ExamWorks UK

What ExamWorks UK does

ExamWorks UK is a privately held UK specialist outsourcing platform that delivers medico-legal, occupational health, rehabilitation, investigation and language services to the insurance, legal and healthcare sectors. Founded in 1996 as Premex by Simon Margolis, the group has grown to approximately 2,000 colleagues organised across three operating divisions — Premex Group (Premex Services, Premex+, 3d Rehabilitation, EWIS, ELS, and the acquired Enable Therapy Services), UKIM (independent medical reports and occupational health), and Pure Unity Health Group (Pure Unity Health, Pure Physiotherapy, MLAS, Rehab Direct and the acquired Unity Health Group) — together with an in-house recruitment agency, ExamWorks UK Careers. Premex Services and UKIM MLR operate as MedCo Tier 1 agencies, and many group entities hold ISO 27001 information security certification, supporting sensitive clinical and claims data handling for the NHS, insurers, solicitors and 800+ corporate occupational health clients.

The underlying technology is a federated services platform rather than a unified software product: clinical and administrative operations run through acquired operating brands, with shared governance, ISO 27001 information security controls, a centralised Data Protection Officer, and a COO-led digital transformation mandate to integrate acquired businesses onto unified platforms. Public technology disclosures are limited to standard enterprise tooling — OneTrust cookie compliance, Cloudflare bot mitigation, Hotjar user analytics, and Google Analytics — with no proprietary AI models or public APIs disclosed. The only AI-adjacent capability documented is semi-automated decision making in the recruitment screening workflow, with human verification retained.

The business model is bespoke professional and managed services revenue, primarily pound-denominated, with pricing conducted via quote rather than published list rates. Revenue streams span medico-legal reporting for personal injury claims, NHS First Contact Physiotherapy under managed service contracts, employer-paid occupational health assessments, claims investigation and surveillance, interpreting and translation across 200+ languages, and rehabilitation and vocational case management. The group is privately held by the Global ExamWorks Family, and growth has been driven by a combination of organic scale and serial acquisitions, most notably Enable Therapy Services in July 2024 and Unity Health Group in October 2024.

Name

ExamWorks UK

Legal name

ExamWorks UK Limited

Website

https://examworks.co.uk

Company type

Private

Founded year

1996

Operating status

Operating

Headcount range

1,001–5,000 employees

Short description

ExamWorks UK is a privately held specialist outsourcing platform providing medico-legal reporting, occupational health, rehabilitation, physiotherapy, investigation and language services to the UK insurance, legal and healthcare sectors across 2,000 colleagues.

Ownership category

akta.pro rank

Product category

Medico-legal and Occupational Health Services

NAICS

Medical and Diagnostic Laboratories (62151), Testing Laboratories and Services (541380)

SIC

Services-Testing Laboratories (8734), Services-Medical Laboratories (8071)

akta.pro primary industry

Certification & Licensing Exam Management Platforms (EDAFADAG)

akta.pro secondary industry

Occupational Health & Employer Testing Laboratories (HLAFAMAK)

Keywords

• Medico-legal reporting
• Occupational health services
• Rehabilitation services
• Claims investigation services
• Interpreting translation services

