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EvolutionIQ

AI-driven SaaS for insurance claims handling

Business Analyst

Full-Time
$165k - $180k/yr+ Bonus + Equity Grants
Senior
New York, NY, USA
In PersonOn-site in New York, NY. Sponsorship available for U.S. candidates.
Data & AnalyticsBusiness Intelligence
H1B Sponsorship Available

About the job

Requirements
  • 5+ years as a Business Analyst or similar role, preferably within Disability Insurance, FinTech, or a SaaS company leveraging Machine Learning.
  • Analytical Rigor: Proficiency in Python (Pandas, script development), SQL, and data visualization tools (Tableau, PowerBI, Looker) to perform independent "deep dives" into claim performance data.
  • Strategic Communication: Proven ability to explain the "Why" behind an AI recommendation to non-technical users.
  • Domain Expertise: Familiarity with claims management workflows, "duration compression" concepts, and the regulatory landscape of disability insurance is preferred
Responsibilities
  • Report Quality: Review data artifacts to ensure that data transformations are accurate and reporting correctly communicates the metrics in question.
  • Scale Reporting Infrastructure: Build out tooling to scale and automate client reporting, while ensuring data is trustworthy. Support contribution to team's github code repositories with strong Python and SQL skills, with a willingness to learn additional tools like dbt
  • Data Storytelling: Create high-impact visualizations and business cases that demonstrate the ROI of AI integration to our B2B clients.
  • Stakeholder Synthesis: Translate complex model behaviors (e.g., propensity to close, intervention scoring) into actionable insights for claims adjusters and executive leadership through in depth analytics.
  • Requirement Architecture: Collaborate with senior DS&I team members to define "Success Events" for new AI features, ensuring that technical builds align with the Behavioral North Star of the product.

About the company

EvolutionIQ provides software that uses artificial intelligence to help insurance companies manage disability, workers' compensation, and general liability claims. The platform works by analyzing medical data to predict claim trajectories and automatically directs adjusters to the specific cases that require immediate attention. Unlike traditional manual processes, this system identifies "Return to Work" opportunities much earlier by understanding bodily injury data with the depth of a medical expert. The company’s goal is to improve the speed and accuracy of claims handling to help claimants recover and return to their jobs faster.

Company Size

201-500

Company Stage

Acquired

Total Funding

$60.3M

Headquarters

New York City, New York

Founded

2019

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Simplify's Take

What believers are saying

  • The Standard expanded EvolutionIQ across all disability products on May 30, 2025.
  • HEMIC selected EvolutionIQ on February 26, 2025 for claims guidance and Medhub.
  • CCC’s Q1 2026 call said EvolutionIQ drove roughly four growth points and 11% revenue.

What critics are saying

  • CCC absorbed EvolutionIQ in January 2025, eliminating independent strategic control.
  • Generic AI features from CCC and rivals can commoditize claims guidance by 2027.
  • Integration failures inside CCC could slow adoption and stall cross-sell momentum.

What makes EvolutionIQ unique

  • CCC embedded EvolutionIQ into Medhub for auto casualty workflows in 2026.
  • The platform serves disability, workers’ compensation, and commercial casualty claims in one workflow.
  • EvolutionIQ’s claims guidance ties predictive triage to medical synthesis for adjusters.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Disability Insurance
  • 401(k) Company Match
  • Unlimited Paid Time Off
  • Paid Vacation
  • Paid Sick Leave
  • Hybrid Work Options
  • Stock Options
  • Company Equity
  • Professional Development Budget

Growth & Insights and Company News

Headcount

6 month growth

1%

1 year growth

0%

2 year growth

4%
PR Newswire
Feb 28th, 2025
Hemic Partners With Evolutioniq To Transform Claims Management With Ai-Driven Innovation

