Workers' Compensation
Guidewire Workers’ Compensation Solution orchestrates workflows across injured workers, employers, and case managers. A more connected experience helps to improve return-to-work outcomes and reduce claims costs.
Streamline Workers’ Compensation Management
Workers’ compensation is complicated by jurisdiction-specific requirements and rising costs (e.g., medical, litigation). Guidewire Workers’ Compensation Solution connects the people, decisions, and workflows involved in recovery—helping insurers reduce friction/handoffs, improve visibility, and make timely decisions that support better outcomes.
Claims Intake and Management
Accelerate the First Report of Injury (FROI) and establish the right workflow from Day 1. Automated, workers’ comp-specific processes help adjusters capture critical information and support jurisdictional requirements; early segmentation & assignment ensures claims are progressed efficiently with the right adjuster team; and digital experiences keep injured workers informed and engaged.
Medical Management
Coordinate evidence-based treatment plans, provider networks, and return-to-work strategies to control cost and improve outcomes for injured workers.
Reserve Management and Payments
Improve reserve accuracy with pre-built and integrated reserve worksheets. Assist adjusters in providing guidance on indemnity calculation per jurisdictional requirements. Optimize the automation of medical and expense payments.
Analytics and Reporting
Turn data into action. Give your teams concise, auditable summaries of complex medical histories and claim activity, then use workers’ comp-focused analytics to understand loss trends, identify severity drivers, and focus intervention where it can improve recovery outcomes.
Scale Reliably. Grow Confidently.
Guidewire provides a productized and configurable set of workers’ compensation capabilities. Delivered and upgraded through Guidewire Cloud and with an innovative product roadmap, it helps insurers launch and scale a modern workers’ compensation program with less bespoke configuration, a lower upgrade burden, and a faster path to value.
Reimagining Workers’ Compensation in the Age of AI
The workers’ compensation market plays a critical role in bridging public and private sector healthcare systems and private enterprise employers with their workers.
In this joint paper from Guidewire and PwC, we examine these macro trends alongside advances in generative, agentic and other forms of artificial intelligence, collectively referred to here as AI.
Over 100 US, Canadian, and Australian insurers rely on Guidewire to manage and grow their workers’ comp business.
WSIB
The challenge isn't about how to replace human wisdom; it's about preserving it and making it accessible to the next generation.
Gavin Pokan
Chief Recovery and Care Officer
Columbia Insurance
It serves as a springboard for so much more that we couldn't have even contemplated.
Lisa Wharton
CIO
Copperpoint
By leveraging InsuranceSuite on Guidewire Cloud we’ve overcome legacy challenges, enhanced our data capabilities, and delivered superior experiences for our agents, brokers, and policyholders. It has truly become the foundation that enables us to be more agile, innovative, and responsive to the needs of our business.
Brad Lontz
Chief Information Officer
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Frequently Asked Questions
- Guidewire connects injured workers, employers, adjusters, case managers, providers, and the workflows that support recovery. Clearer communication, digital self-service, coordinated treatment and return-to-work planning, timely payments, and AI-supported insight help teams reduce friction and take action sooner. Injured workers will be informed through transparent self-serve experiences promoting engagement with their recovery and their claim.
- Guidewire integrates real-time analytics, predictive modeling, and industry data to identify high-risk policies, flag potentially severe claims early, and support proactive loss mitigation. Carriers gain deeper insights into workplace safety trends, injury patterns, and cost drivers, enabling better risk management. Digital self-serve experiences reduce the call volume into adjusters while AI and automation capabilities reduce overhead and time spent on administrative tasks.
- Absolutely. Our open API framework enables seamless data exchange with payroll systems for real-time premium adjustments, medical provider networks for streamlined treatment management, and regulatory bodies for compliance reporting, reducing delays and administrative burden. Many technology partners on Guidewire Marketplace enable additional capabilities, as well.
- Guidewire is not just a collection of point solutions or custom accelerators. Guidewire brings together workers’ comp-specific capabilities across core claims, digital experiences, data, AI, workflow, and ecosystem partners—connecting the people and decisions involved in recovery. Specialist tools can remain part of the solution while working from a shared claim context, helping reduce friction and improve end-to-end outcomes.
- Guidewire combines deep insurance expertise with a cloud platform, productized workers’ comp capabilities, and a connected ecosystem. Carriers can launch with purpose-built functionality, reduce bespoke configuration and upgrade effort, and continue to evolve their program as new data, AI, digital, and partner capabilities become available. More than 100 carriers of various sizes and business models across US, Canada, Australia are successfully managing Workers’ Compensation with Guidewire.
More Resources
Accelerating Outcomes: GenAI in Workers’ Comp
Podcast