Enlighten and the Healthcare Sector

The Australian Government’s new healthcare reforms will see an increased focus on making health insurance more transparent, inclusive and easier for customers to understand by 2020. Health insurers are now under increased pressure to drive down administration costs, and improve quality and service.
At Enlighten, we help you maximise performance and improve quality of service in healthcare insurance. We partner with you to improve back and middle-office functions, process claims faster and activate results within a single budget year.


Australia’s ageing population is driving increased demand for health insurance services. At the same time, customers are experiencing a rise in out-of-pocket expenses, with a swing away from private health cover. As a result, the Australian Government has introduced a new healthcare reform to make health insurance more accessibleand affordable for customers.

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Case study

Pharmacy benefit management

We helped a fast-growing US provider of pharmacy benefit services standardise processes and improve efficiency to provide the best care for patients.

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Case study

Healthcare insurance

We helped a 60,000 member healthcare fund improve productivity across Member Services, Hospital Services and Claims.

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Case study

Healthcare insurance for union members

We helped 110,000 member private health insurer reduce backlogs and cycle times to better serve members.

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Enlighten Announces Version 3.0

Enlighten Announces Version 3.0 Wednesday 13th June 2019. Sydney, Australia.Enlighten (https://enlighten-opex.com.au/) announced today the release of its 3.0 software version which aims to make it even easier for companies and ...
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Media Release – Outsourcing is dead if not done properly, says latest industry report

Outsourcing is dead if not done properly, says latest industry report Monday 12 November 2018. Sydney, Australia. The outsourcing sector needs to sharpen its act or face losing significant business, ...
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I can’t picture running my operation – and my team driving the outcomes that they do – without the Enlighten toolkit, because it’s so simple and enables successful transformation.
Minos Paterakis
Operation Manager – National Information Brokerage, Mortgage Services & Training SAI Global

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Level 2, 6 O’Connell Street
Sydney NSW 2000

+612 9232 2771

175 Federal Street, Suite
900 Boston MA 02110

+1617 535 7641