#United States #San Diego #Medical Records #Enlyte #National Adjuster Day

Enlyte Celebrates National Adjuster Day with New Claims Tool

Enlyte, a leader in claims technology innovation, marks National Adjuster Day on August 17 by addressing a long-standing challenge for insurance adjusters. These professionals are often viewed as the cornerstone of success in the insurance industry, yet their contributions frequently go unrecognized. In a bid to enhance their workflows, Enlyte has launched the Medical Records Summarization (MRS) tool, aimed at simplifying the claims process for adjusters dealing with bodily injury claims.

In a complex and demanding insurance landscape, adjusters often find themselves buried under mountains of paperwork. The MRS solution combines advanced artificial intelligence with expert clinical analysis, facilitating quicker resolutions while allowing adjusters to focus on their core responsibilities. Rather than wading through convoluted medical documents for hours, adjusters can now access concise, relevant summaries that prioritize clarity and significance.

Unlike typical automated tools in the sector, MRS ensures each claim is not only processed using sophisticated AI technologies but also undergoes verification by human professionals. This integrated approach allows for clear, actionable outputs, aiming to hasten evaluations while minimizing the errors that can ensue from pure AI processing. According to Steve Laudermilch, executive vice president of Enlyte’s Casualty Solutions Group, the examination of medical records had been a major obstacle hindering productivity among adjusters. He emphasized the innovative approach of MRS, stating, "While existing AI programs can alleviate workload (challenges), many lack human oversight, which is crucial in high-stakes claims. MRS embraces AI yet retains human judgement in its final products—this is our trust-but-verify strategy."

Moreover, MRS not only streamlines claim processing but also serves as an educational resource for less experienced staff by extracting critical medical insights, thus enhancing their learning curve. The tool minimizes tedious manual tasks, allowing adjusters to dedicate time to what matters most: achieving fair and accurate settlements for clients.

The introduction of MRS follows last year's unveiling of an upgraded user interface for Enlyte’s DecisionPoint platform, which was designed to refine the bill review and approval process. This commitment to innovation underscores Enlyte’s deep respect for the hard work and dedication of adjusters.

Laudermilch noted, "We value the unwavering commitment of adjusters. MRS is our way of empowering them; it's an AI-assisted clinical resource engineered to expand their capabilities and facilitate high-quality results. By enhancing productivity, we aim to relieve the stress associated with everyday claims processing." For those wanting to dive deeper into the details and functionalities of the Medical Records Summarization tool, additional information is available on Enlyte’s official website.

About Enlyte

Enlyte stands as a prominent player in the claims technology realm, offering innovative solutions that enhance connectivity, case management, pharmacy benefits, and disability management services. With a clientele of over 2,000 entities, including many of the Fortune 500 companies, Enlyte continually seeks to streamline operations and improve outcomes for auto, workers' compensation, and disability claims.