Workers’ Comp - Shearwater Health

Workers’ Comp

Expand the size and impact of your managed care operations.

The best clinical quality at the lowest cost.

There's a significant clinical shortage and industry pressure on claims operations.

It’s difficult to scale operations, it’s expensive to hire and retain skilled clinicians, and outsourced vendors often create more work with quality issues.

Work with Us

Remove the stress to fill clinical positions and deliver a full-service solution with the ability to deliver quality outcomes at scale.

Utilization Review, Intake, and Auditing

Experts in the Utilization Review process with millions of cases processed every year

Bill Review and Ancillary Support

Millions of bills reviewed annually with focus on frontline and reconsiderations

Peer Review, PA, IME, and Pharmacy Support

20% cost reduction in utilizing a clinical team to prep peer review reports for U.S. clinicians

Triage, Scheduling, and Network Services

Consistently higher QA scores, productivity metrics, and conversion rates in telephonic services than domestic teams

It’s difficult to trust your operations to an outsourced vendor with quality issues or hire internally when there’s a shortage of quality clinical talent.

We work within your IT healthcare platform.

  • Your data never leaves the US
  • WE are proficient in 33 healthcare IT platforms
shearwater health URAC HUM Accreditation

shearwater health URAC WCUM Accreditation


We service 5 of the Top 6 Workers’ Comp TPAs and have a 95% renewal rate with current clients.

 

“I already regarded that our Shearwater teams care about doing their best work, and now having met the teams and witnessed their interactions, I am resolute.”

“With Shearwater’s model of providing nurses remotely that later transition to our U.S. offices, the nurses weren’t starting at square one. They built a solid foundation in the Philippines, which made the transition to the U.S. offices seamless.”

“I couldn’t be more pleased with this partnership and the job the Shearwater team is doing on an ongoing basis.”

 

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Remove the stress to fill shortages in a high cost labor environment and instead feel confident that your domestic teams are practicing at the peak of their license while a remote team handles the bulk of the transactional work.

 

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