INVO CLAIMS ADMINISTRATORS

What INVO CLAIMS ADMINISTRATORS does

INVO Claims Administrators is a private third-party administrator (TPA) that manages workers' compensation claims on behalf of insurance carriers, self-insured employers, professional employer organizations (PEOs), and temporary staffing agencies. Operating with a small core team, the company emphasizes a low adjuster caseload model, aggressive but compassionate claims handling, and data-driven decision making to optimize claim outcomes across multiple states. Its service portfolio covers the full claims lifecycle: coverage verification, investigation, benefit calculation and payment, state form and EDI filing, medical management, subrogation and recovery, diary management, and file reviews, supplemented by Nurse Case Management, a Special Investigations Unit (SIU) partnership for fraud detection, a Return-to-Work Program, and Medicare-Set Asides/Structured Settlements.

The business model is B2B managed services, with revenue derived from contractual service agreements negotiated based on claim volume, scope, and client-specific requirements; pricing is not publicly disclosed. Distribution is enterprise-direct, supported by a Director of Client Services & Business Development, an online claim reporting portal, and a multi-channel contact infrastructure (phone, email, web forms). Rather than building proprietary software, INVO operates a services platform that depends on a partner ecosystem for non-core capabilities: Accuro Solutions handles medical billing (a core operational dependency), Contego provides SIU services, Ameritec supplies technology, and additional partners support care, consulting, and PEO distribution (InvoPeo). A Claims Tools Portal provides state-specific resources for policyholders and claims professionals across jurisdictions, functioning as both a value-add and a top-of-funnel marketing asset.

INVO Claims Administrators is actively operating with a current website and leadership team led by Vice President Connley Averitt, Director of Claims Jennifer Jordan, and Director of Client Services & Business Development Courtney Byrd. The company does not disclose funding, revenue, headcount composition beyond 5 listed employees, or ownership structure, and there are no public indications of institutional investment, M&A activity, or pending strategic transactions in the available data.

Name

INVO CLAIMS ADMINISTRATORS

Legal name

INVO Claims Administrators

Website

https://invoclaims.com

Company type

Private

Operating status

Operating

Headcount range

1–10 employees

Short description

INVO Claims Administrators is a private workers' compensation third-party administrator providing low-caseload, multi-state claims management, nurse case management, SIU fraud detection, return-to-work programs, and Medicare-Set Aside services to insurance carriers, self-insured employers, PEOs, and staffing agencies.

Ownership category

akta.pro rank

Product category

Workers' Compensation Claims Administration (TPA Services)

NAICS

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

SIC

Accident & Health Insurance (6321), Insurance Agents, Brokers & Service (6411)

akta.pro primary industry

Claims Administration & Payment Integrity (Medical/Dental/Vision) (HLAEALAD)

akta.pro secondary industries

Care Management & Population Health Program Administration (HLAEALAG), Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises) (HLAEALAJ)

Keywords

• Workers compensation claims
• Third-party administration
• Claims management services
• Return-to-work programs
• Fraud investigation SIU

Headquarters

HQ city

Pittsburgh

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Claims Administration Services: INVO generates revenue by providing comprehensive workers' compensation claims management services to insurance carriers, self-insured employers, PEOs, and staffing agencies. As a third-party administrator, the company charges fees for claims handling services including investigation, medical management, benefit calculation, subrogation, and return-to-work program administration. Revenue is derived from contractual service agreements with policyholders.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels4 records

Core offering

INVO Claims Administrators is a third-party administrator that manages workers' compensation claims end-to-end for insurance carriers, self-insured employers, professional employer organizations (PEOs), and temporary staffing agencies. Services span coverage verification, claims investigation, benefit calculation and payment, medical management, subrogation and recovery, diary management, file reviews, Medicare-Set Asides/structured settlements, Nurse Case Management, Special Investigations Unit (SIU) fraud detection, and Return-to-Work program administration across multiple U.S. states.

Product overview

INVO Claims Administrators offers a unified workers' compensation claims management platform as a Third-Party Administrator (TPA). The core product is their Claims Management Services, supported by add-on modules including Nurse Case Management, Special Investigations Unit (SIU), Return-to-Work Program, Medicare-Set Asides/Structured Settlements, and a Claims Tools Portal providing state-specific resources. The company operates with low adjuster caseloads to ensure focused claims handling and uses data-driven decision making as a cornerstone of their service approach.

