Enlyte

2025 Heart of Case Management Awards
Article

Diagnostic Imaging Services: Life of a Claim
Case Study

Unified View of Claim Simplifies Workflow
News Release

The Heart of Case Management Awards

… The Heart of Case Management Awards recognizes Genex case managers who have gone beyond traditional duties to improve the lives of injured employees. This year, Genex is pleased to honor three case managers for their …
News Release

Risk & Insurance: The Power of Community
Case Study

Heart of Case Management Awards 2017

… Genex recognizes its extraordinary case management team through its 2017 Heart of Case Management Awards. Genex’s case managers are renowned for their unique experience, empathy and commitment to improving the lives of thousands of injured workers each year. Genex designed the Heart of Case Management program to commemorate …
News Release

Five Years of Funding the Future

… Investing in the future of workers' comp services is a priority at Genex Services, as evidenced by the company's annual … schools for its program, Genex resources the same professionals it trusts to manage the care of injured workers — its case managers, supervisors and branch managers. These employees have … initiative is designed to assist the institutions that educate and develop future generations of case managers who will be critical to injury and disability management. Genex selects five …
White Paper

Essentials of Return to Work Series

… medical treatment—it demands a comprehensive, proactive approach. Our four-part "Essentials of Return to Work" series offers actionable insights to help employers, claims professionals, and case managers navigate the complexities of injury recovery and workforce reintegration. Download all four briefs today – for free! … “Ensuring Quality Care” “Effective Planning for Return to Work” “Recognizing the Impact of the Personal Element”     …
News Release

Mitchell International Transforms Utilization Management with the Launch of ReviewStat Solution

… Mitchell International, Inc ., a leading provider of technology, connectivity, and information solutions to the Property & Casualty (P&C) claims and Collision Repair industries, today announced the launch of the Mitchell ReviewStat solution, its newly upgraded, transformative medical management software for the workers' compensation industry. Following the 2017 acquisition of UniMed Direct, Mitchell focused on the core of UniMed's legacy ReviewStat product, making …
Article

Are You Paying for Mistakes? The Impact of Errors in Workers' Comp Medical Billing

… Workers' Compensation Medical Billing Errors Could be Costing Payors Thousands of Dollars. … asking themselves: Am I paying for billing mistakes? Incorrect billing costs payors millions of dollars across the industry because many of those payors are paying bills with errors in full. A recent article from HuffPost references a … that billing errors on workers’ compensation claims are also prevalent. For example, one of our analyses found equally concerning results—35 percent of the hundreds of thousands of …
News Release

August 2022 Utilization Review Compliance Update

… Utilization Review program: KAR 803 25:195E and KAR 803 35:195 Proposed. KAR 803 25:195E is an emergency rule in effect as of April 15, 2022. KAR 803 35:195 Proposed is the same as the emergency rule but will be … employer, carrier, insurance carrier, self-insurer, or any person acting on behalf of or as an agent of the self-insured employer, carrier, insurance carrier, or self-insurer " … " means a branch of medical practice focused regularly and routinely on a defined group of patients, diseases, …
News Release

Advanced Driver-Assistance System Trends and Challenges

… in the 1950s. Today's advanced driver-assistance systems (ADAS) do more than reduce the risk of injuries during a crash; some features are designed to help avoid accidents altogether.ADAS … multiple price points and styles. "At least one ADAS feature is available on 92.7 percent of new vehicles available in the U.S. as of May 2018," AAA reports. [1] If your shop isn't … crash." [3] To improve safety on the road, it's essential that the automotive industry play an active role in education about technology which helps make our cars safer. In light of that, …
Article

COVID-19 Effects on Workers’ Compensation Technologies

… There is no shortage of information discussing how the COVID-19 pandemic has already changed the world as we knew it. Statista reports that the majority of Americans have significantly changed their lifestyles, with 75% reporting they’re staying home more, 54% traveling less and 51% shopping online more. While some of these changes may come and go as the threat of the virus changes, there are many that we …
Article

How COVID-19 Presumption Laws Might Affect the Workers' Compensation Industry

… The COVID-19 pandemic has brought the discussion of presumption laws to the forefront, as states examine whether workers’ compensation should … essential workers who test positive for the virus. Depending on the state, the definition of “essential worker” might be limited to just healthcare and frontline workers, or it may … Regardless of the jurisdiction, though, the expansion of presumption laws to include an infectious disease such as COVID-19 will affect the workers’ compensation industry . By how …
Podcast

Chronicling the World of Workers’ Comp with Roberto Ceniceros

… Last month, workers’ compensation lost one of its most talented reporters and influencers as Roberto Ceniceros announced his retirement. … Roberto’s career in comp spanned a quarter century during which time he chronicled the changes of the industry as a writer for Business Insurance and Risk and Insurance and also served as chairman of the National Workers’ Comp and Disability Conference. We’re honored to have Roberto on today’s …
Article

Making the Most Out of Your Data: Four Tips for Engaging with Claims Consultants

… For insurance carriers, finding ways to capitalize on the growing volume and velocity of information is a critical challenge. We have experienced a lifetime of automotive technological change in just the past decade and it is becoming increasingly … advancements in repairing today’s complex vehicles while still leveraging data to manage an efficient and profitable claims operation. Engaging with an expert consulting partner that …
Article

