Fortune 25 managed care organization offering affordable and high-quality products to more than 1 in 15 individuals across the nation, including Medicaid and Medicare members (including Medicare Prescription Drug Plans) and individuals and families served by the Health Insurance Marketplace and the TRICARE program.
The member enrollment process is critical in ensuring seamless healthcare access for customers. However, the increasing complexity and enrollment velocity pose significant challenges, leading to application processing delays, documentation errors, and customer dissatisfaction. These inefficiencies impact customer experience and contribute to lower star ratings of health plans, high drop rates, and increased operational costs. Addressing these challenges is vital for improving customer retention and ensuring business continuity.