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Empower your frontline team to do their best work with less wasted effort and more capacity to provide compassionate support along every claimant’s recovery journey.

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Increasing claim complexity
compromises outcomes

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Policy interpretation

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Jurisdictional requirements

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Special claims handling agreements

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Medical inflation

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Regulatory requirements

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Customer expectation

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Overwhelming claims volume

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Claim professional turnover

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Claim professional turnover

<svg width="28" height="28" viewBox="0 0 28 28" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M16.625 0H3.20833C1.435 0 0 1.435 0 3.20833V21.2917C0 23.065 1.435 24.5 3.20833 24.5H12.7167C11.7367 22.9483 11.0833 21.1167 11.0833 19.0167V16.17C10.9083 16.275 10.71 16.3333 10.5 16.3333H4.66667C4.025 16.3333 3.5 15.8083 3.5 15.1667C3.5 14.525 4.025 14 4.66667 14H10.5C10.7217 14 10.92 14.0583 11.095 14.1633C11.1417 13.1717 11.6083 12.2617 12.3433 11.6667H4.66667C4.025 11.6667 3.5 11.1417 3.5 10.5C3.5 9.85833 4.025 9.33333 4.66667 9.33333H15.1667C15.6567 9.33333 16.0767 9.63667 16.2517 10.0683L19.5767 8.93667C19.6583 8.90167 19.74 8.87833 19.8333 8.86667V3.20833C19.8333 1.435 18.3983 0 16.625 0ZM9.33333 7H4.66667C4.025 7 3.5 6.475 3.5 5.83333C3.5 5.19167 4.025 4.66667 4.66667 4.66667H9.33333C9.975 4.66667 10.5 5.19167 10.5 5.83333C10.5 6.475 9.975 7 9.33333 7Z" fill="#00D08E"/> <path d="M27.209 13.2288L21.084 11.1451C20.8402 11.0623 20.5754 11.0623 20.3315 11.1451L14.2065 13.2288C13.734 13.3898 13.4155 13.8343 13.4155 14.3336V19.0213C13.4155 24.9328 19.971 27.7888 20.2499 27.9078C20.3969 27.9696 20.5532 28 20.7084 28C20.8635 28 21.0199 27.9696 21.1657 27.9066C21.4445 27.7876 28 24.9328 28 19.0213V14.3336C28 13.8331 27.6827 13.3898 27.209 13.2288ZM24.85 17.6166L21.35 22.2833C21.147 22.554 20.8379 22.7231 20.4995 22.7465C20.4715 22.7488 20.4435 22.75 20.4167 22.75C20.1075 22.75 19.8112 22.6286 19.5919 22.4081L17.2585 20.0748C16.8024 19.6186 16.8024 18.8813 17.2585 18.4251C17.7147 17.969 18.452 17.969 18.9082 18.4251L20.2907 19.8076L22.9834 16.2166C23.3695 15.7021 24.101 15.596 24.6155 15.9833C25.1324 16.3695 25.2374 17.101 24.85 17.6166Z" fill="#00D08E"/> </svg>

Policy Interpretation

<svg width="26" height="30" viewBox="0 0 26 30" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M20.9578 23.5133C20.8895 22.4383 21.215 20.9515 21.8733 20.0975C24.4983 16.691 25.6628 13.7395 25.1133 10.107C24.2228 4.22002 20.065 1.10177 14.3165 0.806771C8.03427 0.481771 2.65402 4.51677 2.82727 10.0818C2.85002 10.8163 2.97852 11.898 2.97552 12.6048C2.96977 15.1153 0.797518 16.1465 0.755768 16.9455C0.687018 18.2575 2.22827 17.8478 2.77177 19.7038C3.46177 22.06 2.47177 24.747 5.68377 24.581C6.96502 24.5295 9.04727 24.0323 9.93952 24.862C10.5085 25.391 10.9668 27.7 11.1455 28.7218C11.1697 28.8591 11.2415 28.9835 11.3484 29.0731C11.4553 29.1626 11.5903 29.2116 11.7298 29.2113H21.372C21.464 29.2115 21.5548 29.1904 21.6372 29.1494C21.7196 29.1085 21.7914 29.0489 21.8467 28.9754C21.9021 28.9019 21.9396 28.8165 21.9562 28.726C21.9728 28.6355 21.9682 28.5424 21.9425 28.454C21.6218 27.35 21.0673 25.2415 20.9578 23.5133ZM11.9288 13.8055C6.45052 13.8055 4.61402 11.4305 4.77302 9.15302C5.03452 5.40302 7.66302 2.94302 12.654 2.63652C14.3895 2.51958 16.1287 2.80092 17.7388 3.45905C19.3488 4.11718 20.7871 5.13467 21.9438 6.43377C23.3688 8.09502 24.4295 12.5 22.276 14.4553C18.6688 17.7303 16.0523 13.8055 11.9288 13.8055Z" fill="#050E49"/> </svg>

