Your gateway to AEP/OEP success
A dedicated team of licensed advocates to improve the member experience
Is your health plan ready for the toughest enrollment season yet?
The combination of an election year, increased competition, and ongoing regulatory changes is creating a disruptive environment, making it more difficult for plans to attract new members and maintain satisfaction among existing ones. Quickly ramping up your agents while staying updated on changing regulations is no small feat.
For over 20 years, we’ve helped leading health plans deliver tailored experiences, boosting member satisfaction, building loyalty, and driving growth through
Scalability and Flexibility : Our services are built to grow with you, allowing you to stay ahead in a rapidly changing landscape.
Member-Centered Innovation : We focus on developing solutions that prioritize the member experience, leveraging technology to accommodate diverse customer needs.
Ongoing Support and Training : Our continuous support and updates ensure that our healthcare clients have the tools they need to meet evolving challenges.
We bring the right resources, extensive expertise, and next-gen capabilities to unlock innovation and growth
- Over 30 active state accident & health licenses
- In 2023, we made 8,729 State Purchases between Jan-Dec and 5,510 State Purchases between Aug-Dec
Comprehensive expertise in hiring, training, operational execution, and workforce management
Flexible engagement model addresses issues, analyzes CX challenges, and promotes collaboration
Rapid ramp up and go live to successfully navigate ever-changing and dynamic landscape
Dedicated CMS Task Force that focuses solely on driving 5-Star Ratings for our MA clients
Specially trained member retention unit to proactively target existing members, especially those prone to switching, to improve retention and improve plan performance in a tough market.
Driving results for our clients
Leading Managed Care Provider of government-sponsored healthcare
93.3% conversion rate with a 92.17% save rate.
Large not-for-profit health insurer
Surpassed AEP conversion goals by 110% and OEP goals by 118%
Top 5 health insurance provider
35% conversion rate
Empowered agents for better care and financial outcomes
Empowered agents deliver better service, have longer tenures, and significantly boost the member experience. We utilize our AI-driven chatbot Olivia to ensure smooth agent onboarding and offboarding and automated agent license management and reporting for greater efficiencies. Meanwhile, our Personalized Adaptive Learning tool fast-tracks agent training and satisfaction.
AI and chatbots boost CSAT
- 94.25% CSAT
- 124-second reduction in AHT
- 22% improvement in agent speed-to-proficiency
Omnichannel engagement bridges care gap in 2 years
- 2.8X improvement in Medicare Member appointment setting
- 70% lower costs
Intelligent Automation accelerates agent on/offboarding
- 50% reduction in agent on-offboarding data entry time
- 100% accuracy rates
CMS Task Force drives 5-Star ratings success
- Four clients increased ratings by 1 star
- 6 of 9 clients achieved 5-Star ratings
Automation streamlines agent license management
- 75% reduction in reporting processing time
- Increased reporting frequency & enhanced agent
Personalized Adaptive Learning expedites agent time-to-proficiency
- 54% reduction in overall client complaints
- 13% increase in CSAT
#ResultsMatter
- Our success in AEP/OEP 2023 led to an unprecedented increase in year-round work from existing clients.
- In the 2022 ramp-up:
- We met or exceeded gross sales goals for 4 out of 5 AEP clients
- All AEP clients surpassed their conversion targets.
- ResultsCX ranked #1 against competitors in every instance.
See how we help leading health plans stay ahead every season
Partnering for success
For over 20 years, we’ve helped leading health plans deliver tailored experiences, boosting member satisfaction, building loyalty, and driving growth.
Scalability and Flexibility : Our services are built to grow with you, allowing you to stay ahead in a rapidly changing landscape.
Member-Centered Innovation : We focus on developing solutions that prioritize the member experience, leveraging technology to accommodate diverse customer needs.
Ongoing Support and Training : Our continuous support and updates ensure that our healthcare clients have the tools they need to meet evolving challenges.
Awards & recognition
We have been recognized a leader across most aspects of our work – from Customer Experience Management (CXM) to security to workplace innovation. We believe that every day brings new opportunities to do better and become better. See what industry analysts and customers are saying about ResultsCX
Discover new ideas, insights & solutions
Transform your Enrollment strategy for a stellar 2025 season.
Act now!
