AI tools typically work by taking the information you enter (injury type, body part, treatment, time missed) and comparing it to generalized patterns. The problem is that workers’ comp disputes are rarely “average.”
In New York, insurers and adjusters focus heavily on whether the record supports:
- Causation (whether the work incident is actually tied to the diagnosis)
- Credibility and consistency (what your medical notes, incident reporting, and restrictions say over time)
- Functional limits (what you can and cannot do, and whether those limits are supported)
Even when your injury is legitimate, an AI estimate may undervalue your claim if your answers don’t reflect how your file reads—especially if there were gaps in treatment, delays in reporting symptoms, or restrictions that changed over time.


