How to Empower Risk Managers by Leveraging AI in Managing Workers’ Compensation Claim
Patty Reinecke
Director of Claim Consults and TPA Relationships, Midwest Employers Casualty
In this episode, we chat with Patty Reinecke and discuss how artificial intelligence (AI) is transforming workers’ compensation claims management. Patty explains key AI concepts—machine learning, deep learning and generative AI—and shares practical examples of AI streamlining data analysis, identifying claim trends and supporting early intervention. She emphasizes that while AI enhances efficiency and insight, human expertise remains essential for nuanced decision-making. The episode highlights AI’s potential to improve outcomes for both employers and injured workers, while acknowledging its limitations and the continued importance of collaboration and empathy in claims management.
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Patty Reinecke
Director of Claim Consults and TPA Relationships, Midwest Employers Casualty
Summary of Qualifications
Patty Reinecke provides a unique healthcare perspective on the challenges of handling complex workers compensation claims. Patty manages a team of four full-time Client Consult Managers who help clients navigate the intricacies of challenging claims, regardless of the SIR, to get injured employees back to the highest level of function possible. She also works in partnership with the claims administrators who serve MEC clients, offering MEC resources.
Business Experience
• Over 30 years of experience in the workers compensation industry, working at MEC in the excess claim environment for the last 17 years.
• Extensive knowledge of workers compensation regulations and applicable law in multiple jurisdictions.
• Extensive knowledge of insurance contracts and adjusting techniques.
• Proficient with medical terminology, legal procedures, and claim evaluation.
• Proven experience in working collaborating with multiple stakeholders, including carriers, TPAs, providers, and employers.
Professional Affiliations
Certified Case Manager (CCM)
Medicare Set Aside Certified Consultant (MSCC)
Certified Workers’ Compensation Professional (CWCP)
Education
Bachelor of Science in Nursing – 1993 Maryville University
