Workers' Compensation Underwriting and Claims Solutions


Navigate the complexities of Workers’ Compensation underwriting and claims with confidence and precision.

Workers' Compensation Underwriting and Claims Solutions


Navigate the complexities of Workers’ Compensation underwriting and claims with confidence and precision.

Workers’ Compensation Solutions

Underwriting Key Benefits

Price policies more accurately


Increase DWP per employee by up to 86%


Decrease quote turnaround time by up to 80%


Claims Key Benefits

Reduce cost & duration


Do more with less work


Drive better outcomes 


Workers’ Compensation provides wage replacement and/or medical care to employees who are injured or become ill or injured as a direct result of their employment.

 

Workers’ Compensation protects employees and employers:


  • Employees: helping them recover and return to work as soon as possible
  • Employers: helps eliminate the need for litigation and helps cover legal costs if litigation does occur

Business Challenges and Solutions

Workers’ Comp is a challenging market for insurers. Claims costs are rising as workers age, but the large number of Workers’ Comp providers in the market lead to severe pricing pressure. Numerous insurance carriers, MGAs, MGUs, captives and others provide a broad range of choices for employers seeking coverage, which limits profitability potential for providers in underwriting, and cost pressures when claims occur.

 

What if you could identify good underwriting risks that others miss, and price them to win, while avoiding bad risks or pricing them so you can maintain a healthy loss ratio? Imagine if you could do this while also dramatically reducing quote turnaround times.

 

And what if you knew which claims needed attention and were at the greatest risk of becoming costly, so that you could take action quickly to help contain costs and get the injured worker healthy and back to work faster?

 

Now you can gain these benefits for both underwriting and claims, with Gradient AI’s Solution for Workers’ Compensation.

Workers’ Compensation Underwriting Suite

 

By leveraging a proprietary dataset and cutting-edge AI, we provide insurers with the tools to make smarter decisions, reduce risk, and improve profitability. Our solutions deliver actionable insights, streamline workflows, and ensure compliance, empowering insurers to confidently navigate today’s competitive landscape.


Gradient AI’s Workers’ Comp Underwriting Solution enables you to:


  • Have a precise risk analysis including economic, health, geographic, demographic, safety, and claims data.
  • Make data-driven decisions based on a regulatory compliant model
  • Easily integrate with your current underwriting systems for immediate actionable insights.



Ready to Transform Your Workers’ Compensation Underwriting?

See how Gradient AI can help you make smarter decisions, reduce risk, and improve profitability.

Workers’ Compensation Claims Suite

 

Claims adjusters face large and growing caseloads, and as a result, they are usually challenged with keeping up with each and every one. Claims managers are working hard to do more with less, staying on top of growing caseloads all while managing their teams at a time of staff shortages and an aging and retiring workforce.

 

Improve your claims operations and triage process with an “early warning” of the most potentially expensive claims to focus proactively where needed, while reducing the cost of claims.

 

Capture the collective institutional knowledge of seasoned team members and deploy AI models to impart this wisdom to newer, less experienced employees and provide “guide posts” to help them perform more effectively.

 

Gradient AI’s Workers’ Comp Claims Solution enables you to:

 

  • Identify claims risks earlier in their lifecycle, enabling proactive steps towards effective outcomes and cost containment
  • Reduce duration of outstanding claims to better contain costs
  • Identify high-risk claims that require the attention of more seasoned adjusters to manage the claim to a better outcome and enable injured workers to recover and return to work faster


“Leveraging AI is key to enhancing the underwriting process for our customers and carrier partners. We are committed to delivering a world-class experience through our workers' compensation marketplace, and Gradient AI is a crucial part of our strategy."


 – Paul Hohlbein, President, BTIS 

 

“Gradient AI is a power tool for our underwriters. Our experienced underwriters’ judgement coupled with Gradient AI’s risk assessment capabilities is a winning combination, enabling us to quote policies significantly more correlated with their unique risk. The ability to blend our data with Gradient AI’s federated data has also been a key performance-enhancing factor especially as we enter new markets. It has helped us drive nationwide expansion, better meet customers’ needs and serve a broader range of industries.”


– Jacob Clymer, Chief Operating Officer, Service Lloyds

 

“We are realizing tremendous value from integrating our AI claims models into the Gradient AI solution. As a TPA, a key goal is to support and deliver exceptional value to our clients. By investing in innovative technology, we’ve been able to improve the claims journey for our customers. And our clients are thrilled with the results because of the increased capacity to triage incoming claims, decrease processing times and reduce the costs of claims.”


–  Skip Brechtel, Executive Vice President and CIO, CCMSI