Authors

By Tifani L. Gleeson, MD, MPH, FACOEM, Chief Medical Officer

Federal employees across multiple agencies are navigating realignment, role changes, and an atmosphere of ongoing transition, making much of the conversation around workforce evolution about operational continuity. However, there’s a quieter risk building beneath the surface. When employees are burned out or feeling unsettled in their roles, the consequences don’t stay in the HR column. They seep into delayed recoveries and overall behavioral health needs that go unmet until they’re driving claims no one anticipated. For federal agencies navigating this kind of pressure, the right support infrastructure separates a manageable transition from a costly one.

Workforce wellbeing can never be considered a soft metric. It’s a crucial depiction and direct line from agency leaders to four key pillars: workers’ comp exposure, overall team well-being, claims costs, and long-term organizational performance. According to Sedgwick’s 2025 research, mental health claims make up less than 2% of workers’ comp cases, yet they extend claim duration by more than three times compared to those without a behavioral health component. The data makes it clear that timing, not size or budget, is what drives better outcomes, meaning the agencies best positioned to manage that exposure are those that recognize the connection early and build the support systems to act on it.

The Hidden Connection Between Workforce Disruption and Workers’ Comp

While the link between organizational change and workers’ comp claims isn’t always obvious, it is a well-established one. In 2025, stress-related healthcare expenses in the U.S. reached $190 billion, with direct legal and insurance costs continuing to rise as workers take more time off and file more claims tied to workplace mental health and burnout. This shows exactly that when employees are forced to operate under sustained stress, their capacity to stay focused and alert diminishes. So, when fatigue sets in, situational awareness drops, and the kind of routine tasks that ordinarily pose little risk become the moments where injuries happen. This is often where burnout moves from being an emotional experience to physical vulnerability.

The leading challenge here is that signs of mental and emotional strain on employees often don’t show when they first report an injury. For example, an employee who files a physical injury claim may also be carrying stress, anxiety, or emotional strain that’s directly influencing their recovery, and without the right screening and care coordination in place, those needs go unidentified. From there, it runs the risk of becoming a compounded problem. A manageable situation at week two can become a prolonged absence by week ten, with a path of increased complexity and cost in order to get back to their responsibilities.

Those who are most vulnerable during periods of transition are often the same employees who are also carrying those additional harms from absorbing expanded workloads due to staffing changes, navigating leadership hierarchy and communication, and operating in high-pressure environments. Over time, these sometimes hidden stress-related patterns begin to surface through increased absenteeism, fatigue, communication breakdowns, delayed injury reporting, or a rise in minor incidents that can later evolve into larger claims. Then there’s the overall financial picture which also extends beyond the claims themselves. When workforce disruption goes unsupported, agencies will absorb costs through reduced productivity, elevated workforce turnover, lower morale, and claims that take longer to close because the worker wasn’t treated thoroughly. It’s a cost that accumulates quietly; in the same way the risk itself does.

Getting Ahead: Prevention and Response Readiness

The other leading challenge is that workers’ compensation data often runs behind the real timeline, so when trends appear in claims reporting, the workforce strain may have already been building for months. This is why a broader approach that combines claims analytics with real-time observations from supervisors, HR leaders, and occupational health teams who can identify concerns earlier, will be the thing to make real change for our agencies by identifying concerns before they escalate.

Prevention starts with ensuring behavioral health resources are not only available, but known and accessible. Agencies already offer Employee Assistance Programs (EAPs), yet gaps in awareness and utilization are where execution falls through the cracks. Paired with supervisor training that equips leaders to recognize early signs of stress and burnout, this combination has the potential to meaningfully shift outcomes before a claim is ever filed. Integrated return-to-duty processes that treat the whole worker are equally essential because should an employee return from a physical injury without the underlying stress factors addressed that put themselves at elevated risk for reinjury or a secondary claim. This is a significant reason why SGS works directly with agencies to assess where these gaps exist, whether in behavioral health resource utilization, supervisor readiness, or return-to-duty coordination, and builds the support structure needed to close them before they surface in the claims data.

None of these efforts will deliver results, however, if the infrastructure to support them is not in place. Investing in the right systems before claims volume climbs will always cost a fraction of what a backlog does.

Care Coordination, Behavioral Health, and Proactive Claims Management

During periods of workforce transition, having the right partnership is what moves agencies beyond reactive claims management toward a coordinated, preventative model of care. Claims examiners and nurse case managers are often among the first to notice behavioral health indicators that might otherwise go undetected through delayed recovery progress, communication patterns, or signs of emotional strain connected to a physical injury. Paired with integrated care coordination, these insights position agencies to support the whole worker and guide employees toward a safer, more sustainable return-to-duty process rather than simply processing claims through closure.

This is precisely where Sedgwick Government Solutions delivers for federal agencies navigating change. We bring together deep claims expertise, behavioral health awareness, care coordination, and workforce support strategies purpose-built for the federal environment. The result is an agency partner capable of identifying risk early and reducing the long-term impact of untreated workforce strain through a holistic approach before it escalates into broader organizational disruption. For agencies looking to protect their people first, as well as their organizations’ performance, we provide the infrastructure, expertise, and care-first approach that makes the difference.

Acting Before the Need Becomes Urgent

The well-being of your workforce should be a top priority, and to best be there for your people, the time to build the right infrastructure is before it is urgently needed. Protecting employees ultimately protects agency performance, mission continuity, and the overall resilience of the federal workforce itself.