Optimizing Federal Workers Compensation Claims Approval

Elder Research developed an automated risk assessment framework to triage Worker’s Compensation claims, prioritizing high risk cases for manual review.

Improving Unemployment Insurance Claim Fraud Detection

Elder Research built an automated fraud detection solution for NY DOL Unemployment Insurance Integrity Center of Excellence with annual savings of $1.4M

Improving Claims Approval Speed and Accuracy

Elder Research combined state-of-the-art text analytics with traditional statistical techniques to create a solution for ranking disability claims for approval. The results were more accurate and consistent than any single doctor’s decision and allowed 20% of the claims to be approved immediately.

Prioritizing Building Lease Renewal Risk

Elder Research created a risk model to help the USPS-OIG prioritize facility lease review to focus on facilities with the highest risk or financial impact.

Reducing Contract and Claims Fraud, Waste, and Abuse

Elder Research developed and deployed a custom solution to identify and prioritize questionable contracts and healthcare claims for fraud investigation.

Assessing Second Opinion Effects on Return to Work

Elder Research was tasked to evaluate the effectiveness of second opinions to encourage federal employees on long term disability to go back to work.