Workers' Compensation · Claims
Audit every workers' comp claim.
Not just a sample.
Hypermodel reviews every open claim against your service standards — missed statutory deadlines, reserve drift, duplicate payments, leakage — and drafts the manual work, for your examiners to act on before files close. Deployed on top of the claims system you already run.
Member, National Association of Mutual Insurance Companies5–10%
estimated claims-cost leakage from duplicate payments, reserve drift, and missed follow-ups. Industry leakage range.
100%
of open claims reviewed continuously against your service standards. Hypermodel coverage.
What it does for workers' comp
Three ways Hypermodel moves the loss ratio
Automate the manual work
Submission and FNOL intake, FROI/SROI clocks, form-filling, status follow-ups, and drafted demand-package replies — the repetitive keystrokes examiners do by hand today.
Claims intelligence on every file
Every open claim scored against your service standards — not a quarterly sample. Examiners get green/red scorecards with drill-down and an explainable audit trail.
Reduce leakage
Duplicate payments, missed subrogation, employee-verification gaps, stale reserves — surfaced while the file is still open and tied to net incurred.
How it works
An AI layer on top of your system of record
No rip-and-replace. A read-only connection, your standards encoded, and human review from day one.
Step 01
Connect your claims data
A read-only connection to Guidewire ClaimCenter, Origami Risk, Duck Creek, or an in-house system. No rip-and-replace.
Step 02
Encode your service standards
Your audit standards and statutory clocks become the scoring model — your rules, not a generic template.
Step 03
Every claim scored; your team acts
Green/red scorecards with examiner drill-down and an explainable audit trail. Examiners review the flags and decide.
Who it's for
Built for mid-market workers' comp carriers
For the claims organization that wants every file reviewed without adding headcount — and without a systems project.
On the system you run
Works on Guidewire ClaimCenter, Origami Risk, Duck Creek, or your in-house claims system — read-only, no migration.
Weeks to deploy
A scoped rollout on your open book, not a multi-quarter IT program.
Human review from day one
Examiners review every flag and keep the decision. Every score carries an explainable audit trail.
Your standards
Your service standards and statutory clocks become the scoring model — not a generic template.
Every claim, continuously
The whole open book reviewed as files change — not a quarterly sample.
Examiner language
FROI/SROI, three-point contact, reserve adequacy, subrogation — flags your team already knows how to act on.
See it live
20 minutes. Your claims.
We'll walk through a live workers' comp file — intake to closure — using your actual service standards. See what Hypermodel handles and where your examiners stay in control.