Paul Carroll
GenAI is reshaping insurance. Let’s start there—what’s changing in workers’ compensation?
Tirath Desai
It’s becoming a central conversation. Carriers are asking a fundamental question: what’s next? Many are coming out of a soft market and rethinking growth. Workers’ compensation insurers across the globe continue to navigate common issues related to the changing nature of work, rising medical costs, changing workforce, increasing litigation and regulatory changes.
That’s especially true for state-affiliated funds transitioning into mutual models. Historically, they’ve been focused—single state, single line. Now growth is harder to find. That creates pressure.
Besides competition, there is a need for expanded capabilities. Differentiation in a crowded market. So, the questions shift. How do we grow? Where do we collaborate? What makes us stand out? AI is at the center of that discussion. Not the only answer—but a critical one.
Paul Carroll
Workers’ comp has long relied on predict-and-prevent strategies. Now we’re seeing new pressures—medical costs, social inflation. What’s changing?
Tirath Desai
Pressure is built on multiple fronts. Costs are rising. Risk is harder to manage, and expectations are shifting. Many carriers have operated within defined regulatory frameworks for years. Now they’re expanding—into larger risks, more complex products, newer distribution models. They’re asking practical questions. Can we improve fraud detection? Strengthen medical management? Deliver a better experience? Reach new channels?
At the same time, many are holding significant capital while their core book contracts. That tension—capital available; growth constrained—is driving urgency.
Paul Carroll
GenAI clearly improves efficiency. But where does it create real advantage beyond cost?
Tirath Desai
It starts with better decisions. Stronger underwriting. Earlier fraud detection. Faster, more consistent claims handling. Take claims processing. Today, it’s still heavily manual. Notes, documentation, back-and-forth across multiple parties. It slows everything down. AI changes that. It can extract and synthesize information in real time. Build a clearer view of a claimant’s history. Support faster, more informed decisions.
Payments are another example. Complex. Fragmented. Often difficult to track. With the proper technology, you can streamline that process end-to-end. Fewer delays. More visibility. So yes—efficiency improves. But the bigger shift is quality. Better outcomes. Better experiences.
Paul Carroll
You’ve spoken about a more worker-centric model. What makes that a shift?
Tirath Desai
Today’s experience isn’t built around the worker. Start by reporting an injury claim. Awareness isn’t always there. The process can feel unclear, slow, and disconnected. Now imagine something different. A digital entry point where a worker can report an incident, check eligibility, upload information, claim status and payment—in one centralized location. That data flows directly into core systems. It’s confirmed, summarized, and ready to act on. Compare that to today. Phone calls. Manual entry. Multiple handoffs. Delays at every step.
We can help remove a lot of that friction. And we can go further. Real-time guidance. Instant answers to simple questions. Support without always needing human intervention. That’s a meaningful shift—for both the worker and the carrier.
Paul Carroll
What happens when you improve responsiveness for injured workers?
Tirath Desai
You can reduce friction. And that matters. Delays and poor communication often cause dissatisfaction. Dissatisfaction can lead to disputes. And disputes can escalate to litigation. More responsive, more transparent interactions help change that dynamic. Now, AI isn’t a holistic solution. It still requires oversight. Judgment. Human involvement is where it matters. But it can remove many of the pain points in the process.
Faster responses. Clearer communication. More consistent experiences. That’s where the real value shows up.
Paul Carroll
Can AI help prevent accidents?
Tirath Desai
There’s potential—but it’s nuanced. Workplace monitoring isn’t new. What’s changing is how data is captured and used. Some approaches rely on wearable devices. Adoption can be a challenge. Over time, employees may resist if it feels intrusive. Other approaches are less invasive. For example, using existing visual data—images or video—to help identify risks. Detect unsafe conditions. Trigger alerts before an incident occurs. That’s promising. But the results are still evolving.
Many organizations are still working to define the return on investment. So, the opportunity is real. But it requires balance—between insight and trust.
Paul Carroll
Does GenAI accelerate collaborations and ecosystems?
Tirath Desai
Absolutely. No carrier can—or should—build everything alone. The pace of change is too fast. We’re seeing more ecosystem-driven models. Carriers combining internal capabilities with external innovation. Selecting targeted solutions where they can add greater value.
For example, some organizations are building their own AI capabilities. But in areas like litigation support or document processing, they may choose to integrate external solutions instead. It’s about focus. Invest where it differentiates you. Collaborate where it accelerates you. That’s how you can scale effectively.
Paul Carroll
What’s your advice for carriers getting started with AI?
Tirath Desai
Start broader. Not smaller. Many organizations began with isolated use cases. That made sense early on. Now it’s time to step back. Ask a bigger question: How does AI fit across the value chain and a holistic lifecycle—underwriting, claims, billing? Then build from there.
Three priorities stand out. First, governance. Clear frameworks. Responsible use. Defined accountability. Second, technology. Flexible platforms that can evolve. Integrate new tools. Adapt quickly. Third, data. This is often the hardest part. Many organizations still lack a unified view of their data. Without that, progress slows.
There’s a real opportunity here. But you don’t need to do everything at once. The focus should be clear. Build a road map. Move with intent. Position your organization for what’s next.
Paul Carroll
Thanks.
About Tirath Desai
 | Tirath Desai is a seasoned leader in the insurance technology space, with deep expertise in insurance core platforms, digital solutions, and large-scale transformation programs. As PwC’s Insurance Core Transformation and Digital Leader, he partners with carriers to modernize policy, billing, and claims operations, enhance agent distribution, and implement innovative cloud and AI-driven solutions. With over two decades of consulting experience, Tirath has led numerous large-scale transformations, particularly within workers’ compensation and commercial lines. His work emphasizes strong IT service management practices to drive service reliability, governance, and continual improvement across the enterprise. His track record includes delivering end-to-end transformation strategies that generate measurable business value, accelerate speed-to-market, and improve operational efficiency and customer experience. Tirath is particularly focused on integrating artificial intelligence into operational frameworks—leveraging predictive analytics, intelligent automation, and machine learning to optimize claims management, enhance decision-making, and proactively manage risk in workers’ compensation. By combining structured service management methodologies with AI innovation, he helps insurers build resilient, scalable, and future-ready operating models. |
