Managing Member Alan G. Brackett and Associate Lejla Alibasic are co-authors of a workers’ compensation “Attorney Analysis” column for Reuters Legal News and Westlaw Today. Following is their recent article, “How AI is impacting workers’ compensation claims.”
How AI is Impacting Workers’ Compensation Claims
With the rapid development of artificial intelligence, we are seeing implementation of its use across various industries. The legal field is no different. In the workers’ compensation arena, which deals with complicated legal and medical issues, AI has been helpful in streamlining the claim process.
How is AI being used in the workers’ compensation setting?
AI has been adopted by many actors across the workers’ compensation industry, including the health care system, insurance companies, and even attorneys. One of the ways that AI is being used by insurance companies is to automate the underwriting process. AI has been implemented to analyze data points, evaluate risk, and determine efficient policy terms. This has resulted in a reduction of processing time and administrative burdens.
Another use of AI is in the management of cases, including data entry tasks, categorizing and summarizing documents, and other administrative tasks. There is often a high volume of cases with workers’ compensation claims, so AI has helped in reducing the time spent on a case due to the atomization of simple tasks.
These claims also often deal with complex legal and medical issues, which involve large volumes of documents. AI can sift through massive amounts of information and provide predictions and recommendations, including recommendations for treatment and maximum medical improvement.
In addition to improving the efficiency of claim analysis, AI has also been helpful in risk management in the workers’ compensation setting. By analyzing unstructured data sources, such as claim notes, photos and videos of accidents, and accident reports, insurance companies can identify patterns or predictors of incidents to enhance preventative measures in the workplace. This will allow insurers to reduce potential risks, which will result in safer workplaces.
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