Enterprise Claims Optimization Platform

Accelerate disability claims, unlock measurable savings

Counter optimizes disability and leave workflows for insurers, TPAs, and government agencies— reducing processing time, accelerating SSDI offsets, and delivering proven operational outcomes.

40%
Faster offset recognition
30%
Reduced handler time
25%
Fewer appeals
Supported by leading organizations across insurance and the public sector.
Northwestern Mutual Logo
MassMutual Logo
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HIPAA-aligned infrastructure
SOC 2 Type II ready
Enterprise-grade deployment
Proven in production

Traditional claims workflows leave value on the table

Manual processes, fragmented communication, and delayed SSDI coordination create operational friction and financial leakage across the claims lifecycle.

Current State

Extended processing times

Manual workflows delay claims decisions and offset recognition by months

High call volume

Claimants repeatedly contact handlers for status updates and next steps

Missed SSDI offsets

Delayed or incomplete SSDI applications result in lost savings opportunities

Operational inefficiency

Claims handlers spend time on repetitive tasks instead of complex decisions

Poor claimant engagement

Lack of guidance leads to incomplete evidence and increased appeals

With Counter

Intelligent workflow automation

Guided processes reduce cycle time and handler burden

Proactive claimant engagement

Self-service tools reduce inbound contacts by 35%

Accelerated SSDI offsets

Automated readiness scoring and evidence coordination

Streamlined operations

Focus handler time on complex cases and decision-making

Evidence orchestration

Complete documentation reduces appeals and denials

A complete claims optimization platform

Counter embeds directly into your existing infrastructure—augmenting claims systems with intelligent automation, financial acceleration tools, and operational insights.

Guided Claims Intelligence

AI-powered decisioning support and case prioritization based on complexity and offset potential

Workflow Automation

Streamlined task routing, automated notifications, and intelligent process orchestration

SSDI Readiness & Scoring

Predictive offset modeling and automated eligibility assessment for maximum savings capture

Evidence Orchestration

Coordinated medical record collection, documentation validation, and compliance tracking

Financial Acceleration

Offset tracking, reserve optimization, and shared savings analytics across your book

Seamless integration with your existing systems

Your Claims System

Core admin platform

Counter Platform

Optimization layer

Measurable Results

Operational outcomes

API-first architecture  •  SSO integration  •  Existing workflow compatibility  •  No data migration required

Quantified enterprise outcomes

Counter delivers measurable operational improvements and financial returns—validated through pilot programs and enterprise deployments.

30%

Reduced handler time

Average time savings per claim through automation

40%

Faster offset recognition

Accelerated SSDI approval and financial recovery

25%

Fewer appeals

Reduction in claim denials and appeals volume

35%

Lower call volume

Decrease in claimant-initiated support requests

15%

Improved reserving

Enhanced accuracy in financial forecasting

Operational efficiency comparison
Before Counter With Counter

$2.4M

Average annual savings

Per 10,000 active LTD claims

6–8 mo

Typical ROI timeline

Based on pilot performance data

92%

Handler satisfaction

Improved workflow experience

How Counter works

A systematic approach to claims optimization—from initial intake through financial recovery and continuous improvement.

01

Claim intake & scoring

Counter ingests claim data and applies ML-based scoring for offset potential, complexity, and risk factors

  • Automatic case prioritization
  • SSDI readiness assessment
  • Complexity routing
01
02
02

Guided workflows

Handlers receive intelligent task sequences, recommended actions, and automated documentation prompts

  • Context-aware task lists
  • Decision support tools
  • Compliance guardrails
03

Evidence coordination

Automated orchestration of medical records, provider outreach, and claimant communications

  • Smart document requests
  • Vendor integration
  • Completion tracking
03
04
04

SSDI acceleration

Proactive claimant guidance, application support, and SSA coordination to expedite offset realization

  • Application readiness tools
  • Progress monitoring
  • Offset verification
05

Insights & reporting

Real-time dashboards tracking cycle times, offset performance, and financial impact across your book

  • Executive analytics
  • Performance benchmarks
  • ROI tracking
05

End-to-end optimization in one platform

Counter coordinates every stage of the claims lifecycle—from first notice through offset realization—delivering continuous operational value.

See Platform Demo

Enterprise deployment & pricing

Flexible commercial models aligned with your operational goals—designed for pilot validation and scalable rollout.

Annual License Model

Predictable SaaS pricing based on claim volume, user seats, and module deployment

  • Fixed annual subscription fee
  • Tiered by claim volume and users
  • Includes support, updates, and training
  • Enterprise SLA and dedicated CSM
RECOMMENDED

Success-Based Shared Savings

Risk-aligned pricing based on measurable financial outcomes and offset acceleration

  • Pay only on proven savings
  • Revenue share on accelerated offsets
  • Transparent tracking and validation
  • Aligned incentives for maximum impact

Pilot-first deployment approach

We recommend starting with a controlled pilot (typically 90–120 days) to validate outcomes before enterprise-wide rollout.

Phase 1: Pilot
Limited scope, defined cohort, baseline metrics
Phase 2: Validation
Performance review, ROI analysis, refinement
Phase 3: Scale
Enterprise rollout, training, optimization
Enterprise-ready commercial terms
Broker-clean pricingNo channel conflicts
Multi-year agreementsVolume discounts available
Custom MSA templatesLegal review friendly
Flexible payment termsAnnual or quarterly billing

Security, compliance & enterprise readiness

Counter is designed for highly regulated environments—with enterprise security standards, compliance frameworks, and integration capabilities.

HIPAA-aligned architecture

Built with healthcare data privacy requirements at the foundation

SOC 2 Type II readiness

Enterprise-grade security controls and audit compliance

Data residency options

Flexible deployment to meet regulatory and sovereignty needs

Audit trail & logging

Complete activity tracking for compliance and oversight

Role-based access control

Granular permissions aligned with your org structure

Regular penetration testing

Third-party security assessments and vulnerability management

Built to integrate with enterprise infrastructure

Integration capabilities
  • RESTful APIs with comprehensive documentation
  • SAML 2.0 and SSO (Okta, Azure AD, Ping)
  • HL7/FHIR support for healthcare data exchange
  • Webhook notifications and event streaming
  • Pre-built connectors for major claims platforms
Deployment options
  • SaaS (multi-tenant or dedicated instance)
  • Private cloud (AWS, Azure, GCP)
  • On-premise options for regulated entities
  • High availability and disaster recovery
  • 99.9% uptime SLA with enterprise support
Certified partners: AWS Advanced Technology Partner  •  Microsoft Azure Partner  •  SOC 2 Type II in progress  •  HITRUST certification roadmap

Ready to optimize your claims operations?

Counter delivers measurable operational improvements and financial returns for
enterprise disability claims programs.

Schedule a technical demo to see how Counter integrates with your infrastructure
and delivers proven outcomes.

Pilot Discussion

Design a controlled pilot to validate outcomes and ROI

Technical Review

Platform walkthrough with your technology and security teams

Custom Analysis

Projected savings model based on your claims portfolio