RISK MANAGEMENT, COMPLIANCE
PRnewswire | April 03, 2023
Shift Technology, a provider of artificial intelligence-based decision automation and optimization solutions for the insurance industry, and Direct Assurance, the French leader in direct insurance, which offers auto, motorcycle, home and health insurance, and is a 100% subsidiary of the AXA group, today announced their renewed collaboration. Initiated in 2018 to fight auto insurance claims fraud using Shift Claims Fraud Detection, the relationship now extends its scope to cover home insurance claims.
Property and casualty insurance fraud costs the European economy €14 billion annually, and €2.5 billion in France alone. As such, insurers are looking for modern solutions which can more effectively identify and analyze suspicious claims. Working with Shift, Direct Assurance has opted for an innovative approach to this issue. Five years of successful collaboration analyzing motor claims prompted the French leader in direct insurance to extend the use of Shift's solutions to the challenge of mitigating fraud in home insurance claims.
"Fighting against fraud is one of the most effective ways to maintain the competitiveness of our rates and defend the purchasing power of the immense proportion of our bona fide customers," explained Donatien Levesque, director of claims, Direct Assurance.
"In order to identify suspicious claims, we chose to combine artificial intelligence with the know-how of our experts. The enormous amount of information to be processed makes verification and comparison operations extremely difficult," continued Nicolas Vilhelmsen, head of claims business intelligence, Direct Assurance. "That's why we used Shift. Since 2018, this collaboration has allowed us to gain ground on fraudsters in a considerable way. We are very excited to apply this solution to our home claims, which are an increasingly important part of our business."
"From the beginning, Shift's goal has been to put technology at the service of insurance players to help them best serve their customers," concludes Jeremy Jawish, CEO and co-founder, Shift Technology. "We are proud to have contributed for several years to Direct Assurance's strategic initiative to minimize the impact of fraud on its business, and to benefit its legitimate customers."
About Shift Technology
Shift Technology delivers AI decisioning solutions to benefit the global insurance industry and its customers. Our products enable insurers to automate and optimize decisions from underwriting to claims, resulting in superior customer experiences, increased operational efficiency, and reduced costs. The future of insurance starts with Decisions Made Better. Learn more at www.shift-technology.com.
About Direct Assurance
Direct Assurance is the French leader in direct car insurance and also offers motorcycle, home and health insurance products. Today, more than a million customers trust the company. A pioneer since 1992, Direct Assurance is a part of the AXA group.
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CLAIMS, RISK MANAGEMENT
Businesswire | April 05, 2023
Majesco, a global leader of cloud insurance platform software for insurance business transformation, today announced a partnership to integrate EvolutionIQ’s AI-powered Claims Guidance platform with Majesco’s suite of disability insurance claims technology solutions. These include Majesco Claims for L&AH and Majesco ClaimVantage Claims for L&H. The integration is part of the Majesco EcoExchange, which is a next-generation marketplace of partner technologies designed to help the insurance industry meet the demands of today’s digital customer.
Closely working with the EvolutionIQ team, the partnership will combine market-leading technologies from both organizations to help insurers transform their claims process, which in turn helps sick and injured claimants recover and return to work faster while reducing claim losses and expenses. Majesco and EvolutionIQ have a number of joint customers using both solutions today. Benefits of the partnership for insurers and TPAs include:
Faster technology deployments and a faster return on investment from integrated solutions.
A more dynamic and responsive claims solution to cost effectively manage and guide examiners and adjusters to the right claim at the right time and deliver excellent claimant experience.
Reduced loss ratios, improved claims processing, reduced claim durations, and more claimants returning to work.
“The insurance industry is at an inflection point as rapid advances in technology are now fundamentally changing the underlying economics of claims handling,” said EvolutionIQ co-founder and Co-CEO Michael Saltzman. “Both Majesco and EvolutionIQ are proven, advanced systems that are already delivering dramatic, measurable results for an array of the industry’s top carriers and TPAs. With this partnership, industry leaders can know and trust that our respective technology solutions are not only transformative, but they are complementary to each other in any environment. By deploying them together, forward-thinking insurers will help many more sick or injured people recover – while simultaneously realizing an impressive ROI.”
EvolutionIQ’s AI-powered Claims Guidance is an entirely new category of software invented by EvolutionIQ that actively monitors every open insurance claim to guide frontline operators to those that require more attention, new actions, or complex decision-making. It uses next-generation machine learning and natural language processing to understand complex bodily injury and recovery like a medical expert and guide examiners and adjusters daily to the right actions on the right claims at the right time to maximize impact. The technology has already led to tens of thousands of sick and injured people getting their lives back on track, with the number increasing every day. Carriers report up to a 35 percent increase in sick or injured people returning to work using EvolutionIQ with those returns happening on average 3.5 months sooner when compared to legacy processes.
“EvolutionIQ with Majesco Claims solutions for the L&AH segment offers our customers and the industry a significant opportunity to transform the claims dynamics for disability and workers compensation,” said Adam Elster, CEO at Majesco. “This partnership aligns with our relentless innovation focus to deliver intelligent, cutting-edge solutions that help our customers manage claims efficiently, control costs to improve profitability, and deliver exceptional customer experiences. We are thrilled to be working with EvolutionIQ to deliver real business value to our customers.”
