『Deconstructing Comp』のカバーアート

Deconstructing Comp

Deconstructing Comp

著者： Yvonne Guibert & Rafael Gonzalez
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Now in Season 6! We are still breaking down complex workers' compensation issues into bite-sized nuggets, one conversation at a time, with one slight twist. We are finally doing what we set out to do when we started: discuss the nuances of our fascinating system in "Cliff Notes" style summaries.


Yvonne Guibert and Rafael Gonzalez approach workers' comp conversations from different backgrounds. Still, they share many things in common, such as their love for family and friends, a passion for Latin culture, and good old-fashioned belly laughs. Join them as they chat with industry friends and colleagues, learn more about their roles, laugh, and have fun along the way. You might learn something along the way! See you soon! ¡Hasta pronto!

© 2026 Deconstructing Comp 出世 就職活動 経済学
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  • Erick Enriquez: AI = More Time to Think

    Erick Enriquez: AI = More Time to Think
    2026/10/16

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    Guest Bio

    Erick Enriquez | CEO and Co-Founder, InQuery

    • Built InQuery, a venture-backed technology company working to cut administrative waste in workers’ compensation
    • About 2.5 years leading the company from New York City, working closely with clinical and legal operators
    • Focused on structuring medical records so claims professionals can spend more of their time on judgment, not paperwork

    The Conversation

    When AI cuts record reviews from hours to minutes, do adjusters get more time for critical thinking? Or does management expect them to take on more files? Erick brings a clear answer and a few surprises to the conversation. He came into workers' compensation through his sister, a California claim adjuster who absorbed 20 or 30 extra claims on top of her own when her company lost adjusters. Something we've heard before.

    Key Discussion Points

    Does Anyone Actually Get Time Back?
    Medical records are the source of truth for how a claim is handled, and a thousand-page file can take 10 to 20 hours to rebuild by hand. Erick explains how AI pulls medications, ICD-9 codes, and the injury timeline from that pile so professionals can start much sooner with a judgment call.

    No More Writing Chronologies!
    Erick talks about a nursing team that used to spend around 40 hours a week writing medical chronologies. Now they give feedback on the system that produces them, process more volume, and have time for a level of clinical thinking they didn’t have before. Erick believes there is always more work to do, especially at the edge of what technology hasn’t solved yet.

    Who Makes the Final Call?
    Erick says he doesn’t want an algorithm to make the final call or conclusion for an injured worker. He makes the case for AI as support, with a human in charge, using an "Iron Man" comparison. Whether you agree with that framing or not, every claims leader is facing the same question right now.

    Can Faster Responses Win Back Trust?
    Erick explains that injured workers often arrive already believing TPAs and carriers are the enemy. Erick and Rafael argue that a quick, personal response from an adjuster can change that narrative. If admin work shrinks, adjusters may finally have more time to return calls from injured workers and answer their questions. We need to make sure that happens.

    Erick is a Deconstructing Comp Podcast fan who started listening long before he was ever a guest. He also has a side project that has nothing to do with claims or coding. Listen to the end to find out what he’s been "spinning" on the weekends.

    Hasta pronto!

    ¡Muchas Gracias! Thank you for listening. We would appreciate you sharing our podcast with your friends on social media. Find Yvonne and Rafael on Linked In or follow us on Twitter @deconstructcomp

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    51 分
  • Herbert Van Patten: The Art of Followership

