Business Details
47 Years
experience
AI-Powered Claims Adjudication Software
At WLT Software, we specialize in claims adjudication and benefit administration software solutions, leveraging nearly 50 years of industry expertise to deliver tailored systems that meet the unique needs of our clients. Our platforms, including MediClaims, CompClaims, and MediConnX 360 2.0, are designed to streamline claims processing, enhance benefit utilization, and improve member engagement through AI-powered technology. With a focus on cost containment and scalability, our solutions support organizations of all sizes, from large corporations to smaller TPAs, while maintaining rigorous compliance standards.Our team of experts provides comprehensive configuration, implementation, and training services to ensure seamless integration and optimal performance. Backed by a legacy of innovation since 1979, we prioritize superior service and continuous improvement to empower our clients in managing medical, dental, vision, disability, life, and premium billing programs efficiently.
Services
Claims Adjudication
Benefit Administration
Workers Compensation
AI-Powered Solutions
System Implementation
Compliance Management
Training Programs
Data Analytics
Custom Software Development
Cloud-Based Platforms
Details
- Year established: 1979
Highlights and features
- We offer 50 years of specialized expertise in claims administration software.
- Our AI-powered MediConnX 360 2.0 enhances benefit utilization and member engagement.
- Custom solutions adapted to specific client needs across medical, dental, and workers' compensation.
- Expert team provides structured implementation and training for seamless integration.
- Proven track record supporting organizations from small TPAs to large corporations.
Associations and certifications
- Oracle Cloud
- Healthee
Services
Claims Adjudication
Our AI-driven claims adjudication systems automate complex benefit configurations to reduce errors and improve payment accuracy. Designed for medical, dental, and workers' compensation claims, these solutions streamline workflows while ensuring compliance with evolving regulations. Clients benefit from faster processing times and enhanced operational efficiency.
Benefit Administration
WLT Software's platforms manage medical, vision, disability, and life insurance programs through customizable modules. Automation reduces administrative burdens while improving member engagement through clear benefit navigation. Scalable solutions adapt to organizations of all sizes, ensuring accurate premium billing and compliance reporting.
System Implementation
Our structured implementation methodology ensures seamless integration of WLT's systems with existing infrastructure. Expert consultants guide clients through data migration, configuration, and testing to minimize disruptions. Training programs prepare teams to maximize system capabilities from day one.
Compliance Management
We maintain compliance with HIPAA, HITECH, ACA, and other mandates through continuous system updates. Our team develops custom solutions to address legislative changes, ensuring clients meet audit requirements while avoiding penalties. Regular security assessments protect sensitive health data.
AI-Powered Solutions
MediConnX 360 2.0 leverages AI to simplify health plan navigation and optimize benefit utilization. This technology improves member engagement through personalized insights while automating claims decisions. Clients experience reduced processing times and enhanced accuracy across all benefit categories.
People
Shelley Van Etten
President/CEO
Shelley oversees WLT's operations and financial leadership. With a background in accounting and 20+ years at WLT, she transitioned from implementation specialist to CEO in 2017, driving strategic growth and client-focused innovation.
Bill Younker
EVP, COO
Bill leads software development and IT operations, having joined WLT in 1989. As chief systems architect, he evolved platforms from IBM mainframes to Oracle Cloud, ensuring compliance with healthcare regulations while delivering custom client solutions.
Ray Brown
Manager of Client Services
Ray manages client communication and customization strategies, bringing 20+ years of management experience. He ensures system features function as designed while maintaining open ticket resolution processes to enhance client retention.
Scott Borden
Vice President of Vendor Relations
Scott specializes in consumer-driven healthcare with 30+ years of benefits expertise. As 'HSA GUY,' he educates clients through radio, podcasts, and webinars, strengthening vendor partnerships and marketing initiatives.
Katie Stepro
VP of Compliance
Katie develops compliance policies and manages client implementations, leveraging 30+ years of WLT experience. Her expertise in data analysis and system design ensures smooth transitions from legacy platforms to WLT's solutions.
Questions
What industries does WLT Software serve?
We specialize in healthcare, workers' compensation, and consumer-driven benefits administration for organizations ranging from small TPAs to large corporations.
How does MediConnX 360 2.0 improve member engagement?
Our AI-powered platform simplifies health plan navigation, clarifies benefits, and automates claims decisions to enhance user experience and satisfaction.
Can WLT's systems integrate with existing infrastructure?
Yes, our structured implementation methodology ensures seamless integration with legacy systems through customized data migration and configuration support.
How does WLT ensure compliance with healthcare regulations?
We maintain HIPAA, HITECH, ACA, and other compliance standards through continuous system updates and security assessments led by our compliance experts.
What training options are available for new clients?
We offer tailored training programs developed by industry experts to ensure teams maximize system capabilities during and after implementation.
What support is available after system implementation?
Our client services team provides ongoing support through ticket management, resolution flow processes, and regular client status calls.
