ID15®: Uncovering behavioral risk

In our industry, it's generally accepted that about 15% of workers’ compensation claims account for nearly 80% of the system’s costs. Our experience indicates that one of the most significant drivers of poor claim outcomes is the behavior of the injured worker.


Revealing hidden risk

The ID15 process is designed to identify high risk claims accurately and quickly. We focus on the behavioral and psychosocial factors that signal that a claim may be at higher risk for a poorer claim outcome.  Knowing up front which claims are the highest risk means your company can allocate resources most effectively to intervene and alter the trajectory of the claim.

The process

Psychosocial characteristics can compound complex medical conditions and create barriers to recovery for an injured worker. ID15® is a psychosocial assessment process designed to identify high-risk claims within the first 48 hours following a work-related injury. The process integrates historical claim data, medical information and the psychosocial information gathered by our nurses to create a specific profile of each injured worker. 

The human element

In the ID15® process, specialty trained nurses initiate a conversation with the injured employee to collect specific and relevant behavioral information, psychosocial characteristics and the details of the injury and medical diagnosis. Our nurses supplement this information by further interviewing the treating medical professionals and consulting with the employer to gather additional facts.

Our scoring model

Once our nurses talk to an injured worker to gather important psychosocial information, they enter the results into the ID15® system. The system analyzes the data and medical information and generates a disability indicator score. By evaluating the specific characteristics of an injured worker, the disability indicator provides a risk profile for each individual. While other predictive models rely on public databases and published medical guidelines, the ID15 process uncovers hidden risk factors that are as unique as the individual injured workers. 

Once high risk claims are identified, Absentia's specialized team is ready to deliver early intervention services designed to improve outcomes.