Abstract: According to some embodiments, an input device may receive wage statement information via a web portal, including jurisdiction information associated with an injury. A computer system may then ingest third-party data associated with an insured. An indication of a pay period frequency may be received from the insured along with an indication of an initial pay period begin date via the web portal. A series of pay period begin date and pay period end date fields may then be automatically pre-populated based on the jurisdiction, the third-party data, the pay period frequency, and initial pay period begin date. Wage values associated with a plurality of the pay period begin date and pay period end date fields may be received from the insured, and an electronic wage statement file may be generated based on the received wage values.