Some of the problems you’ll solve:
🔍 Where does the Workers’ Compensation claims process create unnecessary delay, rework, or uncertainty? Map the claim lifecycle from FNOL through closure to identify friction points and improvement opportunities.
🧩 What information is missing, inconsistent, or difficult to use when claim decisions are made? Identify gaps in the injury, wage, medical, employer, and jurisdictional data claims teams need to make sound decisions.
📐 What does a high-quality, defensible Workers’ Compensation claim look like? Define practical standards for investigation, documentation, compensability, medical and indemnity handling, reserves, and return to work planning.
💸 Where are we losing time, money, or trust? Identify ways to reduce claim duration, improve outcomes and reserve accuracy, limit leakage and litigation exposure, and strengthen the injured-worker and employer experience.
🤖 Where can automation create real leverage without weakening claim quality or compliance? Identify workflows where structured data, intelligent routing, automation, or AI can improve consistency and speed while preserving human judgment and jurisdictional controls.
How you’ll make an impact:
🧭 Bring the real Workers’ Compensation claims process into product decisions. Translate claims expertise into product requirements, workflows, edge cases, and decision frameworks.
🔗 Connect the medical, operational, regulatory, and financial picture. Help teams understand how claim decisions affect medical spend, indemnity, reserves, return-to-work outcomes, litigation exposure, and loss performance.
🛠 Improve the inputs and outputs of the claims process. Shape how claim information is captured and structured, then improve the workflows, reporting, automation, and product experiences built from it.
🤝 Align teams around the same definition of quality. Partner across Product, Engineering, Analytics, Claims Operations, Finance, Customer Success, and Leadership to address root causes and drive improvements.
📊 Turn operational insight into measurable product improvements. Prioritize changes that improve claim outcomes—not just workflow activity.
🎓 Serve as a trusted internal authority on Workers’ Compensation claims. Guide teams through compensability, medical management, indemnity, return to work, reserving, documentation, and jurisdictional variation.
💬 Make complex claims concepts understandable and usable. Clearly communicate findings, tradeoffs, and recommendations across technical and non-technical audiences.