Methodology

How OptiMOD Works

A structured workers' compensation performance methodology — covering everything that actually moves your mod and your premium.

Process Flow

From diagnostic to continuous optimization.

Stage 01
Intake & Data
Stage 02
Analysis
Stage 03
Findings
Stage 04
Prioritization
Stage 05
Implementation
Stage 06
Monitoring

Experience Mods

  • Mod factor decomposition
  • Loss-sensitive forecasting
  • Promulgated vs. unit-stat reconciliation
Your experience modification rate is a multiplier on every workers' comp premium dollar. We decompose your mod into the actual loss runs, expected losses, and credibility factors driving it — then model the impact of operational and claims interventions before they happen.

Claims Analysis

  • Loss-driver clustering
  • Reserve accuracy review
  • Stale-claim triage
Frequency outweighs severity in mod calculation. We identify high-frequency loss patterns by department, shift, supervisor, and body part, then surface reserve inflation and stale claims that are dragging your mod higher than it should be.

Classification Reviews

  • Duty-to-code mapping
  • Governing class analysis
  • NCCI scope verification
A single mis-coded class can shift premium by 20%+ and skew your mod for years. We map every job duty to NCCI rules, identify governing class candidates, and challenge inaccurate codes with documentation underwriters accept.

Payroll Reviews

  • Pre-audit payroll reconciliation
  • Excluded earnings analysis
  • Officer cap application
Audit surprises are operational failures. We pre-audit your payroll by classification, separate excluded earnings, apply executive officer caps, and prepare your team to walk into the year-end audit knowing the answer before the auditor does.

Safety Optimization

  • Leading indicator framework
  • Return-to-work protocol design
  • Supervisor accountability metrics
Safety programs reduce mods only when they reduce frequency. We benchmark your leading indicators, embed return-to-work protocols, and build supervisor accountability into the same dashboard executives review.

Ongoing Monitoring

  • Quarterly performance reviews
  • Mod trajectory alerts
  • Unit stat preview
Workers' comp performance is not a project — it's a posture. OptiMOD continuously monitors mod trajectory, payroll drift, claim aging, and safety leading indicators, surfacing issues before they reach the next unit stat filing.

Start with a no-cost OptiMOD review.

We'll analyze your mod, claims, and classifications and return a prioritized action plan.