Our customer service solutions are a potent mix of business and customer support functions as well as services for global contact center operations. Our talented agents go beyond simply responding to thousands of customer interactions in relation to accounts, billing inquiries, technical and claim support. They execute value strategies, translating services into exponential sales. Our time-tested methodologies, operational expertise and compliance programs help the clients implement successful customer loyalty programs, thereby increasing the financial value of their brands.
Contact Services for Members
In US health care industry, members are those covered in a health insurance plan. Our advanced training, manpower management and quality assurance tools have enabled us to expand our boundaries of excellence, while consistently catering to the changing needs of our members.
Our team of enrollment specialists aid prospective members in making educated choices about plans that are best tailored to their needs. Once decisions are made and plans are selected, our customer service representatives engage them in telephonic conversations, verifying their personal details, plans and enrollment statuses. Our advisors, respectfully and confidently, respond to the inquiries of our members, guarantying quick resolution of their problems related to Appeals and Grievances.
Our Services to Members:
Enrollment Calls for New Members
Outbound Verification Calls
Resolution of Complaints
Grievances and Appeals
Answering Queries, raised by Members, including: Eligibility, Coverage of Benefits Determination, Member Communication, Plan Comparison, Claims Status, Premium Billing etc
Contact Centre Services for Providers
Our motivated agents, using a comprehensive portfolio of top-notch call-center applications, seamlessly manage customer interactions, while offering accurate information about liability insurance and risk management to Counselors, Occupational Therapists, Physical Therapists, Fitness Professionals and Pharmacists. Our call abandonment rate is never over 1% because we are resolute on achieving 100 % perfection in terms of our service delivery.
Apart from responding to routine customer enquiries, our team actively participates in telemarketing as well as sales and solves complex issues in partnership with our analysts.
Our Services to Providers:
Member Eligibility
Status of Claims and Providers
Inquiries and Contracts of Providers
Improving Customer Retention
Optimizing customer loyalty is the priority of players in the commercial insurance industry. Sun Knowledge combines its predictive analytics with innovative Retention strategies, improving critical business outcomes and customer retention for insurance providers.
We use the following best practices:
Efficient Allotment of Resources enhancing Retention
