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Kobal Law

What to Expect at a Workers’ Compensation Mediation in Tampa

Mediation

If you have filed a workers’ compensation claim in Florida and your employer’s insurance carrier is disputing part of it, chances are your case will pass through mediation before it ever reaches a judge. Mediation is not optional in most disputed claims, and understanding how it works can make the process feel far less intimidating.

Why Mediation Happens Before a Hearing

Florida law builds mediation directly into the workers’ compensation claims process. Once a petition for benefits is filed and the dispute cannot be resolved informally, the case is scheduled for a mediation conference before it moves toward a hearing in front of a judge of compensation claims. The goal is to give both sides a structured opportunity to settle the disputed issues without the time, expense, and uncertainty of litigation. Many claims resolve at this stage, which is one reason it is worth taking seriously rather than treating as a formality.

Who Is in the Room

A neutral mediator runs the session, typically someone employed by the Office of the Judges of Compensation Claims or, in some cases, a private mediator both sides agree to use. The mediator does not decide who wins. Instead, they help the injured worker and the insurance carrier’s representative work through the disputed issues, whether that is authorization for a specific treatment, disputed wage calculations, or the extent of a claimed disability. The adjuster or carrier representative may attend by phone or other approved electronic means, but the injured worker is generally expected to participate directly.

What Actually Gets Discussed

Mediation conferences tend to move through the claim issue by issue. Expect conversation about what medical care has been authorized, what has been denied, how average weekly wage was calculated, and whether any settlement offer makes sense given the medical evidence on file. Nothing said in mediation can later be used against either side in a hearing, which tends to make the conversation more candid than it might otherwise be. If an agreement is reached, it gets documented and filed with the presiding judge. If not, the mediator reports an impasse and the case moves forward toward a hearing.

How to Prepare

  • Bring or review all medical records related to your injury before the conference
  • Understand your average weekly wage calculation and whether you agree with it
  • Think through what a reasonable resolution looks like for your specific situation
  • Be ready to explain, in plain terms, how the injury has affected your ability to work

Under Florida Statutes section 440.25, mediation must be scheduled within a set timeframe after a petition for benefits is filed, and the proceedings follow specific procedural rules designed to move disputed claims toward resolution.

Preparing with the guidance of Tampa workers’ compensation attorneys can make a real difference in how a mediation conference plays out, particularly when the disputed issues involve technical questions about wage calculations or medical necessity. At Kobal Law, we walk our clients through each stage of the mediation process so nothing catches them off guard, and we push back when an insurance carrier’s position does not match the facts of the case. If you have a mediation conference coming up on your Tampa workers’ compensation claim, reach out to us before that date arrives.

Source:

flsenate.gov/Laws/Statutes/2024/440.25

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