Canada
Puerto Rico
USA
Belgium
France
UK
India
Client Background
The client is a leading US based health payer organization and needed to build portals to manage their online enrollments and member service operations
Client Need
The client’s existing system had a complex architecture and did not allow to incorporate new changes easily
The current system was facing high application downtime while incorporating the latest changes. Client needed:
A portal to automate the offline enrollment application processing and reduce the manual effort
Increased accuracy in submitted application data and reduce time in manual corrections post submission of data
A channel for broker engagement
A portal for members to view policy benefits and place self-service requests
Solution
Developed an online channel for prospects to submit enrollment applications
Built an easy to configure business rule-based architecture
Built an administration window to make changes to the pages, fields and validation rules using UI without scripts
Implemented mechanisms for real-time validation of member and plan data
Built application to view client’s application and policy information. Developed inbuilt highly customizable business reports
Implemented features to generate leads and share with prospects
Built a secured portal for members with dashboards that showcases plan details. Developed wizards to place self service requests
Realized Benefits
Improved customer satisfaction and received 157k applications per year which is 56% of total applications through different channels
Saved development effort by 400 hrs. on an average to incorporate State DOI, Federal and business changes
Reduced downtime of application from 2 hrs. to 10 min
Applications from online have a 99% conversion rate to policy. Decrease in number of exceptions creation and saved effort in resolving errors
Increased broker engagement levels. The system is actively used by 160K+ producers
Increase in new enrollments by agents over 5k
Provided 360-degree view for members
Decreased operational users’ member request traffic by 40%
Tools & Technologies
SQL Server
Spring
Java
IBM DB2
Bootstrap
AP.NET
Angular JS
MongoDB
Apache
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