REFERRAL ENGINE

Centralized Referral Management Software for Auto and Workers’ Compensation

Referral Engine removes the frustration of manual referral management across multiple systems by automating distribution through a single, centralized hub tailored to your specific rules. Built for auto casualty and workers’ compensation, it saves adjusters’ time by ensuring every referral reaches the right vendor. Referral Engine lets you manage, track and report on vendor performance, so you can pinpoint improvement opportunities and establish predictable, consistent workflows that reduce delays in claims handling.

Using Referral Engine for case management, IME and peer review referrals creates efficiency and security for referrals. The burden is removed from the associate to gather and load medical documents to the vendor. Security reviews are streamlined, and only one tool has to be monitored versus individual portals. The Enlyte team has provided great support with the roll out of the Referral Engine product."

- Casualty Claims Leader of Top 10 P&C Carrier

What You Gain

Saved Time and Reduced Workload

Minimize hours spent in multiple vendor portals and on manual steps, saving adjusters 8+ hours on the average claim load so they can focus on managing claims and delivering better results.

Vendor Performance Optimization

Identify top and underperforming vendors to direct referrals to the most reliable partners.

Enhanced Care and Claim Resolution

Help injured individuals receive the right care exactly when they need it, accelerating recovery and claim closure.

One-Stop-Shop for Referral Management

Single sign-on from existing claim system
Preloaded claim data including attorney, coverage, injured party and jurisdiction
Predefined referral questions tailored to your requirements
Previously transmitted medical records pulled directly into the platform
Integrated workflow between DecisionPoint, SmartAdvisor and ReviewStat

Automated Routing of Referrals

Client-specific claim referral distribution rules based on account and jurisdiction
Allocate referrals across vendors based on configurable percentages
Automated result reporting through API connection between client and vendors

Vendor Report Card  

Compare vendor performance using consistent terminology and criteria
Streamline vendor invoice reconciliation
Access a single source for all vendor referrals
Gain end-to-end visibility with audit trails at every workflow stage

How It Works

A transparent, auditable referral lifecycle from initiation to results.

Referral Engine Process

Industry Trends and Insights

Get the latest insights and industry updates you need to know.

Workers' Comp Article

Understanding Compliance and Regulatory Trends in Workers’ Comp Costs

September 19, 2025

Explore how evolving federal and state regulations, price transparency mandates, and AI oversight are reshaping workers’ compensation costs. Learn what organizations can do to stay compliant while managing risk and driving value.

Workers' Comp Case Study

How to Go from High-Dollar to High-Value: Five Strategies for Claims Cost Control

October 7, 2025

If you oversee claims, whether in workers’ compensation or auto casualty, you know the pressure: rising medical costs, extended recovery durations and increasing litigation can strain budgets, disrupt operations and threaten the trust you’ve worked hard to build. Every decision you make has a ripple effect on both financial performance and the well-being of the people involved.

Workers' Comp Podcast

Demystifying the Nuances of Specialty Bill Review Regulations

October 4, 2024

Navigate the complexities of Specialty Bill Review Regulations with Enlyte. Tune into our podcast where Trevor Davis, our Director of Regulatory Affairs, offers insights into dispute management, regulatory changes, and our strategic efforts to shape the landscape.

View More Insights

Find Out More

Combine industry-leading technology with deep market expertise to achieve exceptional claim outcomes. Schedule a consultation to learn more about our comprehensive suite of integrated casualty services and solutions.