Services

What will AGI do for Workers' compensation insurance service?

A form of insurance providing wage replacement and medical benefits to employees injured in the course of employment in exchange for mandatory relinquishment of the employee's right to sue their employer for the tort of negligence. The trade-off between assured, limited coverage and lack of recourse outside the worker compensation system is known as the compensation bargain. One of the problems that the compensation bargain solved is the problem of employers becoming insolvent as a result of high damage awards. The system of collective liability was created to prevent that, and thus to ensure security of compensation to the workers. Individual immunity is the necessary corollary to collective liability. Coverage provides continuing wage payments.

The work itself

Grounded Work Profile

Tools

  • Insurance Rating SoftwareserviceBlueprint
  • Underwriting SystemserviceBlueprint
  • Policy Administration SystemserviceBlueprint
  • Payment Processing SystemserviceBlueprint
  • Claims Intake PortalserviceBlueprint
  • Claims Management SystemserviceBlueprint

Outputs

  • Insurance Policy DocumentserviceBlueprint
  • Claims RegisterserviceBlueprint
  • Premium Audit ReportserviceBlueprint

Measured by

  • Claims Turnaround TimeserviceBlueprint
  • Regulatory ComplianceserviceBlueprint
  • Solvency RatioserviceBlueprint

Key steps

  • Quote Coverage PremiumserviceBlueprint
  • Underwrite Employer RiskserviceBlueprint
  • Bind Insurance PolicyserviceBlueprint
  • Collect Premium PaymentserviceBlueprint
  • Receive Injury ClaimserviceBlueprint
  • Adjudicate Injury ClaimserviceBlueprint
  • Disburse Benefit PaymentserviceBlueprint

How AGI delivers it

Four ways AGI delivers for Workers' compensation insurance service

  • Services-as-Software

    Get the professional outcome delivered as software, priced on results, not headcount.

    Services.do
  • Autonomous Agents as digital employees

    Hire a digital employee that does the job under earned, supervised autonomy.

    Agents.do

Value flow

How Workers' compensation insurance service connects

absorbs

  • Injury Claims Managementmodel
  • Premium Audit Processmodel
  • Workplace Injury Claims Managementmodel

composes

measured by

  • Claims Cycle Timemodel
  • Regulatory Compliancemodel
  • Regulatory Solvency Compliancemodel
  • Solvency Ratiomodel

optimizes

  • Claims Cycle Timemodel
  • Claims Settlement Speedmodel
  • Loss Ratiomodel
  • Premium Adequacymodel
  • Return-to-Work Ratemodel

produces

  • Claims Adjudication Filemodel
  • Claims Registermodel
  • Insurance Policy Documentmodel
  • Policy Contract Recordmodel
  • Premium Audit Reportmodel

realizes

  • Adjudicate Injury Claimmodel
  • Adjudicate claim eligibilitymodel
  • Assess payroll and risk classmodel
  • Bind Insurance Policymodel
  • Collect Premium Paymentmodel
  • Collect premiummodel
  • Disburse Benefit Paymentmodel
  • Disburse benefit paymentsmodel
  • Manage return-to-work planmodel
  • Quote Coverage Premiummodel
  • Quote and bind policymodel
  • Receive Injury Claimmodel
  • Receive injury claimmodel
  • Submit coverage applicationmodel
  • Underwrite Employer Riskmodel