EvolutionIQ segments incoming claims by working group, customized to each carrier’s existing or desired processes, including automating Advance Pay and Close with highly accurate duration estimates. As claims progress, IQPriority continuously scans the entire claim file, providing updated duration estimates based on the entire files’ structured, unstructured, and external data, alerting examiners to changes in claim trajectory.
EvolutionIQ’s specialized LTD platform continuously monitors all open claims, from actively managed new LTD claims to ‘Stable and Mature’ claims in passively managed blocks. EvolutionIQ delivers clear, action-oriented guidance to examiners, helping them find claims in need of increased attention and reducing unnecessary time spent working stable claims before they become actionable.
EvolutionIQ also understands the physical exertion levels capabilities of each claimant, as well as their gainful wages, and provides specific vocational guidance and alternative occupation RTW opportunities as they become actionable.
The result is a more dynamically-managed claim block, where claims receive examiner attention when the need arises, rather than on a predetermined review cycle. Claim durations fall, claimant experience is improved, and examiners are more impactful. EvolutionIQ enables modern claims management.
Named “Top Loss Reduction Technology” within Disability Re-insurer Technology Roundtables
Trusted by Top 10 Carriers in Group & Individual Lines.
Year 1 results include 8-figure reserve reductions, lower STD-LTD incidence rate & larger claim handling capacity