    Herbert Van Patten: The Art of Followership
    2026/10/05
    Send us Fan MailGUEST BIOHerbert Van Patten | Senior Vice President and Chief Sales Officer, ISYS Solutions and Career Smart Learning35+ years in workers' compensation, starting as a Spanish-speaking vocational counselor and transitioning to leadership and sales rolesSenior Vice President and Chief Sales Officer overseeing nurse case management services (on-site and telephonic across western states) and healthcare training/recertification for medical professionalsMentor to college students and young professionals, focused on developing self-leadership skills and helping emerging talent find meaningful purpose in their insurance careersWHAT IS FOLLOWERSHIP?Merriam-Webster defines followership as: "the capacity or willingness to follow a leader." In our episode, you'll hear what Herbert Van Patten says about the importance of followership, especially for younger generations. EPISODE SUMMARYWhat happens when we look at workers' compensation not as a system to navigate, but as an opportunity to change the trajectory of injured workers' lives?In this episode, Herbert Van Patten walks us through his unconventional entrance into workers' comp. Completed military service. The job market was soft in 1991. Fluent in Spanish. Hired as a Vocational Counselor. He shares his philosophy on leadership development. He also talks about a new concept we don't often discuss: followership. He makes a case for seeing nurse case managers as the "hub of the wheel." Central coordinators. The connectors who get everyone aligned around a shared mission. But here's what matters. He's not just talking about better claims management. He's sharing a vision for our entire industry. What if we rallied around one unified mission: to use a workers' compensation claim as an opportunity to change an injured worker's life trajectory for the better?Herbert also challenges how we think about vulnerability in leadership. Have you ever had imposter syndrome? Most of us see it as a problem. He sees it differently. It's a signal for self-examination. A prompt to look at yourself honestly. Leaders don't need to have all the answers. What they actually need is the courage to build trust through honesty, consistency, and transparency. As Herbert puts it: "If we can rally around that unified mission as an industry, how much more effective would we be in the work we do?"The conversation goes deeper too. Language barriers. Cultural competence. How the younger generation wants to be led differently than we did (Boomers and Gen Xers). And the real stories. Injured workers who, after catastrophic injuries, went back to school. Who completely transformed their lives. Who changed their families' futures.KEY THEMESWorkers' Comp: A Noble ProfessionStop thinking about workers' compensation claims as something to close. Start seeing them as opportunities to change someone's life trajectory. That's the reframe worth considering. And it's a noble profession. Doubt Can Lead to Self-LeadershipImposter syndrome isn't a failure. It's a signal. Use it as a prompt for self-examination. Leaders don't need to have all the answers. They need the courage to find them by working with the people they lead.Followership As a SkillWe talk constantly about what it takes to be a good leader. We almost never talk about followership. But most of us are following someone. The younger generations relate to followership differently than Baby Boomers or Gen X. Understanding that shift is where real leadership development starts.Language and Trust Are InseparableSpeaking to injured workers in their own language isn't just about communication. It's about connection. It's about breaking through the suspicion built into the system. When you connect in someone's native language, you open a door to trust. That's harder to open any other way.RESOURCES & CONNECTIONSISYS Solutions: Nurse case management services across western states and telephonic services nationwide.Career Smart Learning: Healthcare training and recertification for case managers, nurses, social workers, and other medical professionals.Institutes of Health (IOH): Intensive outpatient programs for traumatic brain injury, PTSD, and complex chronic pain.¡Muchas Gracias! Thank you for listening. We would appreciate you sharing our podcast with your friends on social media. Find Yvonne and Rafael on Linked In or follow us on Twitter @deconstructcomp
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    45 分
  • Gia Sawko: Deucing Every Point

    Gia Sawko: Deucing Every Point
    2026/09/18

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    Guest Bio

    • Gia Sawko | Chief Claims Officer at Signal Mutual
    • Decades of claims experience in workers' compensation
    • Instrumental in navigating how AI reshapes the adjuster's role
    • Focused on preserving and amplifying human judgment in claims work

    The Conversation

    Yvonne, Rafael, and Gia get into what's happening in claims work right now. The job is harder than ever. The tools haven't caught up. And there's a path forward if we're willing to think differently about training, technology, and what we ask of the people doing this kind of work.

    Key Discussion Points

    The Claims Desk Hasn't Been Redesigned in 20+ Years

    The claims adjuster's job has become exponentially more complex. Medical knowledge requirements have expanded. Regulatory demands keep multiplying, and they're harder than ever to navigate. Case management now demands synthesis across medical history, pharmacy data, functional capacity, and emerging compensability questions. But the actual desk, the systems, and the workflows look almost identical to what they did two decades ago. The infrastructure hasn't kept pace with our industry's complexity.

    Why Don't We Train Claims Adjusters Like Apprentices?

    Gia makes a good point: we should treat claims adjuster development like other industries treat apprenticeships, such as skilled trades. New adjusters need structured mentorship, graduated complexity, and time to build judgment alongside technical knowledge. Right now, they often get thrown into the deep end. If we reimagined onboarding the way apprenticeship programs do, with clear progression and accountability, we'd build stronger professionals. People who feel accomplished master their craft and stay in the industry.

    AI as Support, Not Replacement

    The highest-value use of AI in claims isn't automation; it's augmenting what adjusters already do. AI can flag high-risk claims and surface comorbidities. It can summarize documents. But the adjuster owns the relationship with the claimant and the critical judgment calls. The combination between the person and the algorithm is where we'll get the best outcomes.

    Implementation Challenges Are Real

    You can't pause operations to implement AI. Decision fatigue is a risk when adjusters get too many warnings. And AI is only as good as the question asked. We need to teach adjusters how to ask better questions and build trust through testing. This is the "how" nobody's really solved yet.

    AI Literacy Is Non-Negotiable

    Every adjuster needs to become proficient in AI language now. Start small, test on easy tasks, validate against what you already know. Those who build this proficiency will be positioned better than those who don't. The window is now.

    Deucing Every Point

    Gia is a serious tennis player! Ask her about a match where she lost 6-0, 6-0—and she'll tell you about the deuces, the rallies that mattered, the quality of every point. Lean in to hear what the court might teach us about adjuster mastery.

    ¡Muchas Gracias! Thank you for listening. We would appreciate you sharing our podcast with your friends on social media. Find Yvonne and Rafael on Linked In or follow us on Twitter @deconstructcomp

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    56 分
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