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

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