HEALTHCARE

Personalized member engagement and acquisition solutions that drive action while reducing overall costs.

Healthcare

Each of your members is unique, with different health histories, communication preferences and emotional triggers that affect action.

Since a positive member experience is essential, you need to be personal and relevant in order to achieve elevated ratings, yet efficient and streamlined to reduce cost per acquisition. Our expertise and customers-first culture of sales and support can help you do both.

The healthcare industry has multiple complex communication campaigns to execute, including high-touch member onboarding, chronic disease screenings and RX adherence. Understanding the importance and time-sensitive nature of creating communications and executing campaigns that are personalized to the individual or group is critical. We have the expertise, capabilities and technology to develop and manage member engagement and acquisition plans tailored to fit your specific needs—all while lowering cost per conversion. But it’s not just the management of your campaigns that drives us to deliver on point and on time, it’s the people.

Benefits

  • Reduced claims
  • Lifted 5-STAR ratings
  • Lower cost per acquisition
  • Increased member engagement

Value

  • HIPAA Compliance
  • SSAE-16
  • CMS
  • Six Sigma-Certified
  • PCI-DSS 3.2

Our Healthcare Member Engagement and Acquisition Solutions

Member Acquisition and Enrollment

  • Prospective Member Data Segmentation
  • Plan Comparison Calls
  • Welcome Packet and Information Packet Mailing
  • Appointment Setting
  • Seminar Marketing Reservation
  • Telephonic Enrollments
  • Eligibility and Suitability Determination Calls
  • Lead Generation/Nurturing

Strategic Touch Points and Concierge Services

  • Confirmation of Enrollment Status
  • Welcome Call/Re-Set Expectations
  • Initial Health Risk Assessment
  • Pre-CAHPS Survey
  • Disease-Related Appointments
  • Access and Availability of Care Surveys
  • Annual Wellness Visit Follow-Up
  • ANOC Campaigns
  • Wellness Campaigns
  • Reminder Calls

Member and Provider Servicing

  • Billing Inquiries/Payment Handling
  • General Member and Provider Services
  • Claims
  • Prior Authorization
  • EOB Mailing
  • ID Cards
  • Social Media Monitoring and Engagement
  • Coverage Questions
  • Co-Insurance and Co-Pay Determination
  • Complaints/Grievances
  • Network Determination

Proven Healthcare Results

Our agents have handled more than 40 million healthcare calls targeting individual and senior consumers.

In 15 months, our agents have acquired 250,000 new policyholders and generated $250 million in annual premiums.

We have helped some of the largest insurance companies increase their number of agents by a combined 490%.

More Ways We Can Work For You

Unmatched Tenure

Nearly three decades of continuous service across the Unites States for some of the industry’s biggest brands.

Lifecycle Member Services

Vast experience in member care for both over-65 and under-65 audiences, including basic coverage, claims, long term care, wellness programs, and total account management.

Member Segmentation

Expertise in year-round, licensed-agent support for both over-65 and under-65 member segments since 1985.

Internal Licensing

Excellence in procedures designed to maximize the number of licensed agents, reducing ramp up times and delivering program scalability.

Member Acquisitions

Proven sales success in new insurance policies, riders, and endorsements to existing life, health, long term care, vaccines and prescription drug plans.

Performance Speed

Navigator system enables process mapping technology to ensure consistent agent effectiveness and for fast, high-quality results.

Let’s Talk. Contact Us Today.