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.
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
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.”
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.