Healthcare insurers are facing increasing imperatives to drive down their administrative costs in areas such as Claims and Member Services, while improving quality and service. 

The back and middle office functions of claims processing and member management provide excellent opportunities for much needed improvements. Enlighten’s transformation programme and its supporting SaaS metrics and planning systems 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 twenty weeks the programme 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.

Featured Examples of our work with clients

Refund Adjudication

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

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Claims Recovery

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

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Subrogation

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

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