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Loss Analysis & Claim Review

Turning data into decisions that drive better outcomes.

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Understanding where losses occur and why is essential to controlling workers’ compensation costs. At Specialty Comp Insurance Solutions (SCIS), our Loss Analysis & Claim Review services go beyond basic reporting. We deliver actionable insights that help employers identify trends, reduce injury frequency, and achieve measurable improvements in claim outcomes.

Our team conducts detailed reviews of claim files, loss history, and performance metrics to uncover opportunities for improvement, helping businesses strengthen safety programs, reduce reserves, and lower overall total cost of risk.

Loss Analysis & Claim Review with SCIS

What We Do

SCIS provides comprehensive loss and claim review support that combines analytics, expertise, and collaboration.

Our services include:

  • Claim File Reviews – Regular analysis of open and closed claims to verify reserves, status, and progress.
  • Loss Run Analysis – Detailed reporting to identify patterns in injury type, location, cause, or department.
  • Trend Identification – Ongoing monitoring of frequency and severity metrics to target prevention strategies.
  • Benchmarking & Forecasting – Comparative data analysis to measure progress over time.
  • Strategic Recommendations – Actionable steps to address problem areas and improve future outcomes.

The SCIS Review Process

Our collaborative approach combines analytics and hands-on advocacy.

  1. Data Collection: Gather loss runs, mod worksheets, and claim summaries.
  2. Analysis: Identify trends by class code, injury type, and claim cost.
  3. Review Meeting: Discuss findings and align on corrective actions.
  4. Implementation: Coordinate with underwriting and risk control for targeted improvements.
  5. Monitoring: Track post-review outcomes and provide periodic progress reports.

Benefits of Payroll Monitoring & Review

  • Informed Decision-Making: Access clear, reliable data to guide operational changes.
  • Reduced Claim Costs: Identify inefficiencies and address them before they escalate.
  • Improved Safety Programs: Use insights to build stronger, targeted prevention initiatives.
  • Proactive Communication: Stay updated with regular reports and recommendations.
  • Better Employee Outcomes: Faster resolution and return-to-work coordination.

Integration with SCIS Services

Loss Analysis & Claim Review is fully integrated with:

  • Claims Advocacy – To ensure communication and resolution align with findings.
  • Online Claim Insights – For real-time data visualization and monitoring.
  • Loss Control Solutions – To implement corrective safety and risk management actions.

Request a Consultation

Turn Data Into Action. Connect with our team to learn how SCIS can help you analyze losses, identify trends, and take proactive steps toward reducing claim costs.