This entrepreneur has built a fast-growing company by simplifying Workers’ Compensation for clients

Paul Binsfeld is determined to take the pain out of Workers’ Compensation for his company’s clients.

He is the founder and CEO of Company Nurse Powered by Lintelio, based in Scottsdale, Arizona. Company Nurse provides 24/7 nurse triage to workers who have been injured at their workplace, directing them to the most appropriate level of care. The service helps employers reduce the number of unnecessary emergency room visits and associated costs, often resulting from employees’ self-diagnosing, while also ensuring prompt care for those who need it. Binsfeld started the company in 1997 after calling a nurse helpline late one night for his daughter and finding the expert guidance he got was very valuable.

When COVID hit and many companies all but shut down, revenue at Company Nurse dropped precipitously. Binsfeld began working with Scaling Up Certified Coaches Andy Bailey and Jason Rush at Petra on the recommendations of members of his EO chapter.

“I knew there was a bigger opportunity,” says Binsfeld, an insurance industry veteran. “I wanted to capture that opportunity but didn’t know how.”

That work paid off, and the company has grown revenue by nearly 150% from 2021 to 2025, scaling from approximately 30 employees to over 100 agents.

Here is how they pulled it off.

Positioning a team to scale

Building a strong leadership team was essential to preparing Company Nurse for growth. As the organization adopted the rigorous Scaling Up framework, some team members departed. Company Nurse put into place a new nursing manager, client manager and sales manager, who were aligned with the leadership team’s direction and worked to improve communication. “It was apparent we had silos in the organization,” Binsfeld says.

As Company Nurse company scaled up and added agents, it opened a location in Honduras. About 50 team members, all fluent in English and certified as medical interpreters, are based there. “It’s reduced our cost to deliver significantly while improving quality,” says Binsfeld. “It’s become one of the differentiators for us.”

To ensure its team is prepared to scale, the company has offered new opportunities for professional development. In the past year, for instance, it has introduced the Leadership Exchange, a program to help up-and-coming leaders develop skills in presentation and other key areas. “We’re building the next generation of leaders in the company,” says Binsfeld.

Thanks to a worker-friendly culture where many employees stay for 15 years or more, Company Nurse has received repeated recognition as one of the Top Companies to Work for in Arizona from azcentral. It has been named to the prestigious Sun Devil 100 Class by the Arizona State University Alumni Association at Binsfeld’s alma mater.

Removing a key pain point for customers

Binsfeld and his leadership team also worked on the One-Page Strategic Plan. Their focus was on achieving sustainable and profitable growth built around their Core Values: “Do the right thing,” “Go the extra two miles,” “Be driven to find solutions,” “Have compassion for everyone,” and “Work together to work things out.”

“Some companies put something on the wall and refer to it once in a while,” says Binsfeld. “I find myself using these on a daily or weekly basis.”

Living by a Brand Promise

The leadership team also developed the company’s Brand Promise, which aims to alleviate the pain of Workers’ Compensation for everyone involved. This involves streamlining key aspects of the claims reporting process, such as paperwork, not only for the client company but also for other stakeholders, including its employees and medical providers.

The Brand Promise has simplified decision-making. Before making major calls, the leadership team will ask, “Does it lessen the pain of Workers’ Compensation for the stakeholders involved?”

Using technology to improve execution

Embracing technology and removing technological roadblocks that were slowing growth have been key parts of Company Nurse’s growth strategy. Henry Svendblad, the company’s president and CTO, came from a technology background before joining the company as a consultant eight years ago.

He has brought a clear focus on improving the company’s technology. A major component is developing the company’s technology stack to provide the security its customers require while continually improving their user experience.

“I like to say we built an infrastructure for a company three times our size,” says Svendblad. “We needed that infrastructure. Now we’re growing into it, accelerating organizational growth.”

The company also implemented technology to ensure its workers are performing at their peak, introducing scorecards to track productivity.

With the systems in place to scale, Binsfeld is looking ahead to further growing the company by utilizing the Scaling Up platform. “What got us from $4 million to $10 million is different from what we need to get from $40 million to $100 million,” Binsfeld says.

He’s confident that he has the tools he needs to power the company’s growth. “The process of Scaling Up has taught us you don’t need a giant workforce or venture capital to scale if you have the right people, strategy and execution,” he says.