Mediation gives the parties a structured opportunity to discuss disputed workers’ compensation issues with a neutral mediator. It can address all or part of a claim, but participation does not require either side to accept an unfavorable proposal.

A mediator helps the parties evaluate and negotiate disputed issues but does not decide the claim; if no agreement is reached, the unresolved issues continue through the applicable Commission process.

Identify why the case is in mediation

G.S. 97-80(c) authorizes the Industrial Commission to order parties to participate in mediation under Commission rules. A case may enter mediation after a hearing request, by consent, or under another applicable order or procedure. The order, issues, deadlines, and current claim status should be read together.

  • Obtain the mediation order, hearing request and response, mediator designation, scheduling notices, extensions, and attendance instructions
  • List every disputed issue: compensability, accepted conditions, treatment, wage rate, disability period, work capacity, rating, credit, lien, fees, or settlement terms
  • Separate issues that can be resolved now from medical, wage, discovery, or third-party questions that are not yet developed
  • Confirm who must attend, who has settlement authority, how the conference will occur, and what documents the mediator requests

Prepare a verified claim summary

Build a concise chronology from the source documents: work event or exposure, notice and filing, claim acceptance or denial, diagnoses, treatment, restrictions, work and earnings, benefit payments, disputed requests, and procedural events. Attach a medical, wage, payment, and expense ledger that reconciles to records.

  • Current medical status, future treatment, impairment, restrictions, prognosis, and disputed causation
  • Average weekly wage, compensation rate, checks paid, unpaid periods, return-to-work earnings, credits, and claimed arrears
  • Settlement components, medical expenses, attorney fees and costs, liens or reimbursement interests, and projected net payment
  • Nonfinancial terms such as medical closure, resignation or employment provisions, confidentiality, releases, timing, and required approvals
  • The worker’s objectives, acceptable tradeoffs, unresolved questions, and decisions that cannot be made without more information

Understand the mediator’s role

The Industrial Commission’s Mediation Section administers mediation deadlines, forms, mediator appointments, and mediation-related motions. Its current page identifies the forms used to designate a mediator and report whether a conference was held and completed.

The mediator facilitates discussion and may test assumptions, identify missing information, and carry proposals between the parties. The mediator is not the treating physician, claims adjuster, advocate, deputy commissioner, or final fact finder. A proposal should be evaluated against the evidence, available benefits, procedural risk, costs, timing, and final terms.

Distinguish discussion from a completed agreement

If the parties reach an agreement, the terms should be reduced to an accurate written record. A complete settlement may affect indemnity, medical compensation, future rights, releases, payment timing, liens, and other obligations. Do not treat an oral number or incomplete term sheet as the entire agreement.

G.S. 97-17 requires a settlement agreement under the Act to be filed with and approved by the Commission and identifies medical-expense information and fairness findings required for approval. Other narrower agreements may use different documentation and approval procedures.

Plan the next step if the case does not settle

Record the issues resolved, issues still disputed, missing records, discovery, witness or medical-opinion needs, deadlines, and the next Commission event. A partial agreement can narrow a case even when the entire claim does not resolve.

The related North Carolina workers’ compensation hearing guide explains issue charts, exhibits, witnesses, medical evidence, pretrial preparation, the hearing record, and the decision process when a dispute continues.

Rosensteel Fleishman Car Accident & Injury Lawyers provides information about preparing with a Charlotte workers’ compensation attorney for mediation. A review should identify the claim posture, decision-makers, documented value components, settlement terms, and post-mediation alternatives.

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