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Genex Telephonic Case Management
Establishing Trust and Ensuring Optimal Recovery on Every Claim
Where trust meets technology—our approach harnesses real-time data analytics and machine learning to anticipate risks, optimize outcomes, and deliver compassionate care to support recovery.
Refer a CaseSavings With Enlyte Telephonic Case Management
Lower litigation rate than WCRI by
18%
Average Days Saved
57
TCM reduces disability durations by
39%
Claims referred within 90 days of injury have an average RTW/MMI impact of
90%
GenexEngage: Enhancing Efficiency with Predictive Analytics
GenexEngage transforms case management through predictive and demonstrated risk modeling, harnessing integrated data from claims, medical and pharmacy records. Our capability employs a machine-learning model to pinpoint potential risks at the earliest stages of a claim, facilitating prompt and precise allocation of clinical resources. Watch our video to learn more.
How GenexEngage Can Help Your Organization
- Predictive Risk Insights: GenexEngage utilizes cutting-edge AI to analyze claims, medical, and pharmacy data from the start. This enables us to identify and act on high-risk claims before they escalate, ensuring timely interventions.
- Demonstrated Risk Monitoring: Beyond initial predictions, our platform provides ongoing, real-time assessments of each claim. This continuous monitoring allows for adaptive strategies that evolve with the claim, ensuring optimal management and resource allocation.
- Enhanced Claim Professional Efficiency: GenexEngage utilizes cutting-edge AI to analyze claims, medical and pharmacy data from the start. This enables the telephonic case managers to identify and act on high-risk claims before they escalate, ensuring timely interventions and minimizing employee time away from work.
- Seamless Integration: GenexEngage integrates smoothly with your existing claims system, reducing manual data entry and streamlining workflows. This decreases your claim professional’s workload and allows for more efficient telephonic case management processes.
Telephonic Case Management at Work
Check out our case study and see how companies like yours are saving money and improving efficiencies with our early intervention TCM program.
Redefining How Telephonic Case Management is Done
At Enlyte, we have redefined the standards of telephonic case management (TCM) by combining state-of-the-art AI technology with unparalleled clinical expertise. Our proactive early intervention approach ensures timely case management, optimizing outcomes from the start.
Benefits of Telephonic Case Management
- Advocacy Promotion: We champion the rights and needs of every injured or ill individual
- Employee Engagement: We actively engage injured/ill individuals in their recovery process, instilling a sense of ownership of their outcomes
- Cost Efficiency: Timely coordination of reasonable, necessary, and quality care reduces medical spend and improves claim outcomes
- Maximizing Potential: We not only focus on returning employees to work but help them reach their highest level of function
- Reduced Disability Durations: Our interventions are crafted to minimize the time an individual spends away from work, reducing disability durations
Whole Person Approach—The Heart of Our Strategy
We understand the importance of recognizing the unique circumstances, capabilities, and environments that impact one’s ability to recover from injury or illness. For recovery to be optimal, we must look beyond the primary injury or illness addressing the physical, mental, and social determinants of health that may impact recovery and return to work. Our case managers undergo specialized training in behavioral coaching and employ advanced coaching and education tools. This training helps them uncover any barriers that might hinder recovery and return to work.
Calculate Potential Savings
Our savings calculator allows you to input a few key details and instantly see your potential savings by partnering with Enlyte. It’s designed to give you estimated savings in claim costs as well as business days saved per claim.
URAC Accredited
Genex Case Management has been accredited by URAC since 1999. Benefits of partnering with a URAC-accredited company include:
- Provides a measure of comparison in selecting vendors
- Promotes the delivery of quality health care to employees and provides access to performance data
Helps to reduce disability and lost time through conformity with medical management standards
Related Insights
Let's Connect
Let's collaborate on a telephonic case management solution that fits your organization’s needs. Schedule a consultation to explore how our clinical expertise and AI-driven approach can support your organization and improve outcomes.