The health plan client was grappling with inefficiency and frustration caused by their outdated method of deploying customer service personnel. Their manual onboarding process created a labyrinth of obstacles, particularly during peak seasons like enrolment, disrupting training sessions and leading to high attrition rates.
Operating within the tightly regulated healthcare sector, the client could only initiate training for new hires once access to essential systems was granted. This bottleneck not only delayed access to critical training systems and hindered productivity but also compromised data integrity, security, and compliance, posing a significant risk to their bottom line.
Recognizing the urgency of the situation, our team approached the client ahead of AEP 2023 with an innovative proposition: an AI-driven automation solution designed to streamline the cumbersome data entry process for new hires in their client’s systems.
Armed with our solution, we embarked on a collaborative journey with the client, tailoring our approach to their specific requirements. Through an exhaustive process discovery and mapping exercise, we delved into the current situation, identifying pain points and opportunities for improvement.
Drawing upon these insights, our team crafted an Intelligent Automation solution geared towards optimizing and accelerating the onboarding processes, particularly for the client’s AEP ramp.
Here’s how it works. When onboarding or offboarding requests are received via email, the automated process springs into action. It begins by verifying and validating the request, ensuring accuracy and completeness. Then, seamlessly and without error, it enables access to necessary systems within predefined timelines. Upon offboarding, access is promptly revoked to safeguard data privacy and uphold security standards. The solution sends status confirmations to relevant stakeholders, providing peace of mind and ensuring transparency throughout the process.
The implementation of Intelligent Automation solution enhanced agility and yielded remarkable success, notably slashing turnaround times during the crucial AEP period. Thanks to the shortened upload time, the solution allowed for extended agent provisioning within tighter deadlines, ensuring that the organization could respond swiftly and effectively to urgent demands.
The solution has been honored with the client’s prestigious Innovation Award for its ability to scale seamlessly, accommodate growth, and deliver tangible outcomes.
ResultsCX approached us prior to the commencement of AEP 2023 with a proposal for an AI-driven automation solution aimed at streamlining the data entry process for new hires into our system. The existing manual method was not only time-consuming but also posed a risk of delaying the provisioning process for new hires’ profiles and subsequent access to necessary systems for their respective business lines.
The implementation of the automation proved highly successful, significantly reducing turnaround time. This efficiency also provided flexibility for accommodating last-minute requests for additional classes, as the shortened upload time allowed for extended provisioning within a tighter timeframe. The business greatly benefited from this automation during AEP, with expedited data entry facilitating a longer window for setting up agents with appropriate access before the onset of training sessions.
Senior Manager, Vendor Governance
Process & Strategy, Fortune 25 Health Plan