Your examiners decide compensability.
They shouldn’t be assembling the requirement set.

A Case Orientation Report instead of a raw claim file.

Every provision the claim engages — Labor Code, Title 8, the notice and payment requirements, and your own handling standards — identified for consideration, with the evidence on the file set against each one. It states the position on each requirement. It never reaches the compensability decision.

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

It reports the file, not the examiner. 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 examiner. 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 expert judgement.

By preparing the case orientation, Outcomer removes the manual work your examiner does before judgement can begin — establishing which provisions 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 40% less time on each claim —
around 65% more capacity from the same team.

Estimated from a task-level decomposition of a moderate indemnity claim at initial determination and across the ongoing life of the file, 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.

The statutory requirements for California, and your own handling standards, loaded alongside them under NDA. 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 — how the statutory matrix stays current, how you tell us when your own standards change, and how each update is recorded. Requirements are date-gated, so a claim from 2021 is examined against the rules as they stood in 2021.

Six things your claims manager sees.

1. Fewer findings at your next audit.Nothing applicable is left out, and the record shows it.
2. More closings per examiner without adding desks.The capacity comes out of preparation, not out of the time spent deciding.
3. A new hire works to the same standard as your twenty-year examiner, from their first file.The same provisions, in the same order, on every claim.
4. Less leakage through omissions.An entitlement nobody identified was never in the file, and never in the reserve.
5. Fewer reopens, and fewer files back on a supervisor’s desk.The preparation is complete and recorded the first time.
6. When the auditor asks what was considered, it is already in the file.A dated record on every claim, not the sample they happen to pull.

In your estate, against the provisions in force on the date of injury.

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 examiners 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 examiner’s existing workflow.