Workers' Compensation

 

With workers' compensation costs mounting on many fronts, we can help you take control and turn things around.

In the workers' compensation arena, the volume of data is massive and continues to grow. Being able to extract meaningful information from that data and find critical insights necessary to manage the line profitably is more important than ever. That is precisely what we do.

Our expertise provides us with the ability to manage, mine, and analyze large volumes of data that you can use to your advantage. Our comprehensive set of products and services helps you find patterns in complex data sets and navigate the complexities of this dynamic and data-intensive line of business.

Products and Services for:

Workers' Compensation Fraud

ISO ClaimSearch®
The property/casualty insurance industry’s first and only comprehensive system for improving claims processing and fighting fraud.

Medical Fraud

ISO MedSentry®
Medical fraud detection model that integrates the strength and efficiency of highly advanced analytics with a clinically expert, human-touch validation process

Premium Audit

PAAS Classification Guides
Detailed information on the intent and application of each general liability and workers' comp classification

Premium Audit Advisory Service (PAAS)
Technical information and training for premium auditors

QC3 (Query Commercial Classification Code)
An online lookup tool that finds the commercial classification code for workers' compensation or general liability in a specific jurisdiction or in reference to an NAICS or SIC code

State Workers' Compensation Compliance Reporting

wcPrism®
A comprehensive suite of tools to simplify workers’ comp data reporting

wcAnalyzer™
Provides states and insurers with the means to turn untapped data into actionable insights

Medicare and Medicaid Compliance

Section 111 Reporting
Accurate Medicare reporting lets insurers comply with ease

Medicare Future Allocations
Medicare Set-Asides and cost mitigation

Lien Services
Mitigate compliance costs of Medicare and Medicaid liens

wcNavigator®
Predictive modeling system that helps you spot difficult workers' compensation cases before they spiral out of control

Liability Navigator™
An expert tool that enables claim handlers to take the best course of action and increase efficiency in the evaluation and resolution of liability claims

wcAnalyzer™
Provides states and insurers with the means to turn untapped data into actionable insights

wcPrism®
A comprehensive suite of tools to simplify workers’ comp data reporting