Your adjusters keep doing the judgment work: reserve moves, settlement strategy, compensability calls. We take everything else — document chasing, note writing, medical review, status updates — off their desk. Below is what a single lost-time claim looks like running through Hypermodel.
Certified nursing assistant injured her lower back transferring a 220-lb resident from bed to wheelchair without a second assist. Reported to supervisor same shift. ER visit that evening. MRI scheduled. The kind of claim that either closes in 6 weeks with proper early intervention — or drifts into twelve months of physical therapy, an attorney retainer, and a $180K reserve.
The pitch you actually care about, Isaac. We take a batch of your closed claims, run them through the audit, and show you — in dollars — what leaked. No commitment. Just a diagnostic. These are illustrative numbers on a hypothetical 500-file sample from a healthcare WC book your size.
Duplicate CPT codes, unbundled procedures, and billing after MMI. Typical carriers overpay 3–6% of medical spend on WC books without real-time bill review.
Premises liability, auto, product defect, resident-caused injuries. Most WC carriers recover on less than half of eligible files — the rest never gets flagged.
Files reserved on industry defaults rather than your own comparable closed claims. Right-sizing frees surplus without changing a single outcome.
Files where the treating provider extended disability without objective findings and nobody caught it. Each extra week of indemnity on a lost-time file costs real money.