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Genex Telephonic Case Management
Stop Claims From Escalating with Early Intervention
Clinically driven telephonic case management (TCM) powered by early risk identification and real-time program insight. Designed to reduce disability duration, control spend and protect outcomes.
Refer a CaseProof up Front
53%
Earlier Engagement vs Traditional Adjuster-referred Models
40%
Faster Return to Work vs National Benchmarks
18%
Lower Litigation Rate vs Industry Benchmarks
Benefits of Telephonic Case Management
- Engage the right claims sooner
Identify risk early and keep monitoring throughout the claim so intervention starts before delays and leakage stack up. - Reduce disability days and total cost of loss
Remove recovery obstacles, coordinate care, and align stakeholders around a practical RTW plan. - Lower friction and fewer litigated outcomes
Improve injured employee engagement and adherence so claims are less likely to escalate.
Features
- Early risk identification model (GenexEngage)
Targets the claims most likely to benefit from clinical intervention so you do not wait for problems to surface. Learn more about GenexEngage ❯ - Integrated care ecosystem
Integrates expert clinicians and proven behavioral coaching to engage injured employees, remove barriers to recovery, and deliver improvements in return‑to‑work and cost outcomes. - Consultative program design plus ongoing tuning
Customize workflows and keep optimizing performance so your program improves over time. - URAC accredited
Genex Case Management has been accredited by URAC since 1999 and ensures the program adheres to the industry's highest quality standards. Learn more ❯
How It Works
- Identify higher risk claims early and continuously
- Intervene with a focused plan that removes barriers and coordinates care
- Optimize with program insight to tune workflows and outcomes
Who It's For
- Carriers and TPAs
- Self-insured employers
- State funds
- Risk pools
Outsource or Overflow
Option 1: Outsourced TCM
Best when you want a full program without internal hiring, licensure overhead, or operational burden.
Option 2: Overflow or Surge Support
Best when you have temporary staffing gaps or referral spikes and need experienced telephonic nurse capacity that operates like an extension of your team.
Frequently Asked Questions About Telephonic Case Management
What is telephonic case management (TCM)?
A clinically focused process where nurse case managers work by phone with injured employees, providers, employers, and claims teams to coordinate care and support RTW.
When should a claim be referred?
TCM is most effective when engaged early, before avoidable delays and complications compound.
How is Enlyte different from an adjuster-referred TCM?
Enlyte uses early risk identification and ongoing monitoring to engage sooner and focus resources on the cases most likely to benefit.
Can I use Enlyte for overflow only?
Yes. Overflow models provide surge capacity during staffing gaps or volume swings.
Is the program accredited?
Enlyte’s case management program is URAC accredited.
Calculate Potential Savings
Input a few claim details to estimate potential savings in claim costs and business days saved per claim.
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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.