AI in Workers’ Compensation: Hype, Hiccups, and Human Touch


 

 


 

 

Artificial Intelligence, aka AI…it sounds like we’ve entered a new era…we have. It sounds intimidating. And let’s be honest—sometimes it sounds like something out of a sci-fi movie no one signed up to watch. In workers’ compensation, AI can feel like the shiny new buzz word everyone’s talking about, without a clear understanding of what it actually does or what risks it brings.  In a world where we need to instill trust, AI can be fraught with skepticism.  


Why the Hype?

It’s new.  It’s fresh.  It’s intriguing.  And frankly, AI in our industry could have some real perks when used the right way:

  • Faster review. AI can index documents faster, allowing reviewers to act more swiftly and removing delays in treatment. 

  • Smarter claim suggestions. Summarization of medical records surfaces the most relevant information. It can spot patterns in claims and recommendations.

  • Consistent GuidelineApplication. The same rules and guidelines can be consistently applied. 

  • Error catching. Imagine a digital safety net that flags mistakes before anything goes out the door.


Why People Are Nervous

It’s new.  It’s fresh. It’s unknown and developing daily.  AI can also feel like a black box in an industry that is already risk-averse:

  • Security worries. Uninformed models trained on internet data could expose personal health info —yikes. 

  • Robot decisions? No one wants a computer deciding treatment plans.  It is never ok to replace compassion and care. 

  • Unpredictable results. If AI isn’t set up or explained properly, it can create more confusion.

 

That’s why we don’t rely on generic open-source tools. At EK Health, in partnership with our sister company, we build models based on secure, proprietary data—not web content, keeping everything compliant and protected.

We get it, there’s pressure to jump in because it feels like everyone else is. But faster doesn’t always mean better. We believe in smart AI, not just more AI.

We think of AI as your behind-the-scenes helper, a tool for efficiency:

  • It speeds up paperwork.

  • It organizes the clutter.

  • It highlights trends.


But when it comes to clinical decisions, it steps aside so trained experts can take the wheel - because
care always requires a human touch.AI isn’t magic, and it’s not the villain, either. Used wisely, it’s a valuable tool towards efficiency and expediting care. At EK Health, we believe you can have the best of both worlds, the efficiency gains of AI coming alongside the judgment and compassion of real people.

 

 

 

  

       

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