Ohara

What Ohara does

OHARA, LLC is a privately held managed care firm headquartered in Sioux Falls, South Dakota, founded in January 1995 to deliver workers' compensation claims management services. The company's product suite centers on five interconnected service lines: Telephonic Case Management (TCM), Field-Based Case Management (FBCM), Qualified Rehabilitation Consultant (QRC) services for Minnesota statutory vocational rehabilitation, 1st Triage for early-claim intervention, and a Preferred Provider Organization (PPO) network with an online provider-search portal. Service delivery is labor-intensive and clinical — staffed 24 hours a day, 365 days a year by Licensed Nurses with specialized backgrounds in workers' compensation, occupational medicine, orthopedics, neurology, ICU, and emergency care.

The firm is URAC Accredited in Case Management, an independent third-party quality credential held since founding, which anchors its positioning to institutional buyers. Geographic coverage spans seven Midwest states (South Dakota, Nebraska, Iowa, Illinois, Kansas, Minnesota, Missouri) plus national capability, organized around two Regional Case Management Directors. There is no proprietary technology platform described; the technology footprint consists of the public website (oharallc.com), an online referral intake, and a self-serve PPO provider search directory.

The business model is fee-for-service managed care: OHARA charges service fees to insurance carriers, self-insureds, employers, insurers, and third party administrators (TPAs) for case management, rehabilitation, and PPO network access. Go-to-market is sales-led and referral-based, with a dedicated referral form on the website plus phone, email, and fax intake, targeting claims professionals, risk managers, employers, and insurance carriers across the Midwest. The company was named "Best In Class" (2019) by a large national insurance carrier following monthly performance audits. Ownership is private with no institutional investors, no disclosed funding rounds, no M&A activity, and no parent company; CEO Micki Slykhuis, who joined as a Telephonic Case Manager in 2000, leads the firm.

Name

Ohara

Legal name

OHARA, LLC

Website

https://oharallc.com

Company type

Private

Founded year

1995

Operating status

Operating

Headcount range

11–50 employees

Short description

OHARA, LLC is a Sioux Falls, South Dakota-based managed care firm providing workers' compensation case management services—including telephonic, field-based, qualified rehabilitation consulting, triage, and a PPO network—to insurance carriers, TPAs, self-insureds, employers, and government clients across seven Midwest states.

Ownership category

akta.pro rank

Product category

Workers' Compensation Case Management

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)

SIC

Services-Management Consulting Services (8742)

akta.pro primary industry

Fraud, Waste & Abuse (FWA) Detection & SIU Support (BPAAAFAH)

Keywords

• Workers compensation case management
• Telephonic case management
• Field-based case management
• Vocational rehabilitation services
• Managed care services

Headquarters

HQ city

Sioux Falls

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Workers' Compensation Case Management Services: OHARA generates revenue through managed care service fees charged to insurance carriers, self-insureds, employers, insurers, and third party administrators for workers' compensation claims management. Services include telephonic case management (TCM), field-based case management (FBCM), and Qualified Rehabilitation Consultant (QRC) services for Minnesota vocational rehabilitation.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels3 records

Core offering

OHARA, LLC is a managed care company specializing in workers' compensation claims management. It delivers Telephonic Case Management (TCM), Field-Based Case Management (FBCM), Qualified Rehabilitation Consultant (QRC) services for Minnesota vocational rehabilitation, 1st Triage early intervention, and a PPO Network with an online Provider Search directory to insurance carriers, self-insureds, insurers, TPAs, and employers across the Midwest and nationally.

Product overview

OHARA, LLC is a managed care company offering a suite of workers' compensation case management services. The company provides five interconnected service offerings: TCM (Telephonic Case Management) for remote claim coordination, FBCM (Field-Based Case Management) for in-person support, QRC (Qualified Rehabilitation Consultant) for Minnesota vocational rehabilitation needs, 1st Triage for early intervention, and a PPO Network for provider access. These services are complemented by an online Provider Search tool. The company operates across multiple Midwestern states including South Dakota, Nebraska, Iowa, Illinois, Kansas, Minnesota, Missouri, and nationally.

Differentiator

Problem solved

Functional benefit

Products and services

• TCM (Telephonic Case Management)

Quantifiable outcome

• Prevented indemnity claim for employer by directing employee to the correct clinic
• +1 more outcomes

Named customers4 records

Segments4 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

One partnership is on record.

• Kids' Chance of South DakotaminorOthersOHARA is a Premier Sponsor of Kids' Chance of South Dakota, a non-profit organization that provides post-secondary and trade school scholarships to children of workers seriously or fatally injured in work-related accidents. OHARA co-sponsored a golf fundraiser with Sanford's injury management team that raised nearly $50,000.

Scale indicators3 records

Recent moves4 records

Expansion highlights5 records

Direct peers

• Sedgwick: Global claims management and managed care services firm with a large workers' compensation practice. Competes head-to-head with OHARA for carrier and employer case management mandates.
• Genex Services: A major national workers' compensation case management and managed care services provider. Directly comparable to OHARA across TCM, FBCM, and vocational rehabilitation services sold to carriers, TPAs, and self-insureds.
• CorVel Corporation: Public managed care company offering workers' compensation claims management, case management, and PPO networks. Closest scaled direct peer with overlapping service mix and customer base.
• Mitchell International: Provider of workers' compensation claims management technology and services. Comparable to OHARA's PPO network and claims-adjacent services, with a stronger technology orientation.
• CCMSI (Cannon Cochran Management Services): Mid-to-large TPA offering workers' compensation managed care and case management to self-insureds and carriers. Closely comparable regional/national service mix.

Broad incumbents

• Broadspire (Crawford & Company): A large third-party administrator and managed care provider within Crawford & Company, offering workers' comp case management at national scale. Overlaps with OHARA's carrier/TPA service model.
• Intracorp (Cigna): Disability and workers' compensation case management arm of Cigna. Offers similar TCM/FBCM services to large employers and carriers; broader benefits portfolio.
• Helmsman Management Services: Liberty Mutual subsidiary providing workers' compensation third-party administration and managed care. Directly competing TPA-customer relationship versus OHARA.
• The Hartford (Workers' Comp Group): Major workers' compensation carrier with in-house managed care and a network of partner case managers. Relevant buyer-side comparator, not a direct external service vendor.

Regional players

• SEDGwick Direct (formerly Reserve National Insurance case management): Smaller regional case management and managed care providers across the Midwest that compete with OHARA for self-insured and mid-market carrier business. Included as a representative regional peer category.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/profile.php
• LinkedInlinkedin.com/company/ohara-llc

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles4 records

Funding overview

Funding rounds

Investors

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

M&A

Investments

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

Frequently asked questions about Ohara