Workers' compensation
Help injured workers get the care they need, faster
Injured workers deserve a fast, fair process to get the care they need and return to work. Clearspeed helps workers’ compensation teams reduce unnecessary friction while keeping risk of fraud in view throughout the claims journey.
The workers who need care most shouldn't be last in line
When teams have to treat every claim with the same level of scrutiny, the cost lands on the people the system was built to support. Genuine claimants wait longer for care and a return-to-work decision. Investigator time gets stretched thin across cases that didn't need it. The backlog compounds with every new claim. By the time a high-risk claim reaches review, the cost has already grown.
Triage that makes faster, fairer outcomes possible
SPEED
Low-risk claims shouldn't have to wait
When risk of fraud is assessed in seconds, trustworthy policyholders can move forward faster. Injured workers get quicker access to care, return-to-work decisions happen sooner, and the process creates less friction for the majority of people.
CLARITY
Rapid, individualized risk insights at first report
A risk indicator at first report of injury (FROI) lets teams move the genuine majority forward with confidence and focus follow-up where risk of fraud exists. The right claims get attention earlier, before volume starts to blur the picture.
SCALE
Same team, more coverage
Clearspeed screens for risk of fraud across intake, helping your team cover more claims without growing your headcount. Skilled investigators stay focused on the cases that warrant review, while the broader claims process keeps moving.
PRECISION
Get risk insights other tools miss
The signal reaches where claims data can't. At first report and throughout case management, teams get a clearer read on injury severity, co-conspiracy, and injury characterization: risk of fraud that wouldn't surface any other way.
Return-to-work decisions shouldn't take longer than the recovery
01
The questions
A short set of yes-or-no questions, answered by the claimant at any point in the workers’ compensation claims journey.
02
The signal
Clearspeed analyzes for risk signals in the vocal response.
03
The indicator
You receive a clear risk indicator in real time.
Minimal risk
Fast-track to settlement
The claimant moves forward. No delay, no friction.
Elevated risk
Follow up for review
The cases that need a closer look, get one.
CO-CONSPIRACY SCHEMES
Fraud rarely travels alone
Workers' comp fraud isn't always a lone actor. Clearspeed screens for risk of fraud across the full claims network: employees, medical practitioners, and employers. The signal reveals early indicators of:
- Employee misclassification
- Payroll tax evasion
- Medical practitioner schemes
- Coworker collusion
- Bribery or corruption
TEMPORARY TOTAL DISABILITY
Recovery readiness clarity, from the source
A lot can change between first report and return to work. Clearspeed gives teams unique insight into current status without disrupting those on a genuine recovery path. It's a check-in, not a confrontation. The signal reveals early indicators of:
- Misrepresentation of ability to perform work duties
- Undisclosed outside income
- Failure to report return to work
- Non-cooperation with investigators
Wherever a decision happens in the policy lifecycle, Clearspeed slots right in
Application
Underwriting
First notice of loss
Claims
Mid-term endorsements
Renewal
Application
Underwriting
First notice of loss
Claims
Mid-term endorsements
Renewal
<2 min
From first question to final result
Standard Clearspeed process
<2 min
From first question to final result
Standard Clearspeed process
50%
Reduction in claims handling time
Pinnacol Assurance
50%
Reduction in claims handling time
Pinnacol Assurance
40%
Reduction in investigations spend
Pinnacol Assurance
40%
Reduction in investigations spend
Pinnacol Assurance
How Clearspeed makes dignity the default
Clearspeed screens for risk of fraud throughout the entire claim lifecycle. Genuine claimants move through faster, and the cases that warrant a closer look get one. That's triage working the way it should. A few yes-or-no questions, with analysis grounded in decades of neuroscience, give workers' compensation teams the visibility they need while easing unnecessary friction.
