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MANAGED CARE & WORKERS’ COMP

The future of recovery is connected.

Every claim creates signals about where recovery may be headed. Sedgwick combines 5x more claims data with advanced analytics, AI-enabled insights and clinical expertise to recognize those signals earlier and help connect people with the right support at the right time.

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One serious claim can trigger nuclear verdict exposure, disrupt renewals, increase reserve volatility and put leadership under scrutiny. That kind of escalation usually doesn’t come from one event. It comes from a series of operational breakdowns that compound:

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Recovery isn't as simple as it used to be.

Workers’ compensation claim costs have risen an average of 6% annually since 2022, according to the Workers Compensation Research Institute. Injuries are becoming more complex, with more major surgeries and higher employee expectations. Many recovery programs aren't built to keep up. 

The HR and risk leaders seeing lower costs and improved return-to-work outcomes are taking a different approach.

Ready for a more connected recovery experience?

Discover how connected care helps people recover faster while helping organizations control costs. 
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Todd is Senior Vice President of Business Development at Sedgwick, where he leads strategic business development initiatives that help employers navigate complex casualty and risk management challenges. With more than 25 years of experience in risk management, health management and workforce solutions, he is known for building trusted client relationships through a consultative approach. Todd is passionate about helping organizations control costs, improve compliance and achieve better outcomes through innovative, technology-enabled solutions.

INTELLIGENCE BEFORE INTERVENTION

Better recoveries start with smarter decisions.

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See potential barriers earlier
Predictive insights help identify claims that may benefit from earlier intervention.


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Connect the right expertise
Intelligent triage and provider insights help guide claims toward the appropriate clinical resources and care.


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Keep recovery moving

Connected workflows and digital communication reduce friction and help people stay engaged throughout recovery.


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Ready for a more connected recovery experience?

Discover how connected care helps people recover faster while helping organizations control costs. 

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Todd is Senior Vice President of Business Development at Sedgwick, where he leads strategic business development initiatives that help employers navigate complex casualty and risk management challenges. With more than 25 years of experience in risk management, health management and workforce solutions, he is known for building trusted client relationships through a consultative approach. Todd is passionate about helping organizations control costs, improve compliance and achieve better outcomes through innovative, technology-enabled solutions.

ONE PERSON. ONE RECOVERY JOURNEY.

Recovery is faster when expertise works together.

INTELLIGENCE BEFORE INTERVENTION

Better recoveries start with smarter decisions.

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OmniClaims
Real-time updates, guided next steps and direct communication with their claims team help employees stay informed, build confidence and keep recovery moving forward.

Explore Omni


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PPO networks
Employees connect with top-performing providers from our national network, supporting better treatment and reducing indemnity costs by 59%.

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Provider risk insights
HR and risk leaders use our proprietary analytics, powered by five times more claims data than competitors*, to identify unusual provider patterns sooner, reducing misuse, abuse and fraud.
*Based on Sedgwick 2025 casualty book of business data versus leading competitors.
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Nurse case management
Employees have access to a Sedgwick nurse advocate who coordinates care and answers their questions throughout recovery, helping them feel supported and stay on track.   

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Clinical consultation
Immediately after an injury, employees can connect with a Sedgwick nurse for guidance on symptoms, treatment options and next steps.

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Behavioral health
Employees gain access to mental health resources to help them build resilience and overcome barriers in their recovery journey.

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MEANINGFUL IMPACT. MEASURABLE OUTCOMES.

Connected care creates measurable impact.

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Return-to-work programs
Personalized transitional and vocational work plans help employees regain routine, confidence and independence while reducing lost time.

Explore programs


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Medical bill review
Every medical bill is reviewed for accuracy and eligible discounts, helping reduce unnecessary costs and ensure appropriate payments.

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Utilization review
Treatment reviews ensure injured employees receive fast, appropriate care aligned with recovery goals.

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CASE STUDY

41% decrease in average medical incurred from early mental health support

Challenge: After traumatic incidents on the job led to more mental stress claims, an employer needed a more human approach.

Solution: Sedgwick stepped in early, connecting injured employees to mental health experts who knew just what to do to support a healthier return to work.

Results:

25-day

shorter average claim duration

14%

decrease in temporary total disability days

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Sedgwick can reduce your program’s exposure.

Sedgwick helps transportation risk teams connect claims, operations and prevention strategies to reduce volatility and improve outcomes.
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Move faster at first notice.

Use AI‑enabled intake to speed reporting and capture stronger incident details from the start.
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Improve claim defensibility early.

Establish facts sooner and identify high‑risk claims before narratives take hold.
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Turn claims into prevention.

Translate claims data into insights that help reduce repeat exposure tied to drivers or locations.
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Create consistency across operations.

Align safety and reporting practices across locations to limit variability and risk.
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5 steps to take after an auto accident

A practical checklist on what to do immediately following an accident to reduce nuclear verdict exposure
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Liability litigation analysis (Summer 2026)

The latest data and trends behind what’s driving claim severity earlier — and how litigation risk builds

When the time is right, we’re here. Request an introductory conversation with Ryan.

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Todd Squiers

Senior Vice President, Casualty Business Development 

Todd Squiers has deep experience partnering with large employers to deliver risk management and absence management solutions. Known for his consultative, partnership driven approach, Todd works closely with organizations to help control medical costs, strengthen compliance, and support employees in making informed health decisions.

Uber, stay ahead of the curve with real-time claims visibility

Company name, stay ahead of the curve with real-time claims visibility

Monitor your claims in real time.

Access live portfolio reporting and electronic claim files to quickly identify trends, monitor performance and stay informed.

Identify emerging risks before they escalate.

Use actionable analytics to uncover high-risk claims, loss patterns and operational issues early so you can intervene sooner.

Improve governance, transparently.

Give risk, operations and leadership teams a shared view of claims performance with consistent, defensible reporting.

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Move faster at first notice.

Use AI‑enabled intake to speed reporting and capture stronger incident details from the start.

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Move faster at first notice.

Use AI‑enabled intake to speed reporting and capture stronger incident details from the start.

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Move faster at first notice.

Use AI‑enabled intake to speed reporting and capture stronger incident details from the start.

About Sedgwick auto liability

As the leader in auto liability claims administration, no one has more expertise managing every aspect of an auto claim, from the initial report to the final resolution, and getting your business back on the road quickly and safely.
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Frequently asked questions.

How does managed care control costs?

One key way is through utilization review, which makes sure care is medically necessary, delivered at the right time and matched to the employee's needs. Bill review and care management help reduce avoidable variation and lower total costs without sacrificing quality. 

What does “one recovery journey” actually mean?

An injured employee shouldn't have to navigate separate vendors while trying to recover. Sedgwick connects claims professionals, clinical experts and recovery resources around the individual for a simpler, more coordinated experience. 

We already have preferred providers and managed care. What would Sedgwick add?

Having managed care services isn't the same as having connected managed care. Sedgwick brings together in-house claims expertise, clinical resources and provider intelligence to create one end-to-end recovery journey, not a series of handoffs between disconnected vendors.

Is AI making decisions about employees' medical care?

AI-enabled insights help clinical teams recognize patterns and make more informed decisions earlier in a claim. These capabilities support clinical expertise rather than replace the people guiding an employee's recovery. 

Does lowering total cost of risk mean restricting care?

No. Better outcomes come from helping people get the right care sooner, reducing delays and supporting a safe return to work. Better recovery leads to lower costs.

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About Sedgwick

As the world leader in integrated workers’ compensation and managed care, we bring the industry’s largest network of experts together to get injured workers healthy and back to work faster than anyone else.