Active Summarization: The Future of Medical Data Synthesis 🚀
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IA Native.
Centré sur l'humain.
Centré sur l'humain.
Nous ouvrons la voie à l'excellence dans la
gestion des
réclamations.
Vous qui faites la différence.
Donnez à votre équipe les outils nécessaires pour exceller, en réduisant les efforts superflus et en leur permettant de consacrer plus de temps
à un soutien humain et bienveillant tout au long du parcours de rétablissement de chaque assuré.
Les plus grands assureurs du monde nous font confiance
La hausse de la complexité des réclamations
compromet les résultats
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Regulatory requirements
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Medical inflation
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Special claims handling agreements
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Jurisdictional requirements
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Policy interpretation
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Claim professional turnover
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Overwhelming claims volume
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Customer expectation
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Special claims handling agreements
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Jurisdictional requirements
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Comorbidities
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<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"/>
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<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"/>
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Multi-party involvement
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Adequate reserving
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Mental health issues
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Policy Interpretation
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Claim professional turnover
Des résultats optimisés grâce à des actions proactives sur les bonnes réclamations.
EvolutionIQ simplifie la complexité grâce à une IA centrée sur l'humain. Nous convertissons des données de réclamations complexes en plans
d'action clairs et précis, permettant à
vos équipesde se concentrer sur ce qu'elles font de mieux : accompagner les personnes dans les moments difficiles.
Spécialement conçu pour renforcer l'expertise des professionnels des réclamations dans chaque domaine d'intervention.
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Assurance revenu
Soins appropriés, réclamation correcte, au bon moment, tout le temps. Gérez la durée des dossiers, facilitez le retour au travail et concentrez-vous sur l’expérience des assurés.Gérez de manière proactive la durée des réclamations, facilitez le retour au travail et interceptez les réclamations non éligibles.
Indemnisation des salariés
Soins appropriés, réclamation correcte, au bon moment, tout le temps.Gérez de manière proactive la durée des réclamations, facilitez le retour au travail et interceptez les réclamations non éligibles.
Des solutions sur mesure, des résultats transformateurs
Des résultats optimisés, des coûts maîtrisés
Identifiez des recommandations ciblées et des actions concrètes pour orienter chaque dossier vers une résolution optimale.
Retour au travail rapide et sécurisé
Réduction notable de la durée
Baisse significative du taux d’incidence
Optimisez l’efficacité opérationnelle
Concentrez les professionnels sur les dossiers les plus prioritaires, tout en laissant l’IA surveiller l’ensemble des réclamations en toute sérénité.
L'examen des dossiers
Triage rapide et précis
Améliorez l’expérience des assurés
Accompagnez proactivement les assurés dans leur retour au travail grâce à des interventions personnalisées au moment le plus opportun.
Optimisez les interventions sur les dossiers
Renforcez l’impact des spécialistes sur le retour au travail
5-10 pt
réduction du ratio combiné
20%+
d'amélioration de la capacité de gestion
"Un immense poids a été levé, car l’assuré se sentait perdu et ne savait pas par où commencer"
Un gestionnaire utilisant EIQ pour aider une infirmière à reprendre son travail
Paroles D' Assureur
Kara Hoogensen
Vice-présidente principale, Prestations spécialisées
Pour moi, cela se résume à un message que j’ai reçu d’un de mes responsables des réclamations… ‘C’est de loin la meilleure technologie pour accompagner l’évolution des réclamations et améliorer l’expérience des assurés’ qu’elle ait vue au cours de ses 20 ans de carrière.
Scott Boutin
Directeur des sinistres, Reliance Matrix,
En analysant les données, nous avons réalisé que cela pouvait avoir un impact énorme. Et ça n’a cessé de s’améliorer, apportant rapidement des résultats concrets à l’entreprise. C’est ce qui nous a donné la confiance nécessaire pour miser sur l’innovation.
Adam Fisher
Directeur des données, Sedgwick
Cette solution répond en fait à deux problématiques. Elle permet d’assurer les soins appropriés au bon moment pour chaque assuré, tout en réduisant la durée et le coût de la réclamation.
Médias et Ressources
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Créez des technologies qui transforment des vies avec nous.
Rejoignez une équipe dont les solutions technologiques ont déjà aidé des dizaines de milliers de personnes et continuent d'en aider davantage chaque jour.
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L' expertise humaine alliée à la précision de l'IA: Atteignez l'excellence des réclamations à grande échelle
Claims Guidance alimenté par l'IA.
Ressources
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