THIRD PARTY CLAIMS ADMINISTRATION

Workers’ compensation claims,
re-engineered.

Shield TPA Services delivers complete third-party claims administration—with one revolutionary difference. Compel USA’s claims engineering system is embedded directly into the claims process to drive out 35%* of claim costs. No other TPA does—or attempts—what Shield does.

*Even though our historical average is much higher, 35% is the expected minimum based on an actuarial study. The main point to understand here is that the better our protocols are adhered to, the more significant the reduction in your claim costs.

THE SHIELD DIFFERENCE

Your TPA should be on your side.

There is an illusion of cost savings in Traditional TPA services like medical fee discounts, nurse case management and utilization review. But if you look closely, are you actually saving money? We operate using a new paradigm. One where we proactively reduce/eliminate costs before they occur.

We serve self-insured employers, self-insured groups, alternatively structured insurance products, and insurance partners nationwide with one clear goal: better outcomes at a lower total cost.

See how we’re different →

A DIFFERENT BUSINESS MODEL

When incentives align, everyone wins.

The typical TPA model earns more as claims become more expensive and complicated. Shield is designed to change that equation.

THE TYPICAL MODEL

Base fee + fee per incident + allocated loss adjustment fees

• Incident fees can range from $60 for incident-only to $3,000 for claims over $2,000 and/or a lost-time claim.

• Legal, nurse case management, investigative, bill repricing, and other allocated loss adjustment services are commonly provided with an added margin.

• The higher the cost or complexity of a claim, the more the TPA can make.

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THE SHIELD MODEL

A primarily flat fee, focused on controlling total claim cost

• Transparent administration with defined limitations and aligned incentives.

• Compel USA services are embedded to drive claim costs down by 35%*.

• Compel USA participates in the savings created—not added service margins.

WHAT WE DO

End-to-end support.
One accountable partner.

Empowered with Compel USA’s proprietary intelligence platform, Shield brings disciplined oversight to every point in the claim lifecycle.

01

Workers’ Compensation Claims Administration =

Administrative Best Practices and Claim Payment

→

02

Claim Engineering =

We disrupt the way the system makes money from claims, driving a 35% reduction in claim costs.

→
Modern glass-fronted office building
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BUILT FOR BETTER OUTCOMES

WHY SHIELD

Aligned from day one.

Advanced Claims Engineering, powered by proprietary software innovation and specialized intelligence, and backed by experienced professionals, regulatory expertise, and transparent reporting.

01

Employer-focused

Decisions guided by your people, priorities, and total cost.

02

Preemptive and preventive expertise

Experienced claims professionals who act early and communicate clearly.

03

Nationwide capability

Consistent service and regulatory expertise across all 51 jurisdictions.

04

Actionable reporting

Data shapes how the system works—surfacing patterns, adapting strategies, and guiding better decisions.

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Have you ever wondered why claims administration doesn’t include cost reduction?

Shield TPA Services

=

Claims administration

+

Definitively engineered claims cost reduction

Shield TPA Services brings cost containment and paying claims together in one integrated process.

THE SHIELD PHILOSOPHY

LET’S TALK

Ready to experience a TPA that really works for you?

Tell us about your organization and what you need from a claims partner.

Request a consultation →

VISIT

8444 N. 90th Street, Suite 120
Scottsdale, AZ 85258

COVERAGE

Nationwide service across all 51 jurisdictions