Independent clinical review for self-insured employers

An independent second look at the MSAs and claims driving your biggest losses

When a claim crosses your deductible, you pay the bills without seeing the clinical reasoning behind them. SecondLook gives self-insured employers an independent clinical review of the MSAs and high-exposure claims that drive your biggest losses. Built by physicians, led by certified MSA consultants, every conclusion cited to the record. Flat $3,500 per case.

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The problem

What you're up against

Inflated MSAs
MSAs come in higher than they should, driven by conservative assumptions that don't reflect actual treatment patterns or state rules.
TPA black box
TPA decisions on complex claims live in a black box. You sign the check; you don't see the clinical reasoning.
False economy
Aggressive cost-cutting on workers' comp looks cheap on the spreadsheet and expensive everywhere else: reopens, litigation, indemnity blowups, workforce trust.
No physician on staff
You don't have an MD on staff to push back when the medicine doesn't add up.
The track record

MSA results you can audit

87%
of MSAs submitted to CMS approved as submitted, on first review
1,180+
MSAs prepared since 2011, predominantly workers' compensation
$708,730
in CMS over-allocations reversed on appeal: money that stayed in the settlement instead of the set-aside
25+ years
of MSA practice leadership
Career record of Leta Sharkey-Laugle, MSCC, who leads SecondLook's MSA practice.
Our MSA practice lead
Leta Sharkey-Laugle, MSCC
Leta Sharkey-Laugle, MSCC — MSA Practice Lead
Leta Sharkey-Laugle leads SecondLook's Medicare Set-Aside (MSA) practice. She brings more than 25 years in workers' compensation and settlement services, with a career record of more than 1,180 MSAs prepared since 2011. She is a former chair of the ICHCC Medicare Set-Aside certification body and authored the utilization review framework adopted by the State of California. She holds the MS, NCC, CRP, MSCC, and CLCP credentials and is the principal of MSA Expert.
How we're different

Side by side

Traditional MSA / TPA-linked vendors SecondLook Health Why it matters
Whose side are they on? — Retained by your carrier or TPA. Incentives sit with the parties already managing your claim. ✓ Works for you, the employer. No TPA or carrier alignment. You can't audit their numbers using a vendor they picked.
Who actually reads the chart? — Nurse or analyst work; physician oversight is often a veneer. ✓ A certified MSA consultant with an 87% first-pass CMS record leads every case. Physician sign-off available. The credential behind the review is what holds up at settlement and audit.
How do they use AI? — Manual, template-driven. AI, where it exists, is basic text extraction. ✓ Physician-built AI reads the full record, 5,000+ pages, and cites every finding to the chart and the literature. A clinician validates before anything goes out. Clinical depth at speed, and a conclusion you can actually defend.
What do they focus on? — High-volume allocations off standard pricing tables. Broad and shallow. ✓ Individual high-exposure claims only. Deep and fully cited. Your biggest claims aren't solved by a faster template.
What do I walk away with? — A templated, compliance-oriented report. ✓ Source-backed reasoning pointed at the right care plan and the true exposure. A defensible number, real savings, and a better path for the injured employee.
The offer

Simple, transparent pricing

Free initial screening of your active WC book, then $3,500 per case for the deep individual clinical review.

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.

Social proof

Proven on high-exposure claims

Trusted by the organizations closest to complex workers' comp, with results validated independently.

99%
clinical accuracy benchmarked against our anchor customer's own clinicians across ~400 evaluations

Our clients

  • Top managed care platforms in workers' comp
  • Clinical consultants doing Medicare set-aside, life care planning, and medical cost projections
  • Large hospital systems (clinical trials and customers)

Advisory bench

  • Chris Longhurst, MD — CEO, Seattle Children's
  • Matt Lungren, MD — former CSO, Microsoft
  • Jean Drouin, MD — founder/CEO, Clarify Health
Meet the full advisory bench →

Compliance

  • HIPAA compliant
  • SOC 2 Type II certified
  • Closed-system AI: records never train outside models
Get started

Get a free screening of your claims book

Built for self-insured employers with $100k+ deductibles.

Or book a 15-minute call

Prefer to talk first? Schedule directly with Nathan Gunn, MD.

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