The Sentinel Claims Analyzer takes a normal loss-run report and turns it into a dynamic tool. Employers received a detailed analysis showing the employers the status of their worker’s compensation claims compared to ODG national guidelines for similar claims.

ODG is a division of Hearst Medical Group and has been adopted by more state regulators for state worker’s compensation systems than any other guidelines. It is considered an industry standard and is used by claims managers, health-care providers, employers, insurance carriers, third-party administrators, managed care organizations and attorneys.

The Sentinel Claims Analyzer is the first software system to integrate an employer’s data directly with the ODG guidelines showing employers how their actual medical costs and lost time compare to ODG national standards for similar claims. Instead of comparing each claim manually to the guidelines, the system automatically provides the information and updates it as the claim progresses. Results can be tracked at macro risk pool level and at the micro claim level.

The Sentinel Claims Analyzer gives employers the ability to monitor and mitigate worker’s compensation costs by quickly identifying excessive medical costs and lost time from work. It also acts as an early warning system allowing employers to take immediate action before claims become excessive.

Employers are able to see at a glance how efficiently claims are being managed. As an informed participant in their open claims, they can see trends, ask questions, modify practices, intervene and work with their external partners towards their desired outcomes.

The essential job duties of all positions are uploaded to the software.

After the employee sees their medical provider, any prescribed restrictions are entered into the system. The software automatically removes all duties that fall under the restriction and generates a list of modified duties. Acceptable alternate duties from other positions can also be added in.

A Modified Duty Report is given to the employee to sign off on – either in person or electronically, which meets mandatory compliance requirements. Once the employee signs off, the documentation automatically returns and is stored in the system. The employee can immediately return to work and complete the remainder of their tasks or other assigned duties that fit within the doctor’s recommendations.

As restrictions are lifted, employees are given updated Modified Duty Reports until they return to full duty.

The Sentinel Return-To-Work Advisor quickly & efficiently returns employees to current or alternative positions.

When work restrictions are not clear enough to return an employee to work after an injury, employees remain off work much longer than necessary even though they are still capable of many job functions. This results in unnecessary costs for employers and dissatisfaction among the rest of the work force who are often left to manage the workload with less people.