Solutions/Workers’ compensation

Comp claims turn on the attorney and the clock.

Workers’ compensation is less litigated than the liability lines, but an attorney on the file changes what a claim costs, and state boards set hard dates for hearings and answers. Isomer™ Signals reads every email, medical report, and board notice as it arrives, and puts the risk in front of the adjuster.

Built onIsomer Graph · Isomer Signals

A representative claim

Five messages, one claim to escalate.

No single message on this warehouse back injury looked urgent. Connected on the claim graph, they did.

Warehouse back injury · Workers’ compensation
Day 9
Letter of representation · 1 file
HighAttorney representation p. 1Adjuster alerted to stop direct contact
Day 14
Employer emails · 6 files
HighTermination discussed after injury retaliation risk, p. 4Employment counsel flagged
Day 19
MRI and surgical referral · 3 files
HighSurgery recommended p. 2Reserve review flagged
Day 23
State board notice · scanned PDF, 9 pages
CriticalHearing set answer due in 20 days, p. 2Deadline diaried, adjuster alerted
Day 31
Equipment vendor contract · 4 files
MediumThird-party liability forklift vendor, p. 11Subrogation review queued
Day 35
Combined claim risk
CriticalAcross 5 messages connected in the claim graphAdjuster and supervisor alerted

The comp signals that change a claim.

Example signalWhat it catchesTypical severity
Attorney representationFirst notice that the injured worker has counselHigh
Hearing / answer deadlineA state board hearing date or answer deadlineCritical
Medical severity escalationSurgery, hospitalization, or an impairment ratingHigh
Return-to-work disputeModified duty offered and refused, or return to work contestedHigh
Cumulative traumaRepetitive stress or occupational disease over a long exposure periodHigh
Mental health / PTSD presumptionA compensable mental health claim, or a statutory presumption citedHigh

Examples from the 90+ detectors in the signal library.

The response, routed by the rule that applies.

Counsel, not the worker

When representation arrives, the adjuster is alerted to route contact through the attorney.

Board dates on the diary

Hearing and answer dates go on the diary with the notice attached, and escalate as they near.

Third parties for recovery

An equipment vendor, contractor, or driver at fault is flagged for subrogation, with the page that shows it.

State rules differ for hearings, retaliation, and mental health presumptions, and the detectors are state-aware.

In production at a large commercial carrier

Flagged from the first email.

On a forklift injury at a large commercial carrier, the first email already showed that the worker had an attorney and that surgery was recommended. Isomer flagged both from that email, the day the claim arrived.

See the comp claims that need attention now.

In our workshop, your team builds synthetic comp claims modeled on your book and sees Isomer find the attorney, the surgery, and the hearing date. A pilot then shows when they arrived on your own closed claims.