Brain injuries, spinal cord injuries, severe burns, amputations, and multiple trauma injuries turn the lives of injured workers upside down and create costly volatility for those covering the claims. Paradigm helps manage the uncertainty of these highly complex cases with clinical expertise and data-driven care management.
For nearly 35 years, we've delivered superior outcomes for catastrophically injured workers while minimizing risk for first dollar payers and reinsurers. Utilizing intelligence from 20,000 catastrophic cases, Paradigm's data-driven model—delivered by a specialized team of clinical experts—provides a proven path forward that creates better outcomes, controls costs, and prevents losses from escalating into reinsurance layers. Your clients benefit from:
Medical risk transfer until verifiable and mutually agreed-upon outcomes are achieved
Fixed pricing with clear functional and clinical outcomes—guaranteed
Dedicated team of medical and behavioral health experts hand-selected for each case
Fully integrated psychosocial support for the injured worker and family throughout recovery
Paradigm's superior outcomes—validated by a leading independent actuarial firm—create lasting impact for catastrophically injured workers, their families, and payers.
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Source: Milliman, 2020
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Source: Paradigm data, 2019-2023
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Source: Milliman, 2020
Learn how we helped an injured worker return to work after he experienced a severe acquired brain injury and multiple trauma from a 35-foot fall—while creating $316,000 in long-term savings for our client.
For complex or chronic claims with delayed recovery, we offer Restorative Recovery Plans—a time-based, expert-guided management plan focused on stabilizing the medical and behavioral healthcare configuration of the injured worker. This unique solution puts the injured worker’s recovery on track, while providing continued risk protection and cost stabilization for our clients.
Case examples:
Click the resources below—including articles and webinars from leading industry sources—to gain insights into the key factors driving elevated costs.
Senior Vice President, Strategic Partnerships
(218) 336-5273
Senior Vice President, Strategic Partnerships
Cody is responsible for developing and growing Paradigm’s partnerships with TPA, reinsurance, and excess carrier markets. He has 20 years of experience in strategy, operational leadership, sales leadership, managed care, claims administration, and client service.
Chief Clinical Solutions Officer
(925) 357-3594
Chief Clinical Solutions Officer
Kathy is responsible for Paradigm’s outcomes-focused clinical solutions, including catastrophic, risk-based products, and case management services. She has over 20 years of experience in the healthcare and insurance industries—and a background as a registered nurse and case manager.
Chief Growth Officer
(925) 677-4835
Chief Growth Officer
Kevin leads Paradigm’s sales, account management, sales operations, and product development. He has more than 30 years of experience in workers’ compensation and claims management.
Senior Vice President, Sales
(925) 677-4807
Senior Vice President, Sales
Jim leads the Clinical Solutions, Risk sales team. He has worked in the workers’ compensation risk management field for more than 30 years, with a focus on business development and sales management.