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.
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
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?
Report
What Went Wrong? Finding Hidden Severity in WC Claims
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.
Webinar
Managing Workers’ Comp Claims in a Post-COVID Environment
Webinar
Leveraging Analytic Insights to Improve Outcomes In Workers’ Comp
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.
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.
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.
Conquer complex workers' compensation claims challenges
Streamline workers' comp data reporting and improve compliance with advanced analytics.
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.
Streamline Section 111 reporting
Proactively handle compliance and ensure error-free submissions to CMS with advanced analytical and smart reporting capabilities.
Overcome MSP compliance limitations
Reduce risk and achieve full MSP compliance by streamlining payment process.
Comply with Medicare's requirements with confidence
Improve your Medicare compliance for future medical allocations while managing expenses with an advocacy-driven approach.
Build a cost-mitigation strategy
Leverage our industry-leading clinical and legal expertise to achieve MSA savings through experience, advocacy, and innovation.
Make Amended Review work for you
Maximize your one chance at obtaining an Amended Review from CMS—and gain savings for eligible claims.
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.
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.