#USA #San Diego #Enlyte #Guidewire #Casualty Solutions

Enlyte Enhances Claims Process with New Casualty Solutions Accelerator

Enlyte, the prominent brand behind Mitchell, Genex, and Coventry, has announced the launch of its enhanced Casualty Solutions Accelerator. This new integration leverages cloud-native technology to seamlessly connect with Guidewire ClaimCenter, enabling a more efficient approach to medical bill review workflows for workers' compensation and auto casualty claims.

This official Accelerator, developed by Guidewire, stands out with enhanced integration capabilities, designed specifically for the needs of today’s primary casualty insurers. With this updated version, users can expect reduced leakage in claims processing and an overall improved customer experience through streamlined claims management and bill-pay processes.

As more insurers transition to cloud-based claims systems, the demand for specialized integration solutions has become critical. Rebecca Morgan, Enlyte's vice president of product management for Casualty Solutions, highlighted that this accelerator creates a smooth link between ClaimCenter on Guidewire Cloud and the robust bill review platforms, SmartAdvisor and DecisionPoint. This connection allows workers’ compensation and auto casualty payers to achieve more significant savings with accurate and controlled expenditure management.

Key Enhancements for Improved Efficiency

The new Casualty Solutions Accelerator comes with several pivotal features aimed at enhancing the efficiency of claims resolution. These features include:

• - Near real-time Data Integration: Claim and claimant data automatically populates injury details from ClaimCenter to DecisionPoint and SmartAdvisor, ensuring that adjusters have immediate access to critical information.
• - Real-time Bill Review Data: Payment recommendations and explanations of benefits (EOBs) are directly fed from DecisionPoint and SmartAdvisor into ClaimCenter, minimizing delays in the review process.
• - Straight-through Payment Processing: Payments can be efficiently processed as soon as the review processes are completed, preventing bottlenecks and ensuring timely compensation.
• - Single Sign-On (SSO) Access: Users can navigate effortlessly between ClaimCenter and Enlyte's bill review portal, launching bill details directly from ClaimCenter for enhanced usability.
• - Configurable Auto-Approval Rules: Insurers can set parameters determining which invoices can be approved and paid automatically, thus speeding up payment cycles.

According to Morgan, this cloud-native integration marks a significant step forward for insurers utilizing or considering ClaimCenter on Guidewire Cloud. It addresses the complexities traditionally associated with integrating different systems, especially during migrations to cloud services. By adopting this latest technology, claims departments can handle medical bills with improved efficiency while upholding the highest standards of accuracy and regulatory compliance.

Availability

The Enlyte Casualty Solutions Accelerator is now live on the Guidewire Marketplace, representing a prime opportunity for insurers looking to elevate their claims processes. For further details about this innovative solution, interested parties can visit www.enlyte.com/guidewire.

In summary, Enlyte continues to demonstrate its leadership in claims technology innovations by equipping insurers with powerful tools that streamline processes and improve outcomes across various types of claims, including auto, workers' compensation, and disability claims. This move not only signifies an advancement in technology but also a commitment to better service delivery within the insurance industry.