Full-Time

Platform Delivery Lead

Claims Guidance

Posted on 8/14/2025

EvolutionIQ

EvolutionIQ

201-500 employees

AI-driven SaaS for insurance claims handling

Compensation Overview

$175k - $200k/yr

+ Equity

H1B Sponsorship Available

Remote in USA + 1 more

More locations: New York, NY, USA

Hybrid

Category
Operations & Logistics (3)
, ,
Required Skills
Agile
Sales
Requirements
  • Deep expertise in Commercial Insurance with a particular focus on Worker's Compensation.
  • Proven success driving transformational change management at an enterprise organization, involving multiple stakeholders
  • Track record of consistently delivering exceptional client experiences in a fast paced, high growth environment.
  • Previous experience of directly working in insurance / healthcare or having served the industries extensively as a consultant, advisor or vendor.
  • An analytical mindset with experience using data-driven insights to inform decision-making processes across multiple client stakeholder segments
  • Able to navigate cross-functional initiatives across agile and high performing product and engineering teams
  • An empathetic and humble approach to working collaboratively across multiple functions within an organization
  • Excellent communication, presentation and interpersonal skills
Responsibilities
  • Shape the client experience from data onboarding through implementation and post deployment ramp up and adoption to ensure clients are able to harness the full power of EIQ’s AI Guidance Platform
  • Provide Product Expert guidance and insights to clients as a trusted advisor to client executive teams while establishing a strategic and actionable Voice of Customer program for your designated module(s)
  • Partner with Sales and Product Managers to plan the Go to market motion for products and provide expert delivery guidance to prospects and clients including configuration best practices, technical issue resolutions and client stakeholder management from c-suite executives to frontline examiners
  • Partner with Client Strategy and Analytics to support EIQ’s data driven approach to implementing change management best practices and operational excellence
  • Build systems and processes that continuously improve our operating and delivery model to improve client satisfaction, retention and expansion
  • Effectively communicate complex product intricacies and requirements to both technical and non-technical stakeholders
  • Build playbooks and educate internal stakeholders to scale and up-level end to end implementation cycles

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

Late Stage VC

Total Funding

$60.3M

Headquarters

New York City, New York

Founded

2019

Simplify Jobs

Simplify's Take

What believers are saying

  • CCC acquisition ($730M, Q1 2025) integrates EvolutionIQ into broader auto casualty platform[1]
  • HEMIC partnership (Feb 2025) expands footprint with seamless Guidewire ClaimCenter integration[5]
  • The Standard expanded deployment across all disability products post-successful 2024 pilot[2]

What critics are saying

  • CCC integration failure alienates disability carriers dependent on standalone functionality[1]
  • Competitors embed native AI claims guidance, commoditizing EvolutionIQ's differentiation[1]
  • AI bias in disability determinations triggers DOL and state regulator enforcement actions[1]

What makes EvolutionIQ unique

  • Human-in-the-loop AI copilot guides adjusters to highest-impact claims early in lifecycle[1][2]
  • MedHub medical summarization ingests hundreds of pages of medical data automatically[5]
  • Deployed across majority of U.S. disability carriers for workers' compensation and disability[4]

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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

Home Office Stipend

Growth & Insights and Company News

Headcount

6 month growth

-2%

1 year growth

-1%

2 year growth

0%
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.

INACTIVE