Healthcare

Healthcare insurers are facing increasing pressure to drive down their administrative costs in areas such as claims and member services, while improving quality and customer service. 

The back and middle office functions of claims processing and member management provide excellent opportunities for much needed improvements. Enlighten’s transformation program and its supporting SaaS solution provide the performance changes you are looking for—without the need to change your current IT systems, and without disruptive outsourcing.

Over the course of 20 weeks the program will transform your back-office culture. Your teams will be focused on performance and quality, fueled by the analytics that give every team member and manager productivity, efficiency and quality metrics.

How we helped

Our Partners

FEATURED EXAMPLES OF OUR WORK WITH CLIENTS

SUBROGATION

How Enlighten empowered a multinational healthcare provider to better serve its members subrogation processing by becoming more efficient, productive and focused on operational excellence, while simultaneously lifting internal employee engagement.

CLAIM RECOVERY

How a prominent North American healthcare provider leveraged Enlighten to create transparency in their claim recovery processing, lift output per FTE by 62% and dramatically reduce overtime, while further building on its positive workforce culture.

REFUND ADJUDICATION

How Enlighten helped one of the largest US healthcare providers gain visibility, transparency and operational control of their refund adjudication, resulting in drastically reduced unit costs and greater employee engagement.

DO YOU WANT TO TRANSFORM YOUR OPERATIONS?