Our systematic, industry-specific customer service solutions help us focus on building sound, responsive and professional relationships with our Medicaid client beneficiaries rather than mere transactions and translate services to sales.
Contact Services for Members
In US health care industry, members are those covered in a health insurance plan. Our contact center executives, possessing deep domain expertise and proven capabilities, are rigorously trained and groomed before they go live. The training continues on a regular basis, enabling them to stay abreast of the latest developments within the health care sector and face challenges adeptly.
Our team of enrollment specialists helps future members choose their plans prudently. Once informed choices are made, our customer service advisors engage members in telephonic conversations, confirming their personal details, enrollment statuses and intricate details of plans. Our agents courteously answer complaint calls, ensuring instant resolution of problems over the phone.
If a member is denied any service or product, our advisors help him appeal against the denial. If a beneficiary is dissatisfied with any service or product, we guide him to invoke his rights under our grievance process.
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 advisors offer impeccable information about liability insurance and risk management to an array of health care specialists as well as counseling professionals, including, Counselors, Physical Therapists, Occupational Therapists, Pharmacists, and Fitness Professionals, successfully accommodating their varied and changing needs. Our agents, with unrivalled professionalism, answer queries of our clients over the phone or via email, while solving complex problems for our analysts.
Our Services to Providers:
Member Eligibility
Status of Claims and Providers
Inquiries and Contracts of Providers
Improving Customer Retention
It is wiser, cheaper and more lucrative to cultivate and hold on to the older customers than wooing the newer ones. Sun Knowledge blends its unique Retention strategies and industry know-how with business-critical analytics to help its clients have a global footprint, winning the trust of their customers for life. Since achieving perfection is our motto, we ensure that our call abandonment rate is below 1%.
Our Customer Retention solutions allow our Medicaid clients to slash down operational costs and enhance their consumer base, while strengthening their competitive edge. We use the following best practices:
Efficient Allotment of Resources enhancing Retention
