HEMIC Partners with EvolutionIQ to Transform Claims Management
Social Security Disability
Empower SSA Disability Claims Teams with Intelligent Claims Guidance
AI-Driven Insights that Drive Reduced Costs and Increased Efficiency
Trusted by Top Disability Insurers
Speed Resolutions and Reduce Waste
Our AI platform proactively surfaces critical insights from medical records and case histories to help examiners take action on the claims where it will have the most impact - those that can be resolved quickly and those that need active intervention and investigation. The result is a better claimant experience and significant cost savings.
As disability caseloads rise, focusing first on actionable claims, enables examiners and judges to prioritize cases that can be resolved quickly, and those that are showing abnormal patterns requiring investigation.
This improved decision accuracy at earlier stages means fewer appeals and reversals, so legitimate claimants experience a fairer, smoother journey through the process, and fraudulent claims are identified quickly.
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Boost Operational Efficiency
Social Security disability teams work hard amid tight budgets and growing workloads. EvolutionIQ acts as a force multiplier for these teams, using advanced machine learning to automate routine analysis and triage.
Messy case data is distilled into a clear action plan, so staff spend less time digesting medical documentation on all cases and more time applying their expertise to the cases where they can have an impact. Our system continuously monitors all open claims, alerting your examiners to those that require attention and allowing others to progress automatically.
The result is a more streamlined workflow: faster case reviews, rapid and accurate triage of claims, and maximized productivity with existing resources. Insurers using EvolutionIQ have seen 20%+ improvements in claims handling capacity.
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Reduce the Claims Backlog
Backlogs are more than a numbers problem – they represent people waiting in limbo. EvolutionIQ’s solution is focused on accelerating the path to resolution for every claim.
Our AI identifies “quick win” cases (such as those with sufficient evidence) and fast-tracks them for decision. It also flags complex or borderline cases early, enabling specialists to gather additional information or schedule hearings sooner. By resolving straightforward cases swiftly and allocating resources smartly for difficult ones, the overall queue moves faster.
The end result is a significant reduction in pending cases and wait times – transforming the backlog into a manageable flow. With EvolutionIQ, SSA can confidently tackle its backlog while maintaining accuracy and due process, so no claimant is left waiting for an answer.
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