Clinical AI trained and validated by physicians, paired with certified MSA expert review on every case. Optional physician sign-off available for cases requiring additional defensibility. Individual high-exposure claims for self-insured employers with meaningful deductibles ($100k and above).
| Dimension | Traditional MSA / TPA-linked vendors | SecondLook Health | Why it matters to you |
|---|---|---|---|
| Whose side they're on | Typically retained by the carrier, TPA, or as part of a larger MSP service. Their incentives sit with the parties already managing your claim. | Works directly for you, the self-insured employer. Not aligned with your TPA or excess carrier. | On a high-exposure claim, you need an independent read you control, not one filtered through the same parties whose numbers you are trying to check. |
| Who actually does the review | Nurse or analyst review; physician oversight is often an add-on or a marketing veneer. | A certified MSA consultant leads every review, with optional physician sign-off for cases needing extra defensibility. | The credential behind the review is what holds up at settlement and audit. You are paying for senior clinical judgment, not a templated pass. |
| Use of AI | Little to none. Mostly manual, template-driven work. Where AI exists, it is basic text extraction with no demonstrated clinical validity. | Physician-built AI reads the full record, often 5,000-plus pages, surfaces complex issues like causation, and backs every finding with the clinical literature. A clinician then reviews and validates the work before it goes out. | More clinical depth, faster. The AI does the heavy reading and supplemental reasoning; a clinician confirms it. That is how you defend a conclusion at settlement or audit, not just summarize a chart. |
| What they focus on | High-volume MSA allocations and cost projections built from standard pricing tables and templated methodology, optimized for turnaround and CMS approval. Broad and shallow. | Only individual, high-exposure claims. Deep and fully cited. | Your biggest claims are not solved by a faster, templated allocation off a pricing table. They need depth, which is the entire point of a second look. |
| What you walk away with | Templated, compliance-oriented output. | Source-backed clinical reasoning, every conclusion cited to the record and pointed at the right care plan and the true exposure. | You walk away with three things: a conclusion you can defend at settlement or audit, real savings on claim spend, and a better path for the injured employee. A templated report delivers none of that. |
Free screening removes the "which case do I send?" friction and lets us surface the high-yield cases against your actual book. Per-case pricing keeps the engagement transparent: you only spend on the cases that move dollars.
Trusted by the organizations closest to complex workers' comp, with results validated independently.
Tell us about your WC book and we'll identify the high-yield cases worth a deeper look.
Prefer to talk first? Schedule directly with Nathan Gunn, MD.