AI Shows Promise in Fighting Comp Fraud

Artificial intelligence that mines injured workers’ medical and claims records is helping employers and insurers cut costs by spotting difficult or suspicious claims, but the technology remains a tool for claims handlers rather than a replacement.  

By analyzing injury and claims handler notes, background reports, prognosis details, and emails and transcripts of phone calls, AI can help claims staff predict the trajectory of a claim and intervene. 

Read the full article.  Business Insurance, July 8, 2024, by Louise Esola