Increase productivity of claim reviews and SIU.
Improve claimant experience.
With automated malingering claim identification on open blocks of claims.
Expedite via IQInvestigate workflow product and tools.
IQInvestigate automates Intelligent Malingering Detection across entire open claim books, automatically referring claims to examiners or SIU for directed claim reviews & investigations. IQinvestigate’s proprietary technology delivers plain-english evidence and investigation guidance for every single claim. Rather than a limited list of pre-determined rules, these insights are actually learned from the data of hundreds of thousands of claims, and follow nuances found in internal claim data, unstructured data and examiner notes, or vast external data on the claimant and claim context.
The result is more accurate, timely and efficient claim reviews & investigations, effective claim cost containment and duration reduction, and improved customer service via fewer false-positive investigations and reviews.