IQInvestigate
IQInvestigate automates Intelligent Malingering Detection across entire open claim books.
Our proprietary explainable AI delivers plain-English evidence to investigators working key claims. IQInvestigate serves major carriers in Disability & Workers Compensation lines of business.
Operational Business Value
Increase Detection Accuracy
Increase productivity of claim reviews and SIU.
Reduce False-Positive Investigations
Improve claimant experience.
Lower Claim Reserves
With automated malingering claim identification on open blocks of claims.
Faster Claim Investigations
Expedite via IQInvestigate workflow product and tools.
Group Disability & Workers Compensation Carriers
Group Disability and Workers Compensation Carriers use IQInvestigate to identify, investigate and adjudicate open claims with high risk of claim malingering, ensuring lower claim costs, fewer false-positive investigations and a more productive claim review process.
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.
Results at Top Ten National Carriers:
Application Features
- Fully-explainable AI provides key evidence for every malingering claim identified
- Case management interface with customizable workflow to ensure high efficiency use
- Software service with minimal IT requirements for the carrier
- Managerial and executive dashboards with drilldown reporting to easily monitor productivity