO SHOULD BE IN THE MEETING?

The decision-makers, their representatives, other necessary experts or support persons

Page 33: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHAT ISSUES CAN BE RESOLVED?

VALUATION

MEDICAL TREATMENT

RETURN TO WORK

Page 34: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHAT ISSUES CAN BE RESOLVED?

THIRD PARTY CLAIMS

PAST DUE BENEFITS

LIENS

YOU NAME IT

Page 35: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

DEFINING THE ISSUES

PRE-MEDIATION

PARTIES’ BRIEFS

OPENING SESSION

THROUGHOUT THE MEDIATION

Page 36: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

HOW DOES IT WORK?

PRE-MEDIATION COMMUNICATION

USUALLY, THERE IS AN OPENING SESSION

SPLIT INTO CAUCUSES, SEPARATE ROOMSConfidentiality, Candor

SHUTTLE DIPLOMACYMediator can shape the conversation, be the best person to deliver bad news

MAY RE-CONVENE FOR e.g., CLARIFICATION, BRAINSTORMING

Page 37: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

MEDIATOR’S PROPOSAL

Page 38: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHO MAKES THE DECISIONS?

THE PARTIES

Page 39: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

STUDIES SHOW PARTIES ARE MORE SATISFIED WITH A MEDIATED RESULT THAN A COURT RULING

Page 40: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

WHAT HAPPENS NEXT?

MEMORANDUM OF UNDERSTANDINGSTIPULATION

COMPROMISE &RELEASE

COURT APPROVAL AS NECESSARY

MEDIATOR MAY FOLLOW UP WITH PARTIES IF FURTHER DIALOGUE MAY BE HELPFUL

WHAT IS SUCCESS?

Page 41: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

MED/ARB

ARB/MED

Page 42: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

KEY TO A SUCCESSFUL ADR

PREPARATION

Page 43: Alternative Dispute Resolution in Workers Compensation: Mediation and Arbitration

TEDDY SNYDER

WCMediator.com

310/889-8165

[email protected]

No charge to start the discussion!