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    WC 360

    AI-Powered Workers Compensation Underwriting

    Streamline workers compensation underwriting, submission intake, and risk analysis. Transform compliance, pricing, and decision accuracy with automated tools engineered for speed and precision.

    Submission intake automation for Workers compensation insurance
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    Transforming Workers Compensation Underwriting

    Data-driven automation and streamlined submission workflow, enabling precise decisions for risk and compliance.

    360-degree Workers Compensation Risk

    Aggregate data from ACORD 130, payroll schedule, ex-mod reports and loss runs – further enriched with external sources such as OSHA records and regulatory databases.

    Operational Scalability

    Enables underwriters to manage growing submission volumes and complex accounts without additional staffing, even during rate filings or regulatory change periods.

    Smarter Risk Decisions

    Data-driven decision tools increase accuracy and profitability in workers compensation pricing and risk selection.

    Regulatory Confidence

    Incorporate state-specific workers comp rules and required documentation checks, reducing exposure to compliance issues and streamlining audits.

    Advanced Workers Compensation Solutions for Underwriters

    AI-powered tools to evaluate claims history, Ex-Mod and OSHA compliance, enabling precise risk assessment. Streamline underwriting with real-time insights for faster, more accurate policy decisions.

    Centralized Inbox & Communication Hub

    Purpose‑built for WC submission intake, collaboration, and auditability.

    • Unified inbox for emails, documents, notes; automated tasks and SLA tracking.
    • Complete audit trail for communications, file versions, and underwriting decisions.
    • WC intake supports ACORD 130, payroll schedules, loss runs, SOV, Ex-Mods, OSHA.
    • Links to OSHA feeds and bureau Ex-Mod retrieval/validation across all states.

    Centralized communication hub interface

    Prioritized Submission Triage

    Smart routing and prioritization to focus on winnable WC deals.

    • Automated WC scoring with winnability indicators, color-coded statuses, and SLA tracking.
    • Configurable rules align with appetite, business goals, and underwriting objectives.
    • Document-aware triage prioritizes ACORD 130, recent loss runs, payroll, Ex-Mods.
    • Third-party enrichment: NAICS mapping, prohibited class detection, bureau Ex-Mod lookups and OSHA logs.

    Submission prioritization dashboard

    Regulatory Compliance Automation

    Real‑time checks ensure accurate and complete WC submissions before underwriting.

    • Required WC docs vary by state; includes ACORD, payroll, loss runs, OSHA.
    • Validates valuation freshness, mod effective dates, and cross-document payroll/headcount/location reconciliations.
    • Flags missing/invalid class codes, maps NAICS, verifies signatures, officer forms.
    • Automates OSHA retrieval, connects to bureaus for Ex-Mod validation and audit links.

    Compliance verification interface

    Automated Risk Appetite Check

    Clear appetite fit assessments tailored for Workers’ Compensation.

    • Appetite matrices by class code families with state-specific experience mod thresholds.
    • Supports bureau/jurisdiction nuances, out-of-state limits, and subcontractor underwriting rules.
    • Benchmarks against peer cohorts, historical performance, and verified bureau Ex-Mod values.
    • Integrates OSHA severity/recency data and prohibited class rules into appetite scoring.

    Risk assessment dashboard

    Risk Insights for WC

    Operational and actuarial analytics designed for WC underwriting.

    • Tracks loss trends, claim lag, development, closure rates, and jurisdictional differences.
    • Analyzes payroll volatility, class code shifts, and projects prospective Ex-Mod scenarios.
    • Combines completeness, OSHA signals, and loss analytics into underwriting readiness scoring.
    • Benchmarks Ex-Mod trajectory by bureau, overlaying OSHA citations, and enforcement actions.

    Risk insights analytics dashboard

    Ready to Transform Your Insurance Operations?

    Join leading insurance companies who have already transformed their underwriting process with CognSure's AI-powered platform.