Stuck files.
No activity in 30, 60, 90 days. No plan of action. Records requested months ago and never received.
Claims Intelligence & Analytics
Your own read on every claim. Continuously.
Caseline reads the files behind your program, in-house or TPA-handled, and turns them into live intelligence: what's stuck, what's under-reserved, what's drifting toward litigation, and what it's costing you.
Who it's for
Built for the people who own the outcome: self-insured employers, JPAs and public entity pools, programs and MGUs, carriers using TPAs, and TPAs that want to show their clients more.
Already have a TPA? Keep them.
Caseline is not a TPA and doesn't replace one. Your TPA administers the claims and stays close to your injured workers. Caseline reads the files and reports to you. No implementation project, no system migration, no change to who handles the claims. What changes is what you can see:
Reserve adequacy.
Reserves checked against what is actually in the medical record, not against the last claim note.
Litigation drift.
Applicant attorney involvement, disputed body parts, inconsistent restrictions, and the other signals that show up in the file before the referral to defense counsel.
Defense spend.
Which files genuinely need counsel, and which are being referred out by default.
Penalty exposure.
Late notices and payments surfaced before an audit finds them.
Claim review prep.
Walk into the quarterly review with your own file-level reads instead of a summary written by the people being reviewed.
Most claims administrators are excellent at handling claims and are not technology companies. Caseline is the layer that closes that gap, working with your TPA, not against them.
Analytics your committee can act on
Volume, aging, reserve movement, litigation rate, and defense spend, tracked over time and tied to the specific files driving them. Every number clicks through to the source document. Board packets and quarterly claim reviews stop being a scramble.
Intelligence informs the examiner
It never replaces them. Compensability, reserves, authority, and settlement stay with your team.
Talk through a workflow
Tell us what you need to see across the program: stuck files, reserve questions, litigation drift, missing records, or review prep. We will map it to a source-cited workflow.