RiskSolutions
RiskSolutions is a privately held California-focused firm providing workers' compensation cost containment, claims oversight, and risk management services to employers, brokers, carriers, TPAs, and municipalities, supported by proprietary software (CompTrakker, W/C Analyst) and the trademarked Nurse On Call™ triage service.
- Company typePrivate
- Founded2003
- HeadquartersTustin, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What RiskSolutions does
RiskSolutions, Inc. is a privately held workers' compensation cost containment, claims oversight, and risk management services firm founded in 2003 and headquartered in Tustin, California. The company operates exclusively in California and serves five distinct customer segments — employers, insurance brokers, workers' compensation insurance carriers, third-party administrators (TPAs), and municipalities — through a direct enterprise field sales motion. Its integrated service portfolio comprises Risk Management services (workers' compensation background checks, substance abuse programs via DrugCheck®, ergonomic services, CalOSHA/FedOSHA training, safety programs, claims management, industrial clinic programs, workers' comp audits, and ADA compliant job descriptions), Cost Containment services (prospective/concurrent/retrospective utilization review, hospital and pharmacy bill review, and medical case management), and Claims Oversight services (proactive claims reviews, unit stat reviews, X-MOD analysis, reserve negotiation, and medical control including day-one triage).
The company's underlying technology consists of a web-based database platform serving employers in real time, anchored by two proprietary software products — CompTrakker (a claims-tracking platform built on expert systems with automated diaries, emails, and prompts that walk employers through claim milestones) and W/C Analyst (a standalone or integrated loss run analysis tool with data scrubbing for accuracy) — and the trademarked Nurse On Call™ service, which provides both telephonic triage and field triage by geographically positioned nurses responding within 15 minutes in industrial areas. The co-founder-led delivery model emphasizes bi-lingual certified safety professionals, individual accountability through a documented quality assurance program, and senior leadership with multi-decade workers' compensation tenure dating back to the late 1970s.
RiskSolutions generates revenue through a mix of professional services engagements (managed services and quoted project work for risk management and cost containment), subscription software (CompTrakker and W/C Analyst), and tiered Nurse On Call™ pricing consisting of usage-based field triage billed at $85 per hour in 15-minute increments plus annual enrollment fees scaled to employee headcount and shift coverage. Pricing across the portfolio is otherwise primarily quote-based and not publicly disclosed. The firm has no disclosed institutional investment, no parent company, no subsidiaries, and operates as a founder-owned business with 11-50 employees serving the California market only.
RiskSolutions firmographics
Firmographics- Name
- RiskSolutions
- Legal name
- RiskSolutions inc.
- Website
- https://risksolutions-inc.com
- Company type
- Private
- Founded year
- 2003
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- RiskSolutions is a privately held California-focused firm providing workers' compensation cost containment, claims oversight, and risk management services to employers, brokers, carriers, TPAs, and municipalities, supported by proprietary software (CompTrakker, W/C Analyst) and the trademarked Nurse On Call™ triage service.
- Ownership category
- akta.pro rank
RiskSolutions industry classification
Industry- Product category
- Workers' Compensation Management Services
- NAICS
- Insurance Carriers and Related Activities (524), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Claims Adjusting (524291)
- SIC
- Fire, Marine & Casualty Insurance (6331), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Managed Workers’ Compensation (Loss Control, Claims & Return-to-Work Programs) (FSAJAEAH)
- akta.pro secondary industries
- Claims Administration & TPA Services (FNOL, Subrogation, Litigation Mgmt) (TLABANAH), Co-Employment Risk Management & Insurance (Workers’ Comp, Liability) (BPACAGAH)
Keywords
Where RiskSolutions is headquartered
LocationHeadquarters
- HQ city
- Tustin
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
RiskSolutions business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
Revenue model
- Professional Services - Risk Management: Services provided to employers including workers' compensation background checks, substance abuse programs, ergonomic services, OSHA training, safety programs, claims management, industrial clinic programs, workers' comp audits, and ADA compliant job descriptions. Sold directly to employers, brokers, carriers, TPAs, and municipalities.
- Cost Containment Services: Utilization review, bill review, and medical case management services that empower stakeholders to improve the return-to-work cycle. These services protect the workforce with timely, cost effective, and appropriate medical care.
- Claims Oversight Services: Monitors workers' compensation claims management by insurance carriers for accuracy and aggressiveness in moving claims to closure. Services include proactive reviews, unit stat reviews, and medical control. RiskSolutions aggressively negotiates reserves for employers.
- Nurse on Call™ - Field Triage: Field triage service where the nurse is called to the employer location. Billed at quarter hour increments at $85.00 per hour. The employer only pays for the time the nurse is onsite with no commute time.
