Claims Solutions

wcNavigator

Improve claims triage and control costs throughout the claims cycle by leveraging powerful analytics to accurately identify claim severity early.

Navigate complex workers’ compensation claims

Mitigating costs in workers’ compensation claims is challenging, especially when signs of claim severity are hidden deep within complex medical documents. Offering robust analytics and insights throughout the claim process, wcNavigator^® optimizes adjusters' workflows and enables swift, informed decisions.

End-to-end predictive analytics for better workers’ compensation claims management

wcNavigator uses predictive analytics to help adjusters and claims managers accurately identify claim severity as early as day one.

Detect and manage claims early

Identify high severity claims at FNOL to allocate resources effectively and achieve optimal outcomes though early detection.

Provide more accurate coverage

Reach more accurate claim settlements with continual rescoring and data-driven insights, reducing total spend on severe claims.

Stay informed with alerts

Get automatically notified when prescriptions that potentially increase claim severity are filled, promoting timely and effective claims management.

Enjoy seamless integration

Limit keystrokes and stay organized with seamless integration and data transfer from pharmacy benefit manager (PBM) and medical bill review (MBR) providers. 

By indicating which cases will spiral into complex, costly claims, wcNavigator finds high-severity claims before adjusters do, yielding a 35:1 ROI.

Speak with an expert

Make more informed decisions with AI and predictive analytics

Leveraging AI and predictive analytical models fine-tuned by industry experts, wcNavigator provides the data and insights needed to properly manage claims and control costs. Claim severity is identified early, enabling proper examination of treatment plans and peer reviews that lead to more accurate settlements.

Make more informed decisions with AI and predictive analytics

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Features and capabilities

Personal injury protection (PIP) triage

Predict PIP medical and wage exposure severity, allowing your adjusters to lower costs by identifying problem claims early.

Leverage data-driven insights

Empower your team toward more efficient claims processing with insights from rank-ordered severity score drivers.

Leverage deep industry expertise

Reach more accurate claim settlements with insights from powerful predictive claim models that were developed by our expansive teams of nurses, lawyers, adjusters, and insurance claims executives.

Case-in-point (additional service option)

Gain deeper insight by comparing cases to your company’s comparable claims using injury type, number of injuries, age, and more.

Related resources

Stay in the know about important industry trends and innovative solutions.

Report

Are you on the path to better workers’ comp claim outcomes?

Download the report, Lighting the Path to Better Outcomes, to learn how automated insights are transforming workers’ comp claims.

Download the report

Report

What Went Wrong? Finding Hidden Severity in WC Claims

A seemingly simple workers’ comp claim can quickly spiral out of control, driving up costs and delaying an employee’s return to work.

Download the report

Brochure

wcNavigator

Uncover powerful AI-enabled features that facilitate quick intervention and lower loss ratios by instantly providing detailed insights on a claim’s severity.

Download the brochure

Webinar

Managing Workers’ Comp Claims in a Post-COVID Environment

Learn how advanced analytics in wcNavigator® helps teams identify claim severity early, increase adherence to standard work, and improve claim outcomes.

Watch the webinar on demand

Webinar

Leveraging Analytic Insights to Improve Outcomes In Workers’ Comp

Verisk analytic solutions help improve claim outcomes by streamlining compliance, identifying claim severity early, and uncovering questionable claim attributes.

Watch the webinar on demand

Do more with the Verisk ecosystem

wcNavigator is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.

Similing Worker At Computer Wearing Headset

Slash time and spend with AI-powered record review

Expedite record review with fast, accurate extraction of key medical information from unstructured documents. AI automation tools deliver accurate, impartial reviews of every file, helping you settle more claims while conserving time and resources.

Learn about Discovery Navigator

Address Medicare compliance obligations to reduce risk

Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.

Learn about Medicare Compliance and Reporting solutions

Conquer complex workers' compensation claims challenges

Streamline workers' comp data reporting and improve compliance with advanced analytics.

Learn about Workers' Comp State Reporting

Master workers' compensation data compliance reporting for insurers

Streamline and simplify workers' comp regulatory reporting with a single daily data feed. Insurers save time and improve accuracy with our suite of compliance reporting solutions.

Learn about wcPrism

Happy Colleagues Collaborating At Desktop Screens

Streamline Section 111 reporting

Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.

Learn about MSP Navigator

Overcome MSP compliance limitations

Reduce risk and achieve full MSP compliance by streamlining payment process.

Learn about CP Link

Comply with Medicare's requirements with confidence

Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.

Learn about Medicare Set-Aside Allocation

Happy Medical Professionals Speaking In Circle

Build a cost-mitigation strategy

Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.

Learn about Provider Outreach Cost Mitigation

Make Amended Review work for you

Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.

Learn about MSA Second Look

Pay only what you owe for Medicare conditional payments

Eliminate risk and exposure while ensuring resolution of more claims with a comprehensive, advocate-driven approach to conditional payment disputes.

Learn about Conditional Payment Dispute and Appeal Services

Contact us to learn more

We are available Monday through Friday, 7 a.m. — 8 p.m. US Eastern Time:

Chat now

Note that password resets and user information are not available through Live Chat or Email. Instead, please call the main toll-free number below.

Main toll-free:

1-800-888-4476

Global toll-free:

International Access code, then 800 48977489
When calling from the UK, please dial 00 800 4897 7489

Refer a file

We offer easy access via our online form but can accommodate e-mail, fax, mail, or arrange a pickup from your office. Contact your local sales representative or e-mail us at referrals@verisk.com.

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Sales/Support

First Name

Last Name

Business Email

Company

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Country

How can we help you?

wcNavigator

Navigate complex workers’ compensation claims

End-to-end predictive analytics for better workers’ compensation claims management

Detect and manage claims early

Provide more accurate coverage

Stay informed with alerts

Enjoy seamless integration

Make more informed decisions with AI and predictive analytics

Make more informed decisions with AI and predictive analytics

Features and capabilities

Personal injury protection (PIP) triage

Leverage data-driven insights

Leverage deep industry expertise

Case-in-point (additional service option)

Related resources

Are you on the path to better workers’ comp claim outcomes?

What Went Wrong? Finding Hidden Severity in WC Claims

wcNavigator

Managing Workers’ Comp Claims in a Post-COVID Environment

Leveraging Analytic Insights to Improve Outcomes In Workers’ Comp

Do more with the Verisk ecosystem

Slash time and spend with AI-powered record review

Address Medicare compliance obligations to reduce risk

Conquer complex workers' compensation claims challenges

Master workers' compensation data compliance reporting for insurers

Streamline Section 111 reporting

Overcome MSP compliance limitations

Comply with Medicare's requirements with confidence

Build a cost-mitigation strategy

Make Amended Review work for you

Pay only what you owe for Medicare conditional payments

Contact us to learn more

Chat now

Main toll-free:

Global toll-free:

Refer a file

Address Medicare compliance obligations to reduce risk