• Group
  • Workers
  • General

Intelligent Fraud &
Malingering Detection

Unique Configurations for Group Disability & Workers Compensation

EvolutionIQ Approach: Continuous detection of claims with
intentional malingering using:

  • Internal historical records of past claims
  • External EvolutionIQ data to identify claimants
    acting in bad faith
  • Triage & case management tools ensuring high
    risk claims are prioritized for investigation

Predictive Claim Processing

Unique Configurations for General Liability, Group Disability & Workers Compensation

  • Contextualize claims against all historically relevant
  • Deliver duration expectations derived from injury and
    medical data
  • Triage claim handling, delivering faster claim closure
    and lower claim expense
  • Offer litigation risk, jurisdiction analytics and
    settlement predictions, when appropriate

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