NEW YORK, Feb. 26, 2025 /PRNewswire/ -- EvolutionIQ, the market-leading Claims Guidance platform, today announced a new partnership with Hawaii Employers' Mutual Insurance Company (HEMIC), Hawaii's trusted provider of workers' compensation insurance. The collaboration will enhance HEMIC's commitment to improving outcomes for injured workers while delivering unparalleled service to Hawaii's businesses.HEMIC's core mission is to support the local community by providing essential workers' compensation coverage, improving the safety of policyholders' workplaces, and helping injured workers recover and return to work. Guided by this purpose, HEMIC conducted a detailed search for next generation solutions to empower their claims teams with AI-powered insights, ultimately selecting EvolutionIQ for its market-leading claims insights, seamless Guidewire ClaimCenter integration, and full-service change management approach.Under this partnership, HEMIC will deploy EvolutionIQ's Claims Guidance and Medhub Active Medical Summarization across its claims operations to enhance the efficiency and efficacy of claim analysis and management. EvolutionIQ's platform is purpose-built to empower HEMIC's claims team with AI-driven alerts, summarized insights, and supportive recommendations to improve the claim journey for employers and injured workers."Our mission is to serve Hawaii's businesses and workers by ensuring fair, compassionate, and efficient claims processes," said Tammy Teixeira, senior vice president of HEMIC. "Partnering with EvolutionIQ allows us to take that mission to the next level

FF News
Feb 28th, 2025
Hemic Partners With Evolutioniq To Transform Claims Management With Ai-Driven Innovation

EvolutionIQ, the market-leading Claims Guidance platform, today announced a new partnership with Hawaii Employers’ Mutual Insurance Company (HEMIC), Hawaii’s trusted provider of workers’ compensation insurance. The collaboration will enhance HEMIC’s commitment to improving outcomes for injured workers while delivering unparalleled service to Hawaii’s businesses.HEMIC’s core mission is to support the local community by providing essential workers’ compensation coverage, improving the safety of policyholders’ workplaces, and helping injured workers recover and return to work. Guided by this purpose, HEMIC conducted a detailed search for next generation solutions to empower their claims teams with AI-powered insights, ultimately selecting EvolutionIQ for its market-leading claims insights, seamless Guidewire ClaimCenter integration, and full-service change management approach.Under this partnership, HEMIC will deploy EvolutionIQ’s Claims Guidance and Medhub Active Medical Summarization across its claims operations to enhance the efficiency and efficacy of claim analysis and management. EvolutionIQ’s platform is purpose-built to empower HEMIC’s claims team with AI-driven alerts, summarized insights, and supportive recommendations to improve the claim journey for employers and injured workers.“Our mission is to serve Hawaii’s businesses and workers by ensuring fair, compassionate, and efficient claims processes,” said Tammy Teixeira, senior vice president of HEMIC. “Partnering with EvolutionIQ allows us to take that mission to the next level. After an extensive search for an AI partner, we chose EvolutionIQ for their cutting-edge technology and their hyper focus on supporting our claims staff and facilitating better claim outcomes.This collaboration underscores HEMIC’s long-term commitment to innovation and community impact

WorkCompWire
Jan 6th, 2025
CCC Acquires EvolutionIQ for $730M

CCC Intelligent Solutions Inc. announced its acquisition of EvolutionIQ for $730 million, to be paid with 40% CCCS common stock and 60% cash, including a $225 million term loan. The acquisition aims to enhance CCC's AI-powered SaaS platform with EvolutionIQ's AI capabilities for disability and injury claims management. The transaction is expected to close in Q1 2025. CCC also authorized a $300 million share repurchase program.

Claims Journal
Dec 20th, 2024
CCC Intelligent Solutions Acquires EvolutionIQ for $730M

CCC Intelligent Solutions acquires EvolutionIQ for $730M.

Foundation Capital
Dec 20th, 2024
Celebrating a Remarkable Milestone: EvolutionIQ has been acquired by CCC Intelligent Solutions for $730 million

I first invested in EvolutionIQ's seed financing in 2019 alongside First Round Capital.