Your case managers decide liability.
They shouldn’t be assembling the requirement set.

A Case Orientation Report instead of a raw claim file.

Every requirement the claim engages — the state workers’ compensation Act, the scheme’s published claims manual, the determination and notice periods, and your own standards as an agent — identified for consideration, with the evidence on the file set against each one. It states the position on each requirement. It never reaches the determination.

Two rails, clearly separated. The statutory and regulatory requirements for the jurisdictions you write in, and your own handling standards alongside them. Your case manager can see at a glance which findings carry regulatory exposure and which are your house rules.

It reports the file, not the case manager. It states what the record shows and what it does not — never what anyone did or decided.

It can be run at the beginning, and again whenever the claim is updated, to orientate the case manager. Requirements that did not exist at intake appear with their own deadlines, and evidence that was absent becomes present.

Less manual preparation. More time for the decision.

Outcomer removes the manual work your case manager does before judgement can begin — establishing which Act provisions and manual requirements the claim engages, and checking the file against each one. That time returns to the decision you employ them to make. Judgement minutes are unchanged; every minute saved is preparation.

An estimated 42% less time on each claim —
around 73% more capacity from the same team.

Estimated from a task-level decomposition of a moderate workers compensation claim at the point of a liability determination, taking the conservative end of each range and including the time to run and read the report. Judgement minutes are unchanged — the saving is all preparation. These are our figures, not measurements on your claims; we go through the working against your own case timings in the demo.

Configured to your rule book, and signed off before anything runs.

Two sets of requirements govern a scheme claim, and the report names both. Your standards sit in your own configuration only. Nothing derived from them enters the shared regulatory corpus, and no other client’s configuration can draw on them.

Maintenance is agreed at the same time — we monitor the instruments, decompose any change, you sign it off, and it applies from the effective date. Requirements are date-gated, so a claim from 2021 is examined against the rules as they stood in 2021.

Six things your claims leader sees.

1. Fewer determination periods missed.Every period the claim engages is identified before the clock runs, not after.
2. More claims managed per case manager without adding desks.The capacity comes out of preparation, not out of the time spent deciding.
3. A new joiner works to the same standard as your most experienced case manager.The same provisions, in the same order, on every claim.
4. Fewer entitlements overlooked.An entitlement nobody identified was never in the file, and never in the estimate.
5. Fewer files back on a team leader’s desk.The position on each requirement is complete and recorded the first time.
6. When the scheme reviews the file, what was considered is already in it.A dated record on every claim, not the sample that happens to be pulled.

In your estate, against the requirements in force at the time.

An orientation layer that sits alongside your claims administration system. Outcomer does not replace or write to it. It reads the file and states the position; your case managers decide and update the record. No migration, no change to how claims are administered.

Outcomer deploys as a container inside your own environment. The software and the model run in your estate, and nothing about the claim leaves your tenancy.

Built to fit your claims workflow. Outcomer can operate as a standalone workflow during evaluation, or integrate with your existing claims-management environment so the Case Orientation Report becomes another part of the case manager’s existing workflow.