ROI Calculator

Calculate Your ROI

Adjust the inputs for your claims operation. See the time savings and LC 4650(c) penalty avoidance potential in real time.

Your Operation

Adjust the sliders to match your team size and current performance.

Number of Examiners10

Full-time claims examiners on staff

Avg. Hourly Rate (fully loaded)$45/hr

Include salary, benefits, overhead

Open Claims per Examiner150

Industry average: 125–175 open claims

Current Deadline Miss Rate8%

% of deadlines missed monthly (industry avg: 5–12%)

Time Savings (Annual)

910 hrs

1.75 hrs/week × 10 examiners × 52 weeks

Source: 1.5–2 hr/week per examiner (AI-assisted document review)

Time Cost Saved (Annual)

$41K

910 hrs × $45/hr fully loaded

Based on fully-loaded hourly cost

LC 4650(c) Penalty Avoidance (Annual Est.)

$66K

102 fewer penalty events × avg $650 per event

LC 4650(c) 10% self-imposed penalty on overdue TD payments. Based on 8% current miss rate with 85% reduction via AdjudiCLAIMS deadline tracking.

Total Annual Value

$107K

$9K/month — $41K time savings + $66K penalty avoidance

Your Portfolio at a Glance

1,500

Total Open Claims

120

Est. Monthly Deadline Misses

>98%

Target Compliance Rate

Model Assumptions & Sources

How the Numbers Are Calculated

Time savings per examiner

1.5–2 hrs/week

AI-assisted document review, auto-population of claim fields, instant benefit calculations. Midpoint 1.75 hrs used.

Average TD penalty (LC 4650(c))

$650/event

LC 4650(c): 10% of overdue payment. Based on avg TD payment of $6,500 (2/3 AWE at CA median wage).

Compliance improvement

85% reduction

Automated deadline tracking with statutory consequences shown at each milestone; real-time dashboard alerts.

Fully-loaded hourly rate

$25–$100/hr

Salary + benefits + overhead. CA claims examiner median salary ~$72K = ~$34.6/hr direct, loaded ~$45–55/hr.

Claims per examiner

125–175 avg

California Workers' Compensation industry benchmark. PRD_ADJUDICLAIMS.md §2.

Examiner miss rate

5–12% monthly

Industry estimates. Varies significantly by organization maturity and claims system quality.

This calculator provides estimates only. Actual results vary based on your specific operation, claim mix, and implementation. Contact us for a custom analysis based on your actual data.