The most advanced adjudication intelligence software in the Unemployment Insurance landscape.
A Modern and Modular Solution For UI Adjudication.
OPTimum Resolve - A Modular based Adjudication System
Within this Integrity Modular Eco System is OPTimum Resolve. Whether an Agency needs to enhance and automate their adjudication system or states that currently have backlog containing both fraudulent and valid claims, OPTimum Resolve can help.
More On OPTimum Resolve
Full case management for all issue types.
Intelligent Issue Assignment.
FastPath Processing.
Resolve is our issue management system that handles all issue types end-to-end.
It also intelligently distributes issue workload via business rules.
Additionally, Resolve uses our proprietary FastPath processing that supports automated recommendations based on adverse evidence. This expedites issue resolution and boosts agency throughput.
That automated business process is the 4th layer of our strategy. The goal is to automate as many steps within the business process and place the responsibility and the associated work back in the hands of the claimant and employer. The system generates tasks and sends out correspondence to the relevant parties and tracks the responses and determines the next steps based on business rules.
This trims the work associated with issues and allows agency staff to focus more of their time on more complicated issues.
Intelligent Fact Finding
Streamlined fact-finding.
Evidence upload supported.
Direct access to issue artifacts.
Resolve provides streamlined intelligent fact-finding through custom narrative entry and/or configurable question trees to
gather the true facts. Our fact-finding interview trees guide the claimant, employer, and agent through a comprehensive list of questions designed by adjudication experts to reach an accurate, reliable, and consistent determination.
Adjudicators, claimants and employers can also upload evidence artifacts like documents, pdfs, spreadsheets, audio, and/or video files to support issue resolution.
All artifacts that are related to the issue that have either been pulled in from the claim or uploaded evidence are all viewable from the issue details page.
Simple and Comprehensive
Business process engine guides staff through issue resolution.
Consistent and reliable determinations.
Comprehensive issue details in one place.
Resolve uses a business process engine to simplify all issue resolution into consistent and repeatable steps, and guides staff
through the entire process.
This results in consistent and reliable determinations across all staff.
Lastly, the user interface provides comprehensive views of issue details and related benefit year information. This is all in
one place so that staff can focus on resolving issues instead of hunting down information across multiple systems.
This is the fifth and last layer that helps the agency breakdown otherwise complex issues into simple, manageable steps to
achieve efficient and reliable results.
More on the OPTimum Integrity Cloud
The OIC is an enterprise solution that covers all
UI integrity functions and objectives
Built specifically for UI from day 1...none of this is
ported of from another industry thus ensuring it
really nails down the complexities of UI.
Everything from prevention and detection to
adjudication, collection, and legal enforcement.
It’s a holistic approach and solution but our
layered strategy allows the state to pinpoint where
to extend its current capabilities.
Any of the individual solutions can be layered
where needed allowing the state to continue using
any systems and process that work well for you
today.