Leverage the power of AI to optimize claims outcomes

Leverage the power of AI to improve risk assessment and optimize claims outcomes

Workers’ Compensation Claims Solution

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
Speak with us about Workers' Comp Solutions

Business Challenges and Solutions

Workers’ Comp is a challenging market for insurers. 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 claims benefits with Gradient AI’s Claims Solution for Workers’ Compensation.

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


“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