Rebecca Magallon | Aug 07 2025 15:00

How AI May Affect Your Personal Injury Claim

A Surprising Denial: When Hope Meets Reality

Imagine recovering from a serious car accident or facing a difficult recovery from a workplace injury. The physical and emotional toll has been immense, but you're hopeful about your personal injury claim, believing the compensation will help ease this challenging journey. Then, unexpectedly, your claim is denied. But what if the denial wasn't even made by a person but by an artificial intelligence model?

The Hidden Hand of AI in Insurance Decisions

Artificial intelligence is rapidly changing the landscape of many industries, and insurance is no exception. Insurers are increasingly using AI models to assess claims. However, these models can sometimes overlook essential human details. UnitedHealth’s nH Predict and Cigna’s system are notable for sparking controversy. Accusations have emerged where these models allegedly override physician advice and deny claims instantly—leaving the insured feeling blindsided.

The Power of Challenging Unjust Denials

In the face of such denials, having a strong legal team can make all the difference. Our aggressive approach includes reviewing and appealing AI-denied claims to overturn unfair decisions. We fight for the rightful compensation our clients deserve, understanding the intricacies of AI's decision-making flaws and holding insurers accountable.

The Call for Transparency

Transparency is crucial when it comes to AI decision-making. As policyholders, it's essential to demand clarity from insurers about how these AI systems operate. Understanding the mechanics behind these decisions can empower you to push for fair assessments and decisions.

Staying Informed and Proactive

To effectively advocate for our clients, staying informed about industry trends, ongoing lawsuits, and the latest technological advancements is vital. Our commitment ensures that we are always a step ahead, prepared to challenge the unjust and leverage insights to our clients’ advantage. Even when faced with a denied claim, possibly by a machine, you are not powerless. If you suspect your claim was unfairly assessed, reach out to us for a thorough review. We are here to support and stand with you.