Health Insurance: Millions in Savings

Operational costs are too high. Customer satisfaction is too low. How do you improve both metrics at the same time? Enkata.

We count four of the top five public health insurers as our customers. We’ve helped them save tens of millions of dollars by improving the quality of their contact center and claims operations. Not only that, with Enkata, they’ve also improved their relationships with both providers and members.

No other performance management company can match Enkata's health insurance expertise in:

• Lowering adjustment rates: Improve original submission accuracy.
• Increasing auto-adjudication rates: Reduce manual reviews and quicken payments.
• Increasing First Call Resolution: Eliminate repeat calls driven by struggling agents and onerous policies.
• Lowering AHT per call: Identify, coach, and monitor agents with poor AHT.
• Increasing web usages: Move call and claim submission transactions to the Web.
• Increasing provider satisfaction: Become true partners with your health care providers.
• Improving contracted rates: When you reduce the cost of doing business, you can offer better rates.

We offer the following suite of Enkata performance management products for health insurance organizations:

• Enkata Manage to monitor performance and automatically generate metrics-based coaching plans for business challenges such as First Contact Resolution, Productivity, and Claims Performance.
• Enkata Coach to automate and standardize your employee coaching process.
• Enkata Quality Monitor to automate your QM program.
• Enkata Analytics to identify the root causes of business issues.
• Enkata Automated Call Reasoning to understand why customers contact you, without agent tagging.
• Enkata Rapid Applications for the fastest time to value.
• Enkata Rapid Adapters to streamline deployments.

Enkata in Action

Read how Enkata helped Independence Blue Cross streamline their claims operations.