Professional Claims Intervention Services (formerly known as Sussman Consulting) was founded in the year 2000 by president & CEO Steve Sussman who innovated the Claims Intervention model for the Third Party Claims Administration Industry. PCI is now responsible for providing services that cover more than 20 million employee hours per year.
We serve as an employer advocate that provides third party workers’ compensation claims management and claims intervention services. Our specialty is to reduce the cost of workers’ compensation benefits by overturning unfair, abusive and costly claim benefit decisions. We take the unfair benefit decisions out of the authorities' hands and into the courts. PCI is unique in the industry because we appeal all controversial benefit decisions to the administrative law courts on behalf of the employer.
PCI sets itself apart by bundling all the professional fields needed into one affordable cost. PCI has many members on its team to make all of this possible.
Our staff and contractors work together to advocate on the employer's behalf. We bundle together all the legal, vocational, and medical services needed to represent the employer's best interest on Labor and Industries Workers' Compensation benefit decisions. Our model bundles everything together under an affordable, flat monthly fee.
Regardless if your company is self insured, state funded or privately insured, we can help you across the United States and Canada.
See what our services can do for you with our free claims review. We will create a plan of action, determine rate reductions and identify any additional refund opportunities. Fill out the form below to receive your free claims review or for more information. We will get back to you promptly.
Pres. Steve Sussman
President, chief executive officer, and founder of Sussman Consulting, LLC. Doing Business as Professional Claims Intervention Services, LLC. (PCIS). PCIS has managed over 30,000 workers compensation injury claims. The company has provided employer lay representation before the Washington State Board of Industrial Insurance of Appeals on approximately 2,700 appeals. About 87% of the judges’ rulings were favorable to the employer.
Employer’s advocate in risk management for over 31 years. Leading authority regarding rules and regulations governing workers’ compensation, benefits, insurance premiums, safety regulations and claims management software development. Expertise includes lay representation before the administrative law court, the Washington State Board of Industrial Insurance of Appeals. Authority on the actuarial math specific to workers compensation insurance experience rating. Author of many copyrights covering over 70 different types of workers compensation benefit petitions, protests, and appeals. Designer and developer of dozens of proprietary infographics, many actuarial calculators, and managed the development of highly sophisticated claims management software for his company.
Frequent contributor at public hearings impacting workers compensation and safety legislation. Two years as an advisory committee member with the Workers Compensation Board of British Columbia in Canada addressing insurance risk re-classifications impacting about 170,000 businesses. Seven years working in the risk management department at Cosco Wholesale corporate headquarters. Work involved workers compensation and safety programs covering about 60,000 employees in 27 States and all Provinces of Canada. Two years working at the Boeing High Technology research center. Work involved safety and infographics in the cleanroom laboratories.
President Political Science Honor Society – Phi Sima Alpha, Delta Tau
President – Student Body Association