Aug 07 2025 15:00

AI’s Role in Denied Insurance Claims: What Injured Kentuckians Need to Know

Denied After an Injury in Louisville? AI Could Be the Reason

Imagine recovering from a serious car accident or workplace injury, hoping your personal injury claim will help you manage medical bills, lost wages, and other expenses. Then, out of nowhere—you receive a letter saying your claim has been denied. Even more shocking? That decision might not have come from a person, but from a computer algorithm.

This is the new reality facing many Kentuckians. At The Sampson Law Firm , we believe injured individuals deserve transparency, not automated denials.

How Insurance Companies Use AI to Deny Claims

Artificial intelligence (AI) is quietly transforming the insurance industry—and not always for the better. Large companies like UnitedHealth and Cigna have adopted AI models (like UnitedHealth’s nH Predict ) to process claims. These tools are designed to streamline decision-making, but reports show they sometimes override physician recommendations and deny legitimate claims in seconds.

For injured people in Louisville, this raises serious concerns:

  • Was your claim fairly reviewed?

  • Did an AI model flag your case without fully understanding your medical needs?

Why Transparency in AI Is Critical

AI systems often operate behind closed doors, using proprietary algorithms that aren’t publicly explained. This lack of transparency makes it difficult to challenge denied claims. That’s why it's so important to work with a legal team that knows how to uncover the logic behind an AI-based denial and hold insurers accountable.

How Our Legal Team Challenges AI-Based Claim Denials

At The Sampson Law Firm , we take an aggressive approach to denied insurance claims. When a Louisville injury victim contacts us about a denial, we:

  • Analyze the denial letter and underlying justification

  • Identify whether AI tools were involved

  • Investigate potential violations of insurance regulations or bad faith practices

  • Build a strong case to fight for the benefits our client deserves

Our goal is simple: ensure you receive fair treatment—not a decision dictated by software.

Stay Informed. Stay Protected.

Keeping up with evolving insurance technology, industry lawsuits, and claim trends allows our firm to protect Louisville residents from unfair claim denials. Knowledge is power, and we use it to level the playing field between everyday Kentuckians and powerful insurers.

Suspect an Unfair Denial? Let’s Review Your Case

If your injury claim has been denied—especially if it seems automatic or unexplained—you may have legal options. Our Louisville personal injury attorneys are here to review your denial, investigate AI involvement, and pursue the compensation you deserve.

Contact The Sampson Law Firm today for a free consultation. You don’t have to take “no” for an answer—especially when that “no” came from a machine.