Enkata helps leading companies identify and act on the most costly processing issues − claims processing, order processing, transaction data entry. Enkata's performance management and analytics solutions are deployed by the country's largest healthcare organizations delivering tens of millions of dollars in saving in successfully processing healthcare claims without rework.
Enkata’s Claims Processing Solution is specifically designed to meet the unique challenges of the back office – specifically claims processing. The solution enables organizations to capture, monitor and actively manage staff behavior and productivity to identify opportunities for improving processor accuracy, compliance ratings, productivity, and ultimately operating costs and customer satisfaction.
Enkata Claims Processing Solution includes unique back office analytics and exclusive Next Best Action Framework to systematically identify opportunities for improving quality, processor accuracy, compliance ratings, productivity, and operating costs.
Provides accurate metrics using data captured from Claims Processor desktops.
Performance Management
Enkata’s Manage and Coach products are the ultimate performance management tools for improving productivity and reducing costs. You can micro-target those processers with the highest potential for productivity improvements. You can also efficiently identify specific coaching topics and areas for improvement and track employee progress against coaching efforts.
Discover
Enkata Discover is designed solely for analyzing contact center and back-office operations data. Enkata’s proprietary data modeling and reports go deeper, all the way to individual transactions, to preserve granular data correlations that are critical to identifying root causes. Where business intelligence tools tell you what, Enkata Discover—built specifically for contact center analysis—tells you why.
Enkata Discover includes:
- Analyst Workbench: Manage analytic projects using advanced segment profiling and tailored data views to quickly understand why a performance issue is occurring.
- Failure Point Analyzer: Conduct rapid, iterative “five why” comparative analysis between two populations to isolate root causes in minutes instead of hours. Perform hundreds of analyses in a single click.
- Claims Adjustment Analytics: Identifies which claim types, providers, and processors generate the most adjustments.
Desktop Analytics
Enkata’s Desktop Analytics enable you to automatically track 100 percent of employee desktop activities. You can compare desktop performance against peers, track processing accuracy and quality, monitor compliance and compare it to processing practices and policies, and track claims adjustment rates. Enkata Desktop Analytics also alerts you to the underlying behaviors and application issues driving good and bad agent performance.
Desktop Automation
Enkata’s Desktop Automation application is part of the integrated Enkata Workforce Analytics Suite. It is designed to improve the productivity of employees by automating routine functions such as cutting and pasting repetitive information. Using powerful yet intuitive features, it provides immediate benefits to desktop users.
Screen Recording
Capture what transpires on the desktop to discover first-hand how employees utilize applications and knowledge resources, how accurately they enter information, whether correct procedures are being followed and more. Screen recordings are automatically uploaded to secure Enkata Cloud Storage, ensuring integrity while providing centralized access for replay.
Cloud Storage
Enkata Cloud Storage provides secure and centralized storage for audio and video recordings of customer interactions. Strong encryption and role-based access controls ensure integrity of recorded information while enabling easy access to information across multiple sites and departments.
Only Enkata offers a closed loop solution that systematically improves claims processing throughput and accuracy. The solution is a comprehensive SaaS Suite that includes multiple analytics tools, performance management tools, and Cloud-based screen recording and storage. The claims processing solution provides integration into existing enterprise back-office infrastructure, processes, and procedures.
Next Best Action
Only Enkata offers performance management applications built upon a Next Best Action Framework. This exclusive framework allows companies to automatically compare employee performance against their peers by contact type so they can target employees for actionable next steps in coaching and training.
Advanced Analytics
Enkata’s unique combination of analytics engines (speech, performance, desktop) analyze 100 percent of customer interactions and agent activities to provide clear next step decisions for supervisors, managers, and site directors.
Enkata in the Cloud
Enkata is the only claims analysis solution provider to place its applications in the cloud. This cloud-based approach consolidates transaction data, performance data, and contact assets such as call recordings, surveys, and screen captures, from across geographically dispersed sites and from multiple silo’d vendor systems for quality monitoring, coaching, surveys, and more. Consolidating these assets and data has been the missing grail for a 360 degree view of the customer experience and operations.
And, unlike other providers, Enkata has invested heavily in network security and best practices to satisfy the most demanding operational requirements. Enkata is SSAE 16 Certified and routinely surpass tight security audits by customers and independent auditors. Software as a Service accelerates project funding decision and implementation with Operational vs. capital expenditure, no on-premise maintenance, and little to no IT investment.