Security Health of Wisconsin Improves Claims Processing Quality and Productivity with Enkata

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Not-for-profit health plan chooses the leader in Employee Performance Optimization to give them insight into their manual claims processing organization and help them detect patterns limiting performance.

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We’re delighted with the results Enkata has delivered. Enkata helps us improve both quality and productivity by giving us insight into our manual claims processing, and helping us to recognize work patterns that are limiting performance.

Enkata, the leader in Employee Performance Optimization (EPO), today announced that Security Health Plan of Wisconsin has deployed Enkata’s solution to improve its claims paying operations.

“We’re delighted with the results Enkata has delivered,” said Steve Hutchison, Director of Operations at Security Health Plan. “Our claims operations team is focused on accuracy and timeliness in processing claims. Enkata helps us improve both quality and productivity by giving us insight into our manual claims processing, and helping us to recognize work patterns that are limiting performance.”

The Enkata solution gives claims operations managers unprecedented visibility into how claims are processed, from which tools people use to how frequently and when they pend claims. Enkata shows the time and activities that go into claims processing, and identifies specific changes processors can make to improve quality, productivity, or both.

“We’re proud to be working with Security Health Plan,” said Dave Stamm, CEO of Enkata. “Our two organizations share the same goals of using data to help employees improve to reach their peak performance. With Enkata’s Action Center, we’re providing a tool that supports managers and employees by highlighting the specific actions that lead to the greatest improvements.”            

Enkata’s solution is unique in two ways. First, it gathers hard-to-get data from many systems and transforms it into easy-to-understand visualizations that give managers and claims processors unprecedented insight into the factors that drive quality and productivity. Second, it uses pattern recognition software and workflow to automatically identify improvement areas, and suggest changes that lead to better performance. For example, if a processor is multi-tasking too much, or pending claims that should be finalized, Enkata can help them understand the negative impact of the behavior, and show them how they could improve.

About Enkata
Enkata is at the cutting edge of big data and data intelligence, with a SaaS platform that uses machine data companies already have to help people improve their performance at work. Claims paying operations turn to Enkata to substantially reduce errors and increase the productivity of their claims processors. Enkata provides unparalleled insight into how work is being performed, from high level overviews to individual process steps. Enkata uses this insight to find patterns of behavior that limit productivity or lower quality. Enkata’s clients have achieved substantial gains in productivity and quality. For more information about how Enkata can help your claims paying organization reduce costs through improved performance, please visit us at http://www.enkata.com.

About Security Health Plan
Security Health Plan is a not-for-profit health plan now serving more than 225,000 residents in 41 counties of Wisconsin. Accredited by the National Committee for Quality Assurance (NCQA), Security Health Plan insures employees of large and small businesses, individuals and families, and administers self-funded employer health plans.

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Dan Enthoven, CMO
Enkata
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Trish Voskovitch, Sr. Mktg. Mgr.
Enkata
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