Majesco Claims for L&AH and Majesco ClaimVantage Claims for L&H are industry recognized as market leading solutions by industry analysts, supporting some of the largest insurers and most demanding claims operations. Majesco solutions help insurers manage and resolve claims faster, exceed customer expectations, manage complex integrated disability and absence management and return to work, and ignite innovation that delivers frictionless and transparent claims experiences. While historically claims operations focused on costs and efficiencies, today insurers must take a holistic customer view including management of complex injury claims to help claimants return to work quicker and safer, creating a new customer experience that is a cornerstone of satisfaction, loyalty, and retention.
About EvolutionIQ
EvolutionIQ is the market leading Claims Guidance platform in Group and Individual Disability, Property & Casualty, and Workers’ Compensation lines of insurance. EvolutionIQ now counts the majority of the top 20 US Disability and Life carriers as clients. EvolutionIQ’s proprietary Artificial Intelligence uses the entire claim file contents, historical claims, and external data to guide claim handlers to their most productive task across the entire claim block, every day. The system combines real-time predictive accuracy, clear guidance, and explainable AI to ensure adoption and business impact. As a result, claims organizations spend their efforts on claims they can impact – and their claimants get better, more tailored service. Insurers choose EvolutionIQ to increase their profitability and control over complex lines of business by integrating decision intelligence into every step of the claims handling process. For more information, visit www.evolutioniq.com and follow the company on LinkedIn.
About Majesco
Majesco is the partner P&C and L&A insurers choose to create and deliver outstanding experiences for customers. We combine our technology and insurance experience to anticipate what’s next, without losing sight of what’s important now. Over 350 insurers, from greenfields and startups to some of the world’s largest insurers, rely on Majesco’s SaaS platforms solutions of core, data, analytics, digital, and rich ecosystem of partners to create their next now.
As an industry leader, we don’t believe in managing risk by avoiding change. We embrace change, even cause it, to get and stay ahead of risk. With 900+ successful implementations we are uniquely qualified to bridge the gap between a traditional insurance industry approach and a pure digital mindset. We give customers the confidence to decide, the products to perform, and the follow-through to execute.
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CORE INSURANCE, RISK MANAGEMENT
PRnewswire | March 31, 2023
HawkSoft announces that CoverRight is now participating in its Solution Partner program. CoverRight.com is a digital-first concierge platform designed to empower retirees and their families to easily learn about and navigate Medicare health insurance online. The US-based insurtech collaborates with experienced Insurance, Banking, and Healthcare Provider partners nationwide to create new revenue opportunities through a digitally-driven and personalized Medicare navigation and enrollment experience for their clients. HawkSoft is a leading agency management system for independent insurance agencies that serve communities throughout the US.
Given the uncertain economic landscape, many independent agencies are seeking options to capture missed revenue opportunities and protect retention rates in 2023. Adding CoverRight as a Solution Partner will provide Property & Casualty (P&C) focused agencies an option to generate new revenue at no additional cost.
America's workforce continues to age with over 10,000 Americans retiring each day, affecting more personal lines clients than insurance agencies may realize. In fact, 1 in 5 Americans is a silent caregiver and may have to make complex Medicare decisions on behalf of an aging parent. Instinctively, clients turn to trusted channels such as personal insurance, banking, or healthcare providers for advice when transitioning to Medicare but require the additional expert help that CoverRight provides. CoverRight's digital-first concierge-style platform has helped over 14,000 Americans learn about Medicare and offers its partners clients a dedicated licensed Medicare advisor end-to-end – 100% free.
"HawkSoft is built by industry veterans who are exceptionally positioned to understand and help deliver what agencies will require to thrive on an evolving basis," said Karan Narang, Head of Partnerships at CoverRight. "As a Solutions Partner, CoverRight uniquely offers HawkSoft agencies the ability to cultivate a new revenue stream from their existing client portfolios while driving value back to their business. We're excited to grow our alliance with HawkSoft and help enable P&C focused agencies to capture missed opportunities with Medicare."
"Our customers often describe their jobs as 'protecting their community,' which is not limited to just covering their insureds' P&C risks," says Rushang Shah, VP of Marketing at HawkSoft. "They are resources in their communities, offering advice and guidance through some of the hardest situations a person will encounter. CoverRight feels like a natural fit for our efforts to support that pillar position agents find themselves in."
About HawkSoft
Since 1995, HawkSoft is a leader in management systems for independent insurance agencies that want effective workflows and a delightful experience for staff and policyholders. Created by independent agents, HawkSoft continues to evolve as a cutting-edge system that powers thousands of agencies. HawkSoft offers the following promise to insurance agents: your investment in HawkSoft will pay for itself in the first year. Learn more about HawkSoft's story at www.hawksoft.com/story.
About CoverRight
CoverRight.com is the first digital concierge platform designed to empower retirees and their families to easily learn about and navigate Medicare online. The company collaborates with experienced Insurance, Banking, and Healthcare Provider partners nationwide to create a digitally-driven and personalized Medicare enrollment experience for eligible clients. The CoverRight platform pairs technology with human support to simplify a traditionally confusing and complex decision by delivering a concierge-style experience that provides consumers with a delightful and comprehensive Medicare plan selection and enrollment experience. The company's vision is to become the go-to retirement concierge platform to help retirees manage and navigate health and finance in retirement.
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