Member Experience / Health Plan Services CRM

Improve member experience with an intelligent CRM

Manage member interactions with an industry-leading health plan CRM that expedites the resolution process through built-in automation, empowering Member Services teams to drive member loyalty.

Value & Benefits

Increase member loyalty

Leverage powerful tools to deliver exceptional member experiences and transform Member Services by increasing efficiency, enhancing satisfaction, ensuring compliance, and optimizing resources.

Value
Benefits

Enhanced member satisfaction and an optimized Member Services workforce

Seamless integration with your existing systems to efficiently manage member relationships.

Centralized incoming
queue

Unified management of web, fax, and email inquiries for consistent member engagement

Integrated genAI
copilot

Personalize communication for preferred channels using advanced AI capabilities.

Member feedback
integration

Collect and analyze member feedback to continuously improve services and satisfaction.

Targeted care
delivery

Segment members to provide a personalized care plan.

Key features

Complete member interaction visibility at your fingertips

Gain a comprehensive view of every member interaction for personalized and effective support.

Optimized Productivity

Maximize efficiency, minimize effort

Use our streamlined 2-step case closure process to boost productivity and reduce resolution times.

Smart Interactions

AI-driven precision in every interaction

Leverage intelligent guidance to achieve quicker, more impactful resolutions and enhance member satisfaction.

Workflow Management Tools

Optimize your team’s performance

Efficiently manage resources and enhance team productivity with our integrated workforce management tools.

Personalization

Hyper-personalized case management

Customize each case to the individual member’s needs until successful completion, ensuring satisfaction and loyalty.

Usher AI