APS delivers decades of experience in trusted workers’ compensation claims management expertise and proven technology solutions. By employing claim analytics, bill routing, and a powerful ruleset, we streamline workflow and improve adjuster efficiency.
Our programs seamlessly integrate into existing claims systems, allowing us to fit the unique needs of many related businesses:
- National or Regional Insurance Carriers
- Self-Insured/Self-Administered Companies
- Agents and Brokers
- Third-Party Administrators (TPAs)
- Managed Care Companies
- Claims Administrators
Whether you are a nationwide insurance carrier or have a regional focus, are self-insured/self-administered, a broker, Third-Party Administrator (TPA), Managed Care Company or claims administrator, APS offers a multitude of solutions to best fit your specific needs.
We partner with some of the best in the industry
APS has embedded MCG’s Official Disability Guidelines (ODG) into our systems. Their guidelines have been adopted by federal and state governments as well as many health plans and insurers, all of whom enjoy significant cost savings by eliminating unnecessary treatment. Guidelines are based on 10 million cases and years’ worth of research and provide adjusters with actionable data they use to achieve the best outcomes on their claims. Read more about the integration and what it can do for your business to the right.
We are security experts
You are concerned about cybersecurity. Our systems are constantly monitored and protected with the most sophisticated security features. All of our data feeds, integrations and connections to outside vendors are secure. We maintain HIPAA compliance and make sure that personal information is private and protected. We maintain AICPA SOC 1 Type 2 and SOC 2 Type 2 compliance.
Take the next step to solving your claim processing problems!
You have the questions, we have the answers.
Susan Boclair - President and COO
Susan brings more than thirty years of experience in a succession of executive roles leading strategic planning and operations for prominent companies in the managed care and property and casualty arena. Her career demonstrates a track record of success in growing corporate operations to support revenue growth.
As President and COO, Susan oversees the organization’s ongoing operations to meet business goals and financial projections. She provides the leadership, management and vision necessary to ensure that the company’s operational controls and administrative and reporting procedures are in place to support continued sales and marketing initiatives. In addition, Susan oversees human resource management to ensure staff development supports efficient and effective business operations and financial growth.
Prior to APS, Susan held roles of increasing responsibility in operations and privacy and compliance as Vice President of Core Administration for MedRisk, Inc. Before joining MedRisk, Susan grew her career at AIG where she started as a Senior Underwriter, eventually departing the firm as National Director of Operations for AIG Risk Management. Susan holds a Bachelor’s Degree in Mathematics.
Chris Shannahan - Senior Vice President Sales
Chris Shannahan is Senior Vice President of Sales for APS. Chris handles sales activities for the company’s advanced workers’ compensation decisions management and workflow software suite, CLAIMExpert. He has a 34-year background in systems development, operations management and sales in the insurance and managed care marketplace.
At his predecessor company, Mitchell (Formerly Fair Isaac, HNC Software and CompReview), Chris served in a variety of roles including Chief Operating Officer for the former HNC Insurance Solutions Division and before that, CompReview, which was acquired by HNC Software in 1996.
He joined CompReview from Zenith Insurance Company, where he served as AVP of Managed Care for the company’s operations in Sarasota, Florida and Woodland Hills, CA. There, he was responsible for delivery of integrated bill review and managed care platforms, which combined bill review, utilization review, network strategy and case management into the company’s claims system. He attended the University of Connecticut and graduated with a Bachelor of Science, Mathematics and Actuarial Sciences.
Vinu Varghese - Senior Vice President and Chief Information Officer
Vinu Varghese is the SVP and CIO at APS, and brings with him nearly 20 years of technical, management, leadership and software experience. In his role, Vinu oversees IT functions and operations, providing technology platforms and solutions that support APS’ role as the leader in claims processing and billing workflow optimization and automation.
Prior to joining APS, Vinu served in multiple technical development and management leadership roles at IBM Smarter Workforce and Vanguard. Prior to his current role at APS, he also served as our Chief Technology Officer (CTO). He is a dynamic and innovative corporate executive equipped with a wealth of experience in achieving operational success, engineering principal, pioneering, and executing complex IT solution designs including cloud-based applications.