Differentiator

Problem solved

Functional benefit

Products and services

• Workers' Compensation Claims Management Services End-to-end workers' compensation claims administration for insurance carriers, self-insured employers, PEOs, staffing agencies, and other TPAs. Includes coverage verification, timely investigation, benefit calculation and payment, state form and EDI filing, medical management, subrogation and recovery, diary management, and file reviews.
• Nurse Case Management Clinical support service in which licensed registered nurses work with claims professionals to evaluate the medical aspects of workers' compensation claims, aiming to reduce claim duration and overall claim costs.
• Special Investigations Unit (SIU) Fraud detection and investigation service that works to identify and resolve questionable workers' compensation claims early, eliminating fraud and managing loss costs for policyholders.
• Return-to-Work Program Program that coordinates light-duty work for injured employees during recovery, with the goal of reducing time off work and associated medical expenses for policyholders.
• Medicare-Set Asides and Structured Settlements Settlement arrangement services that structure workers' compensation claim resolutions, including Medicare-Set Asides and structured settlements for qualifying claims.
• Claims Tools Portal Online portal that aggregates state-specific workers' compensation forms, resources, and links to official government websites to support policyholders and claims professionals across multiple jurisdictions.

Quantifiable outcome

• Return-to-work programs reduce time off work by 30% and medical expenses by 7%

Segments5 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Partnerships

Six partnerships are on record, tiered minor and core.

• ContegominorStrategic or Co-development PartnerBusiness partner listed on INVO Claims Administrators' website. Contego provides investigation and SIU services that complement INVO's workers' compensation claims management offerings.
• AIC (American Insurance Contracts)minorStrategic or Co-development PartnerBusiness partner shown on INVO's website. AIC (accinsco.com) is an insurance services company that works with INVO in serving shared policyholder needs.
• InvoPeominorStrategic or Co-development PartnerPEO-focused partner that collaborates with INVO Claims Administrators to provide workers' compensation claims services to professional employer organization clients.
• ARCH ConsultantsminorStrategic or Co-development PartnerARCH Consultants provides consulting services that complement INVO's claims management approach, helping policyholders address workers' compensation challenges.
• Prodigy Care ServicesminorStrategic or Co-development PartnerPartner providing care services that support INVO's return-to-work programs and medical management services for injured workers.
• Accuro SolutionscoreTechnology or IntegrationAccuro Solutions handles medical billing operations for INVO Claims Administrators. Medical bills should be sent to Accuro Solutions at their Pittsburgh address. This is a critical operational partnership for handling claims payment processing.

Recent moves5 records

Expansion highlights4 records

Direct peers

• PMA Companies: Workers' comp insurance carrier and TPA serving self-insureds, carriers, and PEOs. Highly comparable customer overlap with INVO, particularly in the self-insured employer segment.
• ESIS: Chubb-owned third-party claims administrator offering workers' comp, liability, and property claims services. Competes with INVO for enterprise carrier and self-insured accounts.
• Genex Services: Specialist workers' comp TPA focused on managed care, utilization review, and return-to-work outcomes. Direct peer in the catastrophic/complex claims and nurse case management niche.
• Helmsman Management Services: Liberty Mutual's TPA arm providing workers' comp and auto claims administration. Direct competitor for carrier-outsourced and self-insured claims mandates.
• Gallagher Bassett: Major TPA providing workers' comp, liability, and property claims administration, closely aligned with Arthur J. Gallagher. Competes head-to-head with INVO for carrier and self-insured mandates across multiple states.
• Sedgwick: The largest independent third-party administrator for workers' compensation, disability, and property/casualty claims in North America. Direct competitor for the same insurance carrier, self-insured employer, and PEO RFPs INVO targets, but operating at vastly greater scale with proprietary technology.
• CorVel Corporation: Public workers' compensation managed care and TPA firm combining claims administration, nurse case management, and tech-enabled services. Directly comparable product portfolio and customer base to INVO.
• Cambridge Financial: Workers' comp TPA and managed care organization serving carriers and self-insureds across multiple states. Directly comparable operating model and customer mix to INVO.
• TriStar Insurance Group / TRISTAR Claims: Risk management and claims administration firm with workers' comp TPA capabilities serving self-insureds and PEOs. Direct comparable in mid-market workers' comp outsourcing.

Broad incumbents

• The Hartford: Large national workers' comp carrier that also administers claims for its own and third-party clients. A broader incumbent with overlapping capabilities but operating at much greater scale and product breadth than INVO.

Market position

Strengths4 records

Weaknesses5 records

Competitive moat3 records

Key risks6 records

Key highlights5 records

Customer concentration

• LinkedInlinkedin.com/company/invo-claims-administrators

Revenue estimate

Valuation estimate

Number of profiles

Profiles3 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 INVO CLAIMS ADMINISTRATORS