Technologies for determining driver efficiency include receiving, by a telematics server, accelerometer data from a telematics device located in a vehicle driven by a driver. The accelerometer data defines a pattern of acceleration of the vehicle over a time period. The telematics server determines a driver efficiency score of the driver based on the accelerometer data. The driver efficiency score is indicative of an average absolute acceleration of the vehicle over the time period. The determined driver efficiency score may be compared to a reference efficiency score and/or efficiency scores of other drivers to rank the drivers.