- Nurse on Call™ - Enrollment: Flat enrollment fee on a yearly basis based on number of employees and shifts to be covered. Telephonic triage enrollment fee is less than field. Provides access to nurse triage services.
- Software - CompTrakker: Web-based software product for employers to track workers' compensation claims and monitor carrier/TPA efficiency. Based on expert systems with automated diaries, emails, and prompts.
- Software - W/C Analyst: Web-based software product for loss run analysis, working in conjunction with CompTrakker or standalone. Data is scrubbed for accuracy to provide quality management information.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Usage-based | Pay-as-you-go | Nurse on Call™ Field Triage - $85/hour |
| Subscription | Annual | Nurse on Call™ Telephonic - Lower enrollment fee |
| Subscription | Annual | Nurse on Call™ Enrollment - Flat yearly fee |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels3 records
RiskSolutions product offering
Product offeringCore offering
RiskSolutions provides cost containment, claims oversight, and risk management services for workers' compensation to employers, brokers, carriers, TPAs, and municipalities in California. Core offerings include utilization review, bill review, medical case management, proactive claims reviews, unit stat reviews, OSHA training, ergonomic services, and nurse triage (Nurse On Call™). The company also licenses two proprietary web-based software products, CompTrakker and W/C Analyst, that automate claims tracking and loss run analysis.
Product overview
RiskSolutions offers a combination of web-based software products and professional services for workers' compensation management. The core software portfolio includes CompTrakker (claims tracking with expert systems and automated workflows) and W/C Analyst (loss run analysis with data scrubbing capabilities). These are complemented by professional service offerings: Nurse On Call™ (nurse triage service with telephonic and field options), Risk Management Services (safety programs, OSHA training, ergonomic services, background checks), Cost Containment Services (utilization review, bill review, medical case management), and Claims Oversight Services (proactive reviews, unit stat reviews, X-MOD analysis). The company was founded in 2003 to provide web-based database solutions for employers managing workers' compensation incidence and costs.
Differentiator
Problem solved
Functional benefit
Brands
- Nurse On Call™: A service designed to give employers the flexibility and cost savings of having a plant nurse without the overhead of salary and benefits. A nurse is geographically located within an industrial area and responds to employer's need for medical assistance for an injured worker within 15 minutes.
- CompTrakker
- W/C Analyst
Products and services
- CompTrakker A web-based software product that allows employers to track their workers' compensation claims and monitor the efficiency and effectiveness of the insurance carrier or third party administrator (TPA). The software is based on expert systems which guide the employer through the milestones of a claim. Through automated diaries, automated emails, and automated prompts, it puts the employer in the expert seat to drive their claims.
- W/C Analyst A web-based software product that can work in conjunction with CompTrakker or as a standalone product. W/C Analyst is designed to give employers quality loss run analysis that reflects with accuracy their losses and financial status of the incurred claims. The data entered into the software is data scrubbed for accuracy.
- Nurse On Call™ A nurse triage service designed to give employers the flexibility and cost savings of having a plant nurse without the overhead of salary and benefits. A nurse is geographically located within an industrial area and responds to medical assistance needs for injured workers within 15 minutes. Available in telephonic triage and field triage modes.
- Risk Management Services Comprehensive safety-related professional services including workers' compensation background checks, substance abuse programs (DrugCheck®), ergonomic services, CalOSHA/FedOSHA training, safety programs and training, claims management, industrial clinic programs, workers' comp audits, and ADA compliant job descriptions.
- Cost Containment Services Services including utilization review (prospective, concurrent, retrospective, and peer review), medical bill review (coding review, usual and customary review, hospital bill review, pharmacy review), and medical case management (first notice of loss, day one medical triage, telephonic/field/onsite coordination, integrated disability management).
- Claims Oversight Services Claims monitoring services that track workers' compensation claims management by insurance carriers for accuracy and aggressiveness. Services include proactive claims reviews, unit stat claims review and X-MOD analysis, medical control with day one medical triage, and loss prevention services including CalOSHA exposure assessments.
Quantifiable outcome
- Shortens the length of claims and improves closure rate
- +5 more outcomes
Companies that use RiskSolutions
Customer profileNamed customers4 records
Segments5 records
Ideal customer profiles5 records
RiskSolutions technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature4 records
RiskSolutions partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered minor.
- California Dept of Industrial RelationsminorReference and regulatory partner. RiskSolutions website includes links to California Dept of Industrial Relations (DIR) and DWC Division of Workers Compensation.
- WCIRB (California Workers' Compensation Insurance Rating Bureau)minorReference partner for California workers' compensation. WCIRB provides rating bureau services and industry data.
