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.
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.
Coordinate evidence-based treatment plans, provider networks, and return-to-work strategies to control cost and improve outcomes for injured workers.
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.
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.
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.
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.
"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