Headquarters

HQ city

Bolton

HQ country

United Kingdom

HQ region

Europe

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Medico-legal and Independent Medical Examinations: Specialist outsourcing services to insurance and legal sectors. Premex Services is the UK's largest provider of medico-legal reports used to assist in the resolution of personal injury claims, working with a nationwide panel of medical experts.
2. Occupational Health and Independent Medical Reports: UKIM delivers independent medical reports and occupational health support to over 800 individual companies, including pre-placement health checks, sickness absence consultations, ergonomic assessments and rehabilitation services.
3. Physiotherapy and Rehabilitation Services: Pure Unity Health Group delivers First Contact Physiotherapy services to NHS, private patients, insurance companies and elite athletes. Over 450 First Contact Practitioners provide over 55,000 interventions per month across 1,200+ GP Practices and 220+ Primary Care Networks.
4. Interpreting and Translation Services: ExamWorks Language Services (ELS) provides face-to-face and remote interpreting, certified translation, court & tribunal, healthcare, insurance & claims investigation, and legal sector language support across 200+ languages.
5. Rehabilitation and Occupational Therapy Case Management: Enable Therapy Services provides Rehabilitation and Vocational Case Management, Immediate Needs Assessments, Occupational Therapy and Vocational services through a UK-wide network of over 275 HCPC-registered Occupational Therapists.
6. Recruitment Services: ExamWorks UK Careers is the group's recruitment agency, supporting clients with staffing requirements across healthcare, social care, legal and insurance sectors. Recruits frontline clinical staff, managerial roles, operations and support positions, with bespoke commercial offerings including deferred terms.

Pricing tiers

Go-to-market motion1 record

Core offering

ExamWorks UK is a specialist outsourcing service provider delivering medico-legal reporting, occupational health, rehabilitation, physiotherapy, claims investigation, interpreting and translation, and recruitment services to the insurance, legal and healthcare sectors in the UK. Operating through a portfolio of sub-brands (Premex Group, UKIM, Pure Unity Health Group, Enable Therapy Services and ExamWorks Language Services), it serves insurers, solicitors, the NHS, Primary Care Networks and corporate clients with a 2,000-strong colleague base.

Product overview

ExamWorks UK is a portfolio-of-companies service platform rather than a single unified software product: it is a market-leading provider of medico-legal, occupational health, rehabilitation, investigation and language services to the insurance, legal and healthcare sectors, operating 2,000+ colleagues through a group of sub-brands. The portfolio is organised around three main divisions: Premex Group (Premex Services, Premex+, 3d Rehabilitation, ExamWorks Investigation Services, ExamWorks Language Services, and the acquired Enable Therapy Services), UKIM (UKIM, UKIM MLR and UKIM Occupational Health & Wellbeing), and Pure Unity Health Group (Pure Unity Health, Pure Physiotherapy, MLAS and Rehab Direct, supplemented by the acquired Unity Health Group). ExamWorks UK Careers is an in-house recruitment agency that supports staffing across the portfolio. These service lines share back-office infrastructure, governance, ISO 27001 information security controls and a common data-protection framework, and are continually expanded via M&A and digital transformation overseen by the executive board.

Differentiator

Problem solved

Functional benefit

Brands

• Premex Group: Specialist outsourcing organisation offering medical examinations, rehabilitation, investigation services, language services and medico-legal reporting to the insurance and legal sectors. Founded in 1996.
• UKIM (UK Independent Medical)
• Pure Unity Health Group
• ExamWorks Language Services (ELS)
• ExamWorks Investigation Services (EWIS)
• ExamWorks UK Careers

