Only 2% of Claims — But Driving the Cost? | 1st Moment Thoughts
1st Moment Thoughts

Only 2% of Claims —
But Driving the Cost?

Mental health barely shows up in your claims data. So why is it quietly driving some of your biggest costs?

It started like any other day

He showed up to work that day. No one would have flagged him as a risk. By noon, he was part of a claim.

Let's start with the number everyone points to: mental health shows up in roughly 2% of workers' comp claims. Two percent. Easy to dismiss. Easy to deprioritize when you've got a dozen other things on your plate.

But here's what that 2% actually looks like when it hits your organization.

2%
of workers' comp claims involve mental health
3.5×
more expensive than a typical claim
3.6×
longer duration to close

So yes — it's a small slice of your claims. But when one of those claims lands, it hits hard and it sticks around. And honestly? That's still not the part that should keep you up at night.


Where risk actually builds.

Think about your workforce right now. Someone is showing up today who isn't okay. You probably can't tell. They can't tell you either — not because they don't want help, but because the system you have doesn't make it easy to ask.

They're present. They're clocked in. But they're distracted, stressed, running on empty. That's presenteeism — and it's the real cost driver that never shows up on a claim.

Presenteeism costs up to 10× more than absenteeism. It just never shows up on a report.

The employee who calls out? You see that. You cover it, you move on. The employee who shows up struggling? That one builds quietly — until it doesn't.


The danger isn't that they'll call out. It's that they won't.

A struggling employee isn't just a productivity problem. Slower reactions. Poor decisions. Small mistakes that compound. Over time, those moments become incidents — and incidents become claims. The path from "fine" to "filed" is rarely dramatic. It's a slow build that nobody tracked.


Why most systems fail.

You probably have an EAP. Most organizations do. And you might assume that covers it. But look at your utilization numbers — really look at them.

9/10
Expect support
Employees expect mental health support at work.
1/8
Will speak up
Only 1 in 8 will actually say something when they're struggling.
40%
Stay silent
Stay silent because they fear being judged.

It's not an awareness problem. Your people know the EAP exists. It's an access problem — and a timing problem.


The shift that changes outcomes.

When someone can reach a real behavioral health professional the second they need one, the whole trajectory changes.

What changes when support is immediate

A moment of stress → doesn't become → A reckless decision
A difficult day → doesn't become → A workplace incident
An unaddressed issue → doesn't become → A workers' comp claim
40%+

reduction in workers' compensation claims for organizations using in-the-moment behavioral health support


Stop playing defense.

The real opportunity isn't in claims management. It's upstream — in all the places nobody's looking.

🔇
The moments that never get reported
🗣️
The conversations your employees never had
📈
The stress that's been building quietly for months

The question isn't whether this is happening in your organization. It is. The question is whether you're going to catch it before it becomes a line item.

Mental health may only show up in 2% of your claims.
But it's influencing a whole lot more than that.

Ready to get ahead of it?

See How Workers 1st Moment™ Works

Immediate, 24/7 behavioral health support — available the second your people need it, not when the calendar allows.

Learn More →

Sources & Supporting Data

National Council on Compensation Insurance
Integrated Benefits Institute
American Psychological Association
World Health Organization