Break down the systemic issues leading to misallocated healthcare costs—and how a multidisciplinary recovery model can fix them
Many healthcare funders are unknowingly subsidizing costs that legally belong elsewhere. Claims linked to workplace injuries, road accidents, or third-party negligence often slip through undetected and end up draining your healthcare budget. The result? Your fund pays the bill for someone else’s liability.
These errors persist because identifying the true cause of a claim requires more than medical coding—it requires clinical insight, legal context, and data intelligence. That’s where Risk Work comes in. Our multidisciplinary approach uncovers these hidden costs, validates causality, and ensures the responsible party pays.
The financial implications are significant. For large employers and medical schemes, millions can be recovered. More importantly, it sends a message: accountability matters. By ensuring each claim is correctly assigned, you protect your fund, your members, and the integrity of your entire cost structure.