Workers' Compensation

Turn claims operations into clinical management

Carriers, TPAs, and managed care organizations use SecondLook to flag at-risk injured workers before costs escalate. AI-powered insight into treatment progression, barriers to recovery, and return-to-work risk.

Carriers & TPAs Nurse Case Managers Claims Adjusters Medical Directors MSA Experts
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70%
Reduction in review time
>99%
Data abstraction accuracy
Real-time
Clinical risk flags
API
Integrates into your systems

Faster claims resolution starts with better clinical insight

Reduced medical cost per claim

Proactive clinical management — not reactive claims processing. Identify over-utilization, delayed care, and treatment pattern anomalies before they drive cost.

Reduced external medical review spend

Claims that currently require outside medical review at ~$443/hr can be resolved internally when the clinical narrative is clear and complete.

Scalability without additional headcount

Growing caseloads don't require proportional staff increases when clinical synthesis is automated. Case managers spend time on patients, not charts.

Key capabilities

AI-enabled clinical management for claims

From intake to risk assessment — clinical intelligence at every stage of the claim.

Intake and attribution

Automated ingestion and normalization of all claim and medical documents.

  • Monitor for new uploads, trigger reprocessing
  • Normalize formats, link files to claimant

Clinical structuring

Convert unstructured notes into normalized clinical datasets.

  • Diagnoses, procedures, medications, visit cadence
  • Episode segmentation and phase analysis
  • Body part tracking and work status

Record hygiene and assembly

Clean, deduplicated, chronological records with preserved provenance.

  • Page-level deduplication
  • Indexed, chronological packets
  • Source page-level provenance

Case intelligence and risk assessment

Proactive detection of clinical risk and claims cost drivers.

  • Over-utilization and modality creep detection
  • Missing or delayed care alerts
  • Elevated return-to-work risk flags
  • Prioritized nurse case manager work-lists

Workflow delivery and integration

Structured data delivered into your existing adjuster and nurse workbenches.

  • APIs into core claim systems
  • Role-specific views and alerts
  • Routing, audit trails, write-backs

Secure

Enterprise-grade security built for healthcare data.

  • SOC 2 Type II certified
  • HIPAA compliant
  • Closed-system AI with exceptional accuracy

Clinical intelligence at every stage of the claim

Reduced medical cost per claim. Earlier intervention on at-risk cases. Reduced external medical review spend. Available as SaaS, API, or embedded agent.

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