Vinu holds a Masters of Science in Information Science from Penn State University as well as a Bachelor of Science in Computer Science from Drexel University.
We are honored to be recognized by our industry leaders and peers as innovators in our field. These accolades drive us to produce the most complete and intuitive products and services available in the workers’ compensation space.
Top Claims Processing and Management Solution Provider
APS has been named a Top Claims Processing and Management Solution Provider for 2020 by Insurance CIO Outlook magazine, placing us on the annual listing of 10 companies at the leading edge of Claims Processing and Management solutions.
An accompanying article on Insurance CIO Outlook’s website, entitled “Simple and Automated Claims Processing Solutions,” profiles APS and our flagship products, CLAIMExpert and PACKETExpert.
Best New Product of the Year
APS’s PACKETExpert was named a Gold winner for the “Best New Product of the Year” category in the Best in Biz Awards 2018. The Best in Biz Awards is the only independent business awards program judged by prominent editors and reporters from top-tier publications all over North America. The 8th annual program garnered close to 800 entries from an impressive array of public and private companies.
New Product of the Year 2017
Our PACKETExpert solution was named 2017’s “New Product of the Year” in the Insurance category by the Business Intelligence Group. Winners are chosen annually and represent products, companies, or leaders who are leading their respective industries.
We are very excited that others in the industry recognize the potential of PACKETExpert as a revolutionary solution for the marketplace.
Winners were nominated by members of the workers’ compensation community and judged based on nominations and the opinions of an expert panel of judges who looked for content quality, value, and timeliness.
We are proud to offer readers interesting and informative content and we are honored to be recognized by our peers as one of the best.
Top 10 Big Data Solution Providers of 2016
APS is proud to be featured in Insurance CIO Outlook Magazine as one of the “Top 10 Big Data Solution Providers of 2016“. APS was ranked by Insurance CIO Outlook for its specialties in Claims Management, Workers’ Compensation Claims, Bill Review, and Software as a Service (SaaS).
APS continues to lead as an innovator in the industry, offering data capture, integration, and management through the CLAIMExpert platform. CLAIMExpert intakes claims information and scans it for relevant data that is presented to claims managers who use it to assess changing claims conditions, detect fraud patterns, apply best practice guidelines and predictive analytics, and receive performance-based data reports.
Insurance CIO Outlook gives insights about the latest news and updates on new technologies that are transforming the ways insurance industries work. A panel of experts, professionals, and technology leaders including board members of Insurance CIO Outlook have finalized the list of “Top 10 Big Data Solution Providers 2016” and shortlisted the best vendors and consultants. For more info, visit: http://www.insuranceciooutlook.com/
2016 Best of Show and Award of Excellence, IMCA Showcase Awards
The IMCA Showcase Awards are given to outstanding marketing and communications campaigns executed within the insurance industry. They are judged by marketing, advertising, communication, design, and audio-visual professionals working inside and outside the insurance industry. Entries were judged on strategy, effectiveness and functionality, content, design and presentation, and audience and focus.
APS won a Best of Show Showcase Award for the kinetic typography video “Reduce Your Cost of Finding Answers”. Best of Show awards are given to those with the top score in their category. APS also won an Award of Excellence Showcase Award for the event marketing campaign at the 2015 National Workers’ Compensation and Disability Conference. Award of Excellence awards are given to those who place second and third in their category.
To read more about the awards, click here.
Fierce Innovation Award Finalist
APS was named a finalist in the Fierce Innovation Awards 2013: Healthcare Edition in the Cloud Computing category. The Fierce Innovation Awards 2013 were judged by a third-party panel of healthcare executives from organizations such as The Mayo Clinic, Allina Health, and the Memorial Sloan-Kettering Cancer Center.
Bronze Stevie Winner
APS was named a Bronze Stevie Winner in the 2014 American Business Awards in the Company of the Year – Banking, Financial Services, and Insurance category.