Healthcare Payer Services

From CX strategy to AI-enhanced services, TTEC offers a full range of support to ensure that healthcare payers can serve members with confidence. TTEC's proven strategies ensure smooth open enrollment launches, superior member support, and regulatory expertise while achieving client goals.

TTEC payer services

Revenue cycle management

Provider network management

Services-care management services

Member management and engagement

Doctor reviewing a document with an executive

Advanced tools
for payers

Ultra-segmentation of member intents: Empower your advocates with AI-enhanced segmentation of member intents.

Proven healthcare expertise: Leverage 20+ years of member management to reach for the (CMS) stars with your CX strategy.

Predictive analytics for risk management: Use AI and analytics to predict and mitigate risk based on claim histories and member data.

Hyperautomation in member services: Automate member inquiries, appointment requests, and billing support for quicker resolutions and better engagement.

Generative AI for contact centers: Personalize member interactions and reduce handling time through AI-enhanced voice and chat solutions, along with employee training and associate augmentation.

Benefits
for healthcare payers

Enhanced member experience

By focusing on member acquisition and retention, TTEC ensures a seamless experience for new and returning members.

25% enrollment increase

READ THE CASE STUDY

Improved conversion rates

TTEC's expertise and AI-enhanced tools help clients achieve significant increases in conversion rates during open enrollment.

73% surge in enrollments

READ THE CASE STUDY

Cost savings

Clients have reported substantial cost savings thanks to optimized workflows and effective expert associates.

$3.5M in cost savings

READ THE CASE STUDY

Customization and flexibility

Tailored solutions meet the unique needs of any organization, whether 50 seats or 500, and can be delivered in virtually any language while maintaining compliance.

76% licensed associate growth

READ THE CASE STUDY

Lower employee attrition

TTEC's focus on quality training and employee satisfaction results in substantial reductions in attrition rates to enhance workforce stability.

7.5% jump in employee satisfaction

READ THE CASE STUDY

Don't take our word for it,
listen to our clients

“Words can’t accurately convey the ‘wow’ moment upon seeing AI bots in action. I was blown away by the bot speaking back.”

Senior manager, Medicare telesales

“This is great work and I appreciate the continued innovative thinking by TTEC Team!”

Senior director

“TTEC has truly been a partner in supporting our work and their willingness to be flexible to determine our ultimate path forward with the partnership.”

National health plan carrier

“[TTEC’s learning program] gives us more confidence that our agents are knowledgeable and aligned."

Operations Manager

“Not only did you meet our expectations, but you exceeded them in every way. Our service levels and NPS back that up.”

Senior Business Process Analyst, a major national healthcare payer