Many AI tools work by taking the information you type in—diagnosis, injury date, body part, treatment—and comparing it to broad patterns. That can produce a “range” that feels like an answer.
But in practice, two people in Shasta Lake can enter similar inputs and still get very different settlement results because the insurer’s evaluation is record-driven. Common reasons AI ranges don’t match reality include:
- Missing or unclear work restrictions in the medical record (what you can do, not just what hurts)
- Gaps caused by delayed treatment or difficulty attending appointments due to transportation and scheduling
- Inconsistent wage documentation, especially when work hours fluctuate seasonally or overtime is not reliably captured
- Disputed injury narratives, such as when the insurer questions whether the mechanism of injury matches the medical timeline
The key takeaway: an AI number is not a prediction of what a California workers’ comp file will actually do.


