INJURY & LIABILITY
Improve Accuracy, Consistency and Overall Claim Outcomes
Enlyte's leading end-to-end third party liability solution combines powerful software with technology enabled services
Claims Software Solutions for Efficient and Streamlined Claims Management
Claims professionals like you seek to settle third party claims accurately, consistently and efficiently, but the complexity of third party claims processing can sometimes get in the way. Keeping up with the latest technologies or trends is an important way to stay relevant, remain competitive and enhance efficiencies. However, when carriers lose focus on the fundamentals they may create inconsistencies across their organizations and make it more challenging for adjusters to succeed.
Enlyte provides you with the building blocks to lay a solid foundation for your third party claims process. The Enlyte Third Party Solution is designed to smooth out your third party claims handling workflow, bringing adjusters the injury and liability information they need, exactly when they need it so they can consistently settle claims accurately, consistently and efficiently. Enlyte also helps you succeed by working with you to customize your third party solution based on your own claim handling philosophies versus historical data practices. We can help you arm your adjusters—regardless of experience—with the claims software tools and information they need to make more accurate settlements on each and every claim.
Technology Enabled Services
Enlyte's Technology Enabled Services combines our best-in-class bill review and claims technology with our expertise in claims execution. Our Technology Enabled Services provide end-to-end document processing, bill review and specialty services with speed and accuracy, returning exceptional value to our clients’ business.
Services Include:
- Demand processing
- Data capture
- Document organization and management
- Front-end coding
- Second-level code review
- Bill review
- Nurse review
- Peer review
- Direct-to-provider negotiation and payment
- Auto provider network
DecisionPoint® Bill Review Platform
Help reduce claims handling costs and improve consistency using the industry-leading bill review platform. Enlyte's medical bill review platform provides a comprehensive and flexible set of adjustments and fee schedules that can be tailored for liability claims. Our claims software and solutions provides clear findings to help adjusters consider and address gaps, delays and extended treatments. These findings and adjustments are delivered within the software and associated reporting in order to maximize adjusters’ ability to effectively negotiate medical specials.
PrecisionDirect
Enlyte’s new PrecisionDirect solution gives auto carriers exclusive access to our expert negotiation services integrated with the Coventry auto network to ensure your client pays fair and accurate rates to providers on their unrepresented settlements.
Demand Package Processing and Management
Enlyte's Third Party Demand Package Processing and Management helps claims organizations accurately, consistently and efficiently organize and manage third party demands and documents. We support adjusters’ decision-making processes by providing organized, fully coded documents in an easy-to-digest format.
Enlyte processes more than 800k demands annually with more than 3.5 million medical bills.
Claim IQ
Enlyte's ClaimIQ claim software helps claims organizations improve accuracy, consistency and efficiency for both liability and injury evaluations. ClaimIQ is built on each clients claims handling philosophies, fact based recommendations and best practices.
Enlyte's injury evaluation capabilities allows adjusters to consistently and comprehensively document their injury evaluations.
Additional Third Party Liability Solutions
Adjuster Portal
Equip your adjusters with a best-in-class cloud-based workspace that is integrated with all the Third Party Liability Solutions you need. Having one place to manage these tasks makes it easier for adjusters to submit requests and manage the tasks needed on all their claims.
Help adjusters get a full picture of injuries and treatments related to a claim.
The Adjuster Portal is a liability-claims specific application that provides adjusters an evolving picture of a claim as it develops and offers seamless integration with other solutions including demand and service referrals, injury evaluation, reporting and material damage data. Clients can start using the the portal without any IT or implementation costs.
Learn How Enlyte Is Bringing The Calm To Claims Chaos.
Assess Performance with Advanced Reporting & Analytics
Drill down into consistency, accuracy and operational trends within the claims organization using Enlyte's third party liability reporting capabilities. Enlyte provides a full picture of claims operations through visual dashboards that highlight key trends that can be further refined to isolate metrics within a specific division, office, team or adjuster. Additionally, we offer an industry comparison report that takes performance reporting a step further to help analyze costs versus the industry, and even drills down into specific venue, injury type and utilization trends.
Industry Trends and Insights
Get the latest insights and industry updates you need to know.
Find Out More
Combine industry-leading technology with deep market expertise to achieve exceptional claim outcomes. Schedule a consultation to learn more about our comprehensive suite of integrated casualty services and solutions.