Products and services

• Premex Services UK's largest provider of medico-legal reports used to assist in the resolution of personal injury claims, working with a nationwide panel of medical experts. Headquartered in Bolton and a MedCo Tier 1 agency serving insurers and solicitors.
• Premex+ Specialist bespoke service delivering high-quality medico-legal reports for complex serious injury, clinical negligence, industrial disease and other complex cases, designed to integrate with clients' existing solutions. For insurers and solicitors handling complex claims.
• 3d Rehabilitation Leading provider of diagnostic and treatment services to customers in the insurance, legal and commercial sectors, offering tailored treatment solutions to help people regain wellbeing and lifestyle following an accident or injury.
• ExamWorks Investigation Services (EWIS) Leading claim investigation company offering investigations, fraud detection, fraud screening, surveillance and cognitive interviewing services to the insurance sector.
• ExamWorks Language Services (ELS) Specialised interpreting and translation solutions for the legal, insurance, claims investigation, occupational health and healthcare sectors, with 14+ years of industry experience, court-approved professionals and 200+ languages supported.
• Enable Therapy Services (ETS) Specialists in providing Rehabilitation and Vocational Case Management, Immediate Needs Assessments, Occupational Therapy and Vocational services with a UK-wide network of over 275 HCPC-registered occupational therapists. Acquired by ExamWorks UK in July 2024.
• UKIM Occupational Health & Wellbeing Occupational health service offering pre-placement health checks, sickness absence consultations and reporting, ergonomic assessments, and rehabilitation encompassing physiotherapy and mental health service offerings to over 800 UK companies.
• Pure Unity Health (First Contact Physiotherapy) Leading national provider of First Contact Physiotherapy services to the NHS since 2016, with a team of over 450 First Contact Practitioners delivering over 55,000 First Contact Physio interventions per month across 1,200+ GP Practices and 220+ Primary Care Networks.
• Pure Physiotherapy Clinically led MSK physiotherapy company founded in 2006 offering high-quality assessment, diagnosis and treatment of musculoskeletal conditions to private patients, insurance companies, elite athletes and NHS partners via FCP roles.
• MLAS (Medical & Legal Admin Services) Administrative organisation delivering a full back-office function for expert witnesses, including promotional, financial, logistics and administrative services, plus educational and best practice support across the NHS and private sector.
• Rehab Direct Provider of national rehabilitation following personal injury and clinical negligence, working independently with insurers, solicitors and primary care networks across physical and psychological injury, including chronic pain management.
• ExamWorks UK Careers In-house recruitment agency owned by ExamWorks UK, specialising in recruiting skilled professionals across healthcare, social care, legal and insurance sectors (nursing, social workers, occupational health and therapy, physios, psychology, psychiatry, managerial and operations roles).

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

AI capability2 records

Feature6 records

Recent moves5 records

Expansion highlights6 records

Direct peers

• HCML: UK rehabilitation and case management provider working with insurers, solicitors and corporate clients; closely comparable to Enable Therapy Services and Rehab Direct inside the ExamWorks UK group.
• PAM Group: UK occupational health, physiotherapy and primary care services provider to the NHS and corporate clients; closely overlaps with ExamWorks UK's UKIM OH, Pure Unity Health FCP and 3d Rehabilitation offerings.
• Ascenti: UK physiotherapy and MSK clinical services provider delivering NHS and private rehab pathways — directly comparable to Pure Physiotherapy and Pure Unity Health's FCP and rehab offerings.
• Medigold Health: UK occupational health and wellbeing provider offering pre-placement screening, sickness absence management and rehabilitation to employers — directly comparable to UKIM's occupational health division within ExamWorks UK.
• Connect Health: Largest independent provider of NHS community musculoskeletal physiotherapy and occupational health in the UK; directly comparable to Pure Unity Health's NHS First Contact Physiotherapy and MSK services.
• Dronsfields: UK medico-legal reporting and expert witness provider serving solicitors and insurers; comparable to Premex Services and Premex+ within the personal injury claims value chain.
• Health Management Ltd: UK occupational health provider offering pre-employment screening, management referrals and wellbeing programmes; competes with UKIM Occupational Health & Wellbeing.
• Speed Medical: UK provider of independent medical examinations and medico-legal reports to the personal injury sector — a direct head-to-head competitor to Premex Services and UKIM MLR within the MedCo Tier 1 ecosystem.

Broad incumbents

• Nuffield Health: Large UK not-for-profit health and wellbeing operator with physiotherapy, occupational health and rehabilitation services — broader incumbent offering that overlaps with several ExamWorks UK divisions but at much larger scale and scope.
• LanguageLine Solutions: Global leader in interpreting and translation services across legal, healthcare and government — a much larger incumbent competing with ExamWorks Language Services (ELS) in face-to-face, remote and certified translation.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat5 records

Key risks5 records

Key highlights6 records

Customer concentration

Compliance3 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles7 records

Subsidiaries11 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A2 records

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about ExamWorks UK