How a Mid-Sized New York Injury Firm Scaled Operations and Increased Revenue by 52%
Anjana Devi Vijay
October 12, 2026
Client Overview
A growing personal injury law firm based in New York had built a strong reputation for aggressive plaintiff representation and favorable settlements. They had a team of 18 attorneys and 30 support staff to handle cases across auto accidents, premises liability claims, workers’ comp cases, and catastrophic injury claims.
When their caseload started increasing, their attorneys found themselves spending countless hours reviewing medical records. Understanding treatment histories, identifying causation and preparing demand letters became bottlenecks in deciding how many new clients they could accept.
They needed a reliable litigation support team to assist in quicker and more accurate record reviews.
Challenges
Growing medical record volume
The paralegal staff had to spend around 14 hours per case reviewing thousands of pages, a challenge compounded by the volume of no-fault documentation, multi-provider treatment records, and workers' comp files typical in New York personal injury practice. Reviewing records across 85 active cases per month consumed significant billable hours.
Delays in demand letter prep
Repeatedly going through disorganized records made attorneys take an average of 22 business days to complete demand letter preparation.
High administrative overload
Even with three full-time paralegals completely dedicated to medical record review, they couldn’t avoid inconsistencies in timelines, treatment histories, and billing data.
Scalability issues
Seasonal surges in injury cases created backlogs forcing the firm from taking in more potential referrals, as they could not handle the volume.
Previous vendor issues
Their trial in outsourcing a vendor did not bring any results as they received only inconsistent summaries with factual errors, making the firm hesitant to outsource again.
Solutions
LezDo TechMed implemented a tailored workflow through our AI platform, CaseDrive to support the firm’s growing workload.
Medical Narrative Summaries
Attorney-ready narratives summarized treatment history, injuries, care progression, and key medical events, reducing review time substantially.
AI-Powered Record Organization
CaseDrive automatically sorted and indexed records by provider, date, and document type, eliminating manual organization.
Demand Letter Support
Medical summaries highlighted treatment progression, causation, billing information, and other details critical for demand preparation.
Billing Summaries
Cross-referenced billing reports provided a clearer picture of economic damages and supported settlement valuation.
Scalable Support
The firm gained access to flexible capacity during intake surges while maintaining consistent turnaround times.
Execution
Following a two-week onboarding process, LezDo TechMed reviewed pilot cases, refined deliverables, and tailored a full-fledged workflow for their processes.
All files were processed through the secure CaseDrive platform, giving attorneys visibility into project status and access to a dedicated case manager.
Within 60 days, all new cases were routed through LezDo TechMed, while existing backlogs were eliminated. Internal staff were reassigned to higher-value activities such as client communication and litigation support.
Results
52% revenue growth
Annual revenue increased from $3.1 million to $4.7 million through faster case movement, improved demand preparation, and increased capacity.
3× case capacity
Active case volume grew from approximately 85 to 255 cases without adding attorney headcount.
68% faster case preparation
Average case preparation time dropped from 14 hours to under 4.5 hours per case. Demand package turnaround improved from 22 business days to approximately 7 days.
40% lower administrative overhead
The firm reduced reliance on dedicated review staff and redirected resources toward client-facing activities.
Improved quality
Following implementation, quality review cycles were eliminated from the firm's workflow, freeing attorney time previously spent correcting vendor errors.
Increased referrals
Faster turnaround times and improved client service contributed to a 38% increase in attorney referrals.
Client Feedback
Before partnering with LezDo, our team was spending around 14 hours per case on record review, and demand letters were taking 22 business days to get out the door. With their medical narratives and CaseDrive, case prep is now under 4.5 hours and demand packages go out in about a week. We went from 85 active cases a month to 255 without adding a single attorney.
Bella Lockwood, Managing Partner, New York Litigation Firm
Conclusion
The firm's growth did not come from adding attorneys or expanding office space. It came from removing a major operational bottleneck: medical record review.
By combining AI-powered record organization, medical narrative summaries, and scalable support through CaseDrive, LezDo TechMed enabled the firm to process more cases, improve efficiency, and increase revenue while maintaining quality.
Learn more about our medical narrative summary services for New York personal injury firms.
Anjana Devi Vijay is a Certified Legal Nurse Consultant (CLNC) and Medical–Legal Research Analyst with 9+ years of experience in medical record review, deposition summary analysis, and medico-legal research. She specializes in transforming complex healthcare documentation into accurate, actionable insights that support attorneys, insurers, and medical evaluators. With expertise in clinical documentation analysis and legal case support, she creates research-driven content focused on improving decision-making and case outcomes.
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