Veltha

Self-insured employers, carriers, and MGAs rely on traditional workers' comp TPAs where claim files are assembled by hand over weeks, adjusters juggle around 200 files mostly consisting of paperwork, and reserves get posted weeks late and tracked manually. Bill review and vendor management are often outsourced and marked up, and missed calls to claimants push them toward attorneys, driving up litigation costs. The longer a claim stays open under this model, the more it costs the employer or carrier, and adjusters spend most of their time on paperwork instead of directly helping injured workers.

Veltha is a workers' comp TPA that uses AI to handle claim paperwork and organization, freeing licensed adjusters to focus on decisions and direct contact with injured workers. The AI reads and organizes the claim file on day one, posts and tracks reserves within 72 hours and flags deadlines before they come due, and bill review and vendor management are done in house rather than outsourced. The company offers service guarantees including returning every call within 24 hours, posting reserves within 72 hours, and making every payment inside the statutory window, aiming to reduce missed calls that send claimants to attorneys. It serves self-insured employers, carriers, and MGAs, and says new programs can start with one state or one program without requiring a migration.