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Use Case
Workers Compensation Case Management
Fast-track genuine claims with confidence

Stop wrestling with the trade-off between moving quickly and preventing fraud

Workers’ compensation is often considered a safety net to support the continued livelihood of workers injured while on the job. However, with billions lost annually to claims from increasingly complex fraud tactics and even organized schemes, the system’s integrity is under threat. You’ve made investments in solutions that simply haven’t paid off. Payments on fraudulent claims continue to pile up, and the strain on resources leads to slower processing times for genuine claims and a growing mistrust among all parties.

Optimize your risk assessment processes to get genuine claims settled and people back to work faster

Most claims and subsequent information submissions are genuine and deserve to be managed quickly, helping the employee get the medical and financial assistance they require in a timely manner, and continue with treatments and off-work requirements as prescribed. 


With Clearspeed’s voice-based risk assessment technology, we help uncover hidden risk quickly using short, automated questionnaires, delivered in any language. Clearspeed gives you in-the-moment risk intelligence specific to the individual that is objective and unbiased, allowing you to make more confident decisions at scale. 

Shorten investigation cycles and lessen spend

Reduce fraudulent payments

Lower operational costs of monitoring cases


Easy Insertion into Existing Workflows

The Clearspeed voice-based risk assessment process starts with individuals being presented with the questionnaire on any voice-enabled device. Clearspeed analyzes the individual’s vocal response to the desired question set, quickly identifying and scoring indicators associated with risk. These point-in-time, individualized results are then returned via API or available with the Clearspeed web app. This insight is used to inform next steps in the vetting or investigation process.

First Report of Injury
Find risk indicators early in the claims process:
  • Misrepresentation of how and when the injury event occurred
  • Pre-existing injury
  • Exaggeration of symptoms or severity of injury
Co-conspiracy schemes
Uncover claimant and medical practitioner co-conspiracy risks:
  • False diagnosis
  • Billing for unrendered services
  • Kickback schemes
  • Bribery or corruption
    Temporary total disability
    Spot risk indicators of work aversion that prolongs payments:
    • Inaccurate statements about ability to perform work duties
    • Undisclosed income
    • Failure to report return to work

      Uncover risk of fraud, from first report of injury to completion of case management

      Clearspeed helps US insurer accelerate return to work 

      A large US insurer was struggling to identify fraudulent reporting in its injured workers case management load. They believed that a number of recipients had been receiving lost time payments while forgetting to report their return to work, or were actively perpetrating fraud. With Clearspeed, the insurer quickly intercepted risk in their return-to-work (TTD) case management: 

      • 3X improvement in voluntary completion rate of response 

      • 35% resulted in high risk indicators for fraud 

      • 15% admission rate on misrepresentation of information, or fraud


      Get a customized demo to see how Clearspeed can help you optimize your disability claims management.

      Request a demo
      TrustFaster
      About ClearspeedClearspeed is the market leader for assessing risk in speech. Global organizations trust our highly precise, accurate, and unbiased voice analytics to fast-track low risk while also alerting to possible fraud. Our clients and partners rely on the unique data we provide to improve their risk confidence, reduce their costs, and deliver an improved customer experience.

      Learn more at www.clearspeed.com

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