Member Enrollment Services
Member enrollment, the first step in the Member Servicing cycle, is a critical business process that is often fraught with numerous errors and irregularities, due to paper-based, manual processing. This leads to the process often becoming frustrating for the prospective member, and time consuming and costly for the payer.
High turnaround time between submission and approval of an application
Manage Open Enrollment period
Significant error rates in application processing
Inefficient use of staff with a significant amount of staff time wasted in managing administrative tasks
Lack of a robust tracking mechanism to monitor each application through the enrollment life-cycle leading to high loss rates for applications
Difficulty in managing applications tracking sheet and orphan documents
Complex business logic for processing member enrollment business process
Ineptness to effectively and efficiently handle exceptional cases
Analytics for usage of different communication modes and viewership of marketing messages
Quick turnaround time. Improve the time taken to adjudicate the claim
Improve Accuracy. Reduce errors through robust quality assurance processes and seasoned claims adjudicators
Strong Governance processes. Our robust governance processes ensure that you are always in control with detailed reports on claims inventory, and service level commitments.
Reduces costs associated with claims processing by as much as 30-40% through our deep global delivery model