Public Risk: Quality-Assure Your IMEs for the Benefit of Your Workers' Compensation Program

… An Independent Medical Examination (IME) is a valuable tool in the workers' compensation claims process. Public risk managers should be aware of the various situations in which their claims staff might benefit from an IME being ordered, as it can help them make decisions on complex cases. For example, claims …
Article

Public Risk: Quality-Assure Your IMEs for the Benefit of Your Workers' Compensation Program

… An Independent Medical Examination (IME) is a valuable tool in the workers’ compensation claims process. Public risk managers should be aware of the various situations in which their claims staff might benefit from an IME being ordered, as it can help them make decisions on complex cases. For example, claims …
Article

Using Integrated Solutions to Help Improve The Workers Compensation Claim Process

… From the moment an injury occurs, to the day an injured worker returns to work, the journey a workers’ … parties and diverse jurisdictional requirements. Adding to the complexity are the number of stakeholders interested in the claim outcome but working in disparate technologies: First and … injured worker, but also the employer, the insurer and the provider. Balancing the interests of each stakeholder in a claim can prove challenging, but that balance can be achieved by …
Article

Reducing Disability Durations and Improving Claim Outcomes Through the Use of Transitional Duty

… duty is defined as a temporary assignment to a modified (schedule, job tasks) version of one’s regular job or even reassignment to another position while recovering from injury or illness with the goal of returning to full duty upon recovery. Transitional duty is about identifying what an employee can do and matching their capabilities to a work assignment. … consequences. For many individuals, work means more than a regular paycheck, it is part of their identity and may be their main social network. If being injured or ill isn’t disruptive …
Article

How Video Chat Is Enabling New Types of Interactions in the Insurance Claims Process

… technology is also gaining traction—video chat. When measured by the recent, rapid pace of technology advancement, video chat is a relatively “old” technology, but it’s enabling new types of personalized experiences, particularly in healthcare, and making its way into the claims … in the world, and they just rolled out video chat last year. In their first six months of service, 1.2 billion users in more than 180 countries spent more than 350 million minutes a …
Article

Opioids in 2019: Insights into New Regulations and Studies of the Epidemic

… limits, the federal government proposes new legislation, while new studies look at the impact of opioid laws and medical marijuana on lessening opioid abuse. Let’s take a look at a few recent … with CDC guidelines for prescribing opioids, explain the “need to gradually reduce the dosage of an opioid medication over time, while monitoring carefully for signs of withdrawal.” However, the … According to the Centers of Disease Control and Prevention (CDC), of the opioid-related overdose deaths in the United …
News Release

Risk & Insurance: The Power of a Job Description: Cut Claim Time and Prevent Reinjury

… Even when you're doing everything possible for an injured worker, a successful return-to-work transition can be jeopardized when a treating physician isn't attuned to the ins and outs of the worker's job. Continue reading. …
Article

Impact of COVID-19 on Workers’ Compensation and Auto Casualty Industries

… significantly. Due to new governmental regulations and guidelines to help curb the spread of the virus, many people are working from home, practicing social distancing, sheltering in … continue to, affect the workers’ compensation and auto casualty industries. One telling sign of the impact the pandemic is already having on the industry is the number of regulatory changes and updates we have already seen since the virus started spreading around …
Article

Ask the Pharmacist: Are Skeletal Muscle Relaxants Useful in Management of Chronic Pain?

… continued in 2020, and found the workers’ compensation and auto casualty industries in search of ways to mitigate opioid risks while still addressing the pain that comes with a workplace or … has discussed options such as gabapentinoids, marijuana and non-pharmaceutical treatments, all of which have benefits and drawbacks. Another type of drug that many doctors are more frequently adding to treatment plans is skeletal muscle …
News Release

Bosch and Mitchell Introduce New Target System for Static ADAS Calibration

… SAN DIEGO, CA—Mitchell, a leading provider of technology, connectivity and information solutions to the Property & Casualty (P&C) claims and … Collision Repair industries and Bosch Automotive Service Solutions, a leading global supplier of technology and services, today announced the availability of the MD-TS21. The new … by the accompanying MD-500 wireless tablet and its positioning software that features an intuitive user interface designed to reduce errors and improve calibration efficiency. This …
Article

State-Mandated Formulary Implementation: Four Key Considerations

… The state-mandated formulary wave is poised to continue in 2019. In just the first month of the year, an additional three states published draft or final formulary rules ( New York , Montana and Kentucky). These laws provide guidance on the prescribing of medications to injured workers and are effective in addressing major workers’ compensation … A basic formulary is a list of preferred medications that physicians are able to prescribe and pharmacies are able to …
Article

Why Transition of Care Planning is a Game Changer for Adjusters

… When an injured employee is discharged from the hospital, the road to recovery is far from over. In … can either move toward resolution or become more complex and costly. That’s where transition of care planning steps in as a powerful tool for claim adjusters aiming to drive better outcomes. … What Is Transition of Care Planning? … Transition of care planning refers to the coordination of care as a patient moves between healthcare …