Mental health issues

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Adequate reserving

<svg width="32" height="32" viewBox="0 0 32 32" fill="none" xmlns="http://www.w3.org/2000/svg"> <path d="M9.43966 3.48125C9.43966 1.56169 7.87797 0 5.95841 0C1.34003 0.19125 1.34134 6.772 5.95841 6.9625C7.87803 6.9625 9.43966 5.40081 9.43966 3.48125Z" fill="#050E49"/> <path d="M11.9167 13.9917V12.9209C11.5884 5.01436 0.325312 5.02048 0 12.9209V13.9917C0 14.5094 0.41975 14.9292 0.9375 14.9292H10.9792C11.4969 14.9292 11.9167 14.5095 11.9167 13.9917Z" fill="#050E49"/> <path d="M29.5229 3.48125C29.5229 1.56169 27.9612 0 26.0417 0C21.4233 0.19125 21.4246 6.772 26.0417 6.9625C27.9612 6.9625 29.5229 5.40081 29.5229 3.48125Z" fill="#050E49"/> <path d="M26.0418 6.96252C22.7564 6.96252 20.0835 9.63546 20.0835 12.9208V13.9916C20.0835 14.5094 20.5032 14.9291 21.021 14.9291H31.0626C31.5804 14.9291 32.0001 14.5094 32.0001 13.9916V12.9208C32.0001 9.63546 29.3272 6.96252 26.0418 6.96252Z" fill="#050E49"/> <path d="M5.89166 17.0042C5.89166 16.9373 5.89291 16.8708 5.89416 16.8042H4.01916C3.94454 20.8229 5.89266 24.4537 8.90941 26.6647C9.17891 26.0926 9.51566 25.5583 9.90941 25.0717C7.46891 23.2264 5.89166 20.2996 5.89166 17.0042Z" fill="#050E49"/> <path d="M11.8627 7.77886C14.3562 6.61111 17.6437 6.61111 20.1372 7.77886C20.5818 7.26892 21.0912 6.81692 21.6525 6.43579C18.334 4.56711 13.6658 4.56717 10.3474 6.43579C10.9087 6.81692 11.418 7.26898 11.8627 7.77886Z" fill="#050E49"/> <path d="M26.1058 16.8042C26.1786 20.1535 24.5808 23.1959 22.0906 25.0717C22.4843 25.5582 22.821 26.0926 23.0906 26.6647C26.1072 24.4539 28.0555 20.8228 27.9808 16.8042H26.1058Z" fill="#050E49"/> <path d="M19.4812 20.5521C19.4812 18.6325 17.9195 17.0708 15.9999 17.0708C11.3815 17.2621 11.3828 23.8428 15.9999 24.0333C17.9195 24.0333 19.4812 22.4717 19.4812 20.5521Z" fill="#050E49"/> <path d="M16.0001 24.0333C12.7146 24.0333 10.0417 26.7063 10.0417 29.9916V31.0625C10.0417 31.5803 10.4615 32 10.9792 32H21.0209C21.5387 32 21.9584 31.5803 21.9584 31.0625V29.9917C21.9584 26.7063 19.2855 24.0333 16.0001 24.0333Z" fill="#050E49"/> </svg>

Multi-party involvement

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Comorbidities

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Jurisdictional requirements

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Special claims handling agreements

Driving better outcomes with proactive actions on the right claims

EvolutionIQ simplifies the complex with human-centric AI. We turn messy claims data into a clear action plan, freeing up your claims team to do what they do best: help people through tough times.

Claims Guidance

Purpose-built to elevate claims professionals across lines of business

Group & Individual Disability

Proactively direct efforts to the right claim at the right time. Manage claim duration, facilitate return-to-work, and focus on claimant experience

Workers' Compensation

Enable your frontline team to efficiently manage exposure, proactively navigate medical and jurisdictional complexity while delivering high quality customer services.

Income Protection

Designed to support claims professionals in ensuring timely, quality care for ill & injured workers

Mission-specific solution, transformative results 

5-10 pt

reduction in combined ratio

20%+

improvement in handling capacity

"A huge weight has been lifted as the claimant had felt lost in where to start"

Examiner using EIQ to help return a nurse to work

Read our case studies

Don’t just take our word for it

Kara Hoogensen

SVP Specialty Benefits, Principal Financial Group

To me it's best summed up by a note I got from one of my claims leaders…. ‘This is by far the best technology to support the evolution of claims and the claimant experience’ that she's ever seen in her 20+ year career.

Scott Boutin

Chief Claims Officer, Reliance Matrix

As we looked at the data, we realized: this could be huge. And it kept getting better; having an impact on the business quickly. That’s what gave us confidence to lean into innovation.

Adam Fisher

Chief Data Officer, Sedgwick

It actually solves two problems. It helps figure out how to get the right care at the right time for that claimant and then it also reduces the duration and the cost of the claim.

Media & Resources

Newsrooms

EvolutionIQ Expands MedHub: Active medical summarization transforms medical data into a competitive advantage

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Newsrooms

EvolutionIQ zeigt, wie KI das Leistungsfallmanagement für Berufsunfähigkeitsversicherer transformiert

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Case Studies

Case Study: EvolutionIQ Exceeds Adjuster Severity Recognition at Top P&C Carrier

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Whitepaper

A Platform to Elevate Financial Performance

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Be part of a team whose technology has already helped tens of thousands of people and is helping more every single day.