Carrier Solutions - AI-Empowered Performance Gains at Reduced Costs
We offer a full suite of solutions for Carriers and TPAs looking to improve performance for Sales and Service Teams or comply with the Transparency in Coverage Rules.
Increase performance
Reduce costs
Improve ratings
Metrics for Carrier Solutions
Up to 3x
Increased performance for sales & service teams
30%
Cost reduction for reduced handle time and staffing
30%
Enhanced employee productivity from reduced handle time and increased support
100%
Compliant with Phase II & III Transparency in Coverage Mandates, and all solutions are fully compliant
50%
Improvement in speed to proficiency - employees can be trained in hours.
99%+
Response to inquiry is precise to the point of legal lability, grounded and tied to member contracts
Your one-stop shop for omnichannel solutions
Our solutions can be deployed through multiple mediums to serve your consumers or members and are easily integrated with most major CRMs.
Web portal
Mobile app
Virtual assistant
Tablet
Call center
Sensentia AI Tools Deliver Accuracy, Comprehensiveness, and Accountability
Our benefit tools are powered by our proprietary artificial intelligence guaranteeing immediate, legally accurate and comprehensive responses different from other approaches in the industry. Responses are directly tied to member contracts for all selected plans, ensuring full accuracy and auditability.
Members, CSRs, agents, and other users are usually not familiar with clinical and claims terminology, making it difficult to derive correct answers without natural language support. Sensentia’s systems reason and present information intuitively while supporting natural language, synonyms, and intent recognition during the query process.
Take a look at how Sensentia's innovative technology works when applied to a member portal.
Sales Team Solution – AI-Enabled Plan Comparison Tool
Our sales tool was designed by sales agents, for sales agents, with everything needed to make a sale in one place. Enabled by our AI benefit engine, the system provides the ultimate level of support throughout the sales process, increasing performance at reduced costs.
Close more sales.
Increase consumer satisfaction.
Reduce CTMs, grievances, and overall complaints.
Service Teams Solutions
Our AI-powered benefit engine enables the ultimate in CSR service. It compiles all plan, benefit, coverage, and cost information, including procedure code support (HCPCS, CPT, J-Code), in one place with an easy-to-navigate UI. As a result, teams can deliver excellent service and increase employee engagement while reducing handling time and staffing costs.
Reduce costs from handle time and research.
Improve CSAT, NPS, and consumer experience.
Boost star ratings and retention.
Conversational Member Self-Service
Harness the power of AI with accuracy and give your members an engaging 24/7 conversational experience while deflecting calls to your service center.
Achieve significant call deflection.
Improve overall member engagement by allowing them to seek service 24/7.
Expedient human connections with records of conversations.
Transparency In Coverage Solution
Our Transparency in Coverage solution fully complies with Phases II and III of the CMS Transparency in Coverage Final Rules. The solution provides price comparison functionality, allowing individuals to receive estimates of their cost-sharing responsibilities. This applies for any particular item or service from a specific provider or set of providers.
Ensure full compliance with Phase II & III of CMS Mandates.
Consumer portal deployment allows members to explore the lowest-cost options.
Considers all accumulators (deductibles, MOOP, etc.) when determining costs.
Carrier Solutions Tool Features
AI-fueled Benefit Engine
Every solution is powered by our AI benefit engine, increasing the speed and accuracy of response and employee productivity.
Customized UI
Each UI was customized by SMEs to enhance efficiency and performance for the role.
True employee support
Our solution fully supports employees in their roles, freeing up management to coach on soft skills rather than handling supervisor escalations.
Decreased turnover
Employees have systems and tools that support their roles, improving employee satisfaction.
Reduced Costs
Employee productivity is increased, requiring fewer employees to service the same number of calls, and each call is handled expertly in reduced time. Our solutions are often paid for in handle time savings alone.
Increased Compliance and Accuracy
Our system ensures legally accurate responses and provides fully auditable answers based on member contracts.
Peace of Mind
When employees can service clients and members expertly and efficiently, management is free to pursue other areas, knowing that compliance and expert service are at the forefront for their team. If issues arise, they are fully backed with auditability.
Integration
Our systems seamlessly integrate with existing CRMs, simplifying change management. Additionally, we are proud to partner with Genesys and Salesforce.
FAQs
How do I improve sales performance?
Our SalesSense solution delivers an optimized shopping experience that provides agents and prospective members support through the entire sales process. For sales teams, it will deliver increased overall sales and improved conversion rates on a “call to sale” or “lead to sale” basis and reduce handle time, complaints, and turnover. It increases agent productivity, requiring less staffing to service the same volume of leads or calls YoY.
The lower staffing requirements and reduced handle time from increased productivity lead to savings that customers often use to pay for the solution and maintain budget parity.
How do I improve Customer Service KPIs?
Our ServiceSense solution delivers an optimized consumer experience that provides members or representatives with the support they need to receive or provide excellent service. For service teams, it will provide increased CSAT, NPS, accuracy and consistency of answers, first-call resolution, and representative productivity while significantly reducing handle time. As a result, teams will require less staff to service the same volume of calls YoY.
The lower staffing requirements and reduced handle time from increased productivity lead to savings that customers often use to pay for the solution and maintain budget parity.
How do I improve employee engagement and reduce turnover?
Employees often leave a position due to a lack of support or disparate processes that cause frustration. Our solutions provide support throughout the entire sales or service process, ensuring that answers to even the most complex questions are at employee's fingertips. By improving employee engagement, we avoid frustration, stress, burnout, and management escalations, all of which lower handling time and raise consumer confidence. Our system empowers employees to be experts and frees up management to provide sales or service stylistic coaching rather than answering numerous plan/benefit questions all day.
How do I improve Star Ratings or ratings in general?
Our innovative solutions significantly improve service quality, efficiency, and performance for sales and service teams. They relieve companies of the burden of improving their sales, retention, or service team performance, freeing up resources and investment for other segments.
Customers respond positively when they are provided excellent service that supports them with informed decision-making.
Meet with one of our solutions experts today.
Unlock your team's true potential with Sensentia.
