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.
wcNavigator uses predictive analytics to help adjusters and claims managers accurately identify claim severity as early as day one.
Identify high severity claims at FNOL to allocate resources effectively and achieve optimal outcomes though early detection.
Reach more accurate claim settlements with continual rescoring and data-driven insights, reducing total spend on severe claims.
Get automatically notified when prescriptions that potentially increase claim severity are filled, promoting timely and effective claims management.
Limit keystrokes and stay organized with seamless integration and data transfer from pharmacy benefit manager (PBM) and medical bill review (MBR) providers.
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.
Predict PIP medical and wage exposure severity, allowing your adjusters to lower costs by identifying problem claims early.
Empower your team toward more efficient claims processing with insights from rank-ordered severity score drivers.
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.
Gain deeper insight by comparing cases to your company’s comparable claims using injury type, number of injuries, age, and more.
wcNavigator is part of our full suite of claims solutions that provide compliance, reporting, and decision support tools and services.
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.
Comply with CMS and avoid costly penalties. Our Medicare compliance and reporting solutions provide the key information you need to mitigate risk.
Streamline workers' comp data reporting and improve compliance with advanced analytics.
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.
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
Reduce risk and achieve full MSP compliance by streamlining payment process.
Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.
Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.
Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.
Eliminate risk and exposure while ensuring resolution of more claims with a comprehensive, advocate-driven approach to conditional payment disputes.