- State Compensation Insurance Fund (SCIF)minorReference partner and carrier relationship for California workers' compensation. SCIF is California's largest workers' compensation insurance carrier.
Scale indicators3 records
Recent moves6 records
Expansion highlights4 records
RiskSolutions competitors and assessment
Company assessmentBroad incumbents
- Broadspire (Crawford & Company): Major TPA subsidiary of Crawford & Company providing workers' compensation claims administration, medical management, and return-to-work services across the U.S. — broad incumbent competitor in the same managed care space.
- Mitchell International: Established provider of workers' compensation and property/casualty claims management software and services, including bill review and utilization review — a broad incumbent competing on the same buyers with more technology depth.
- PMSI (Optum Workers' Comp and Auto No-Fault): Optum/UnitedHealth-owned provider of workers' compensation pharmacy, durable medical equipment, and clinical services — overlaps with RiskSolutions' medical case management and cost containment stack but at vastly larger scale.
- Helmsman Management Services: Liberty Mutual-owned TPA offering workers' compensation, auto, and liability claims management and managed care services — a large incumbent carrier-affiliated peer with overlapping claims oversight and cost containment offerings.
- Sedgwick: One of the largest global TPAs handling workers' compensation claims, leave, and disability management for employers and carriers — a much larger incumbent offering overlapping managed care and claims oversight at scale.
Direct peers
- One Call (One Call Care Management): Workers' compensation specialty services network providing physical therapy, diagnostics, transportation, and nurse triage — overlapping with RiskSolutions' Nurse On Call™ triage and employer cost containment offerings.
- CorVel Corporation: Public workers' compensation managed care and TPA provider offering utilization review, bill review, medical case management, and claims oversight — directly overlapping with RiskSolutions' integrated cost containment and claims oversight stack.
- Rising Medical Solutions: Workers' compensation medical management company providing utilization review, bill review, case management, and nurse triage — a near-direct functional overlap with RiskSolutions' cost containment and Nurse On Call services.
- Genex Services: Workers' compensation and disability medical management provider offering case management, utilization review, and return-to-work services that directly mirror RiskSolutions' medical case management and RTW positioning.
Regional players
- California Workers' Compensation Institute (CWCI) member firms (e.g., Kaiser Permanente On-the-Job): California-anchored workers' compensation medical and managed care providers (such as Kaiser On-the-Job) operating in the same regulatory environment with comparable occupational health and RTW services — geographic peers competing for the same California employer buyers.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
RiskSolutions social profiles
Digital presenceRiskSolutions financial estimates
Financial estimateRevenue estimate
Valuation estimate
RiskSolutions leadership team
Management profileNumber of profiles
Profiles2 records
RiskSolutions funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
RiskSolutions M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about RiskSolutions
What does RiskSolutions do?
RiskSolutions provides cost containment, claims oversight, and risk management services for workers' compensation to employers, brokers, carriers, TPAs, and municipalities in California. Core offerings include utilization review, bill review, medical case management, proactive claims reviews, unit stat reviews, OSHA training, ergonomic services, and nurse triage (Nurse On Call™). The company also licenses two proprietary web-based software products, CompTrakker and W/C Analyst, that automate claims tracking and loss run analysis.
Is RiskSolutions a public or private company?
RiskSolutions is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was RiskSolutions founded?
RiskSolutions was founded in 2003. It employs 11 to 50 people.
Where is RiskSolutions based?
RiskSolutions is headquartered in Tustin, United States, in the North America region.
How does RiskSolutions make money?
Seven revenue lines are on record. Professional Services - Risk Management is the primary driver. The others are cost Containment Services, claims Oversight Services, nurse on Call™ - Field Triage, nurse on Call™ - Enrollment, software - CompTrakker and software - W/C Analyst.
Who are RiskSolutions's main competitors?
Broad incumbents on record are Broadspire (Crawford & Company), Mitchell International, PMSI (Optum Workers' Comp and Auto No-Fault), Helmsman Management Services and Sedgwick. Direct peers are One Call (One Call Care Management), CorVel Corporation, Rising Medical Solutions and Genex Services. California Workers' Compensation Institute (CWCI) member firms (e.g., Kaiser Permanente On-the-Job) is listed as a regional player.
Does RiskSolutions have an API?
No public API is recorded for RiskSolutions.
What industry is RiskSolutions in?
RiskSolutions's product category is Workers' Compensation Management Services. Its primary akta.pro industry code is FSAJAEAH, Managed Workers’ Compensation (Loss Control, Claims & Return-to-Work Programs), with a secondary code of TLABANAH, Claims Administration & TPA Services (FNOL, Subrogation, Litigation Mgmt). Its NAICS code is 524 and its SIC code is 6331.