The biggest challenge for AI in Work Comp claims isn’t the technology, it’s behavior change
Because technology alone isn’t enough
Between 70 – 85 % of enterprise AI initiatives never clear the ROI bar because they’re “technology for technology’s sake,” disconnected from day-to-day desk work. Workers’comp teams can’t afford that kind of failure. Caseloads are climbing, medical complexity is rising, and experienced adjusters are retiring faster than they’re replaced. You need AI that actually moves the needle on loss costs, claim duration and claimant experience without adding noise to the desk.
Why EvolutionIQ Works When Other AI Doesn’t
We start with the outcome you care about—return-to-work, medical specialist engagement, litigation avoidance—and work backward, building individual models that roll up into a single, actionable recommendation for the adjuster.
Every recommendation is backed by four trust pillars: Explainability, Controllability, Accuracy, Consistency. Adjusters see the drivers, leaders can tune thresholds, and performance is continuously monitored for drift.
Roll-outs mimic real-world workflows, calibrate with frontline feedback, and segment users by skill & willingness to adopt new tech.
What You Can Expect
ROI
Lower Costs
successful deployments
Earlier Specialist Engagement
How It Fits Into Your Ecosystem
Structured & unstructured claim data flows securely to EvolutionIQ.
Our platform scores every open claim overnight and surfaces next-best-actions each morning inside your claim system.
Adjuster actions feed back to continually sharpen model accuracy and relevance.
AI powered Claims Guidance.
