Manage Processes for Profitability. Reduce Paper Touches. Consolidate Member Data.
Healthcare payers face unprecedented pressure to deliver new value that is defined in terms of lowering medical costs, decreasing administrative waste, and improving the medical outcomes of the members they serve.
Inefficient paper–based administrative processes threaten the future success of health plans. It is clear that healthcare payer organizations that figure out how to automate their paper-based processes and focus on member needs will gain market share and increase profits.
Pivotal’s Healthcare Insurance Suite is a complete front office solution that enables payer organizations to minimize paper-based processes and streamline 6 key areas of your business including:
Lead Management
New Business Quoting
Renewal Processing
Rating/Underwriting
Online Enrollment
Back Office Integration
Improving efficiency in only one of the 6 key functional areas will do little to improve the overall effectiveness of your entire front office operation. But with Pivotal CRM for Healthcare Insurance, you can link these areas into a consolidated and customer-focused operation in order to boost overall productivity, make your organization easier to do business with, and enable strategic decision making.
Lead Management - Gain better visibility into the pipeline, proactively generate and manage a variety of sales leads through a pre-defined process.
New Business Quoting - Empower members or brokers to produce their own new business quotes through powerful self-service.
Renewal Processing - Reduce number of days it takes to produce renewals to just minutes with auto-renewal processing that is integrated directly into the work flow.
Rating/Underwriting – Eliminate paper-based department-to-department hand off by leveraging rating and underwriting automation and integration.
Online Enrollment – Remove paper touch points and enhance the enrollment experience for brokers, group administrators and enrollees thorough an efficient and easy to use online process.
Back Office Integration - Reduce duplicate data entry by consolidating multiple data silos into one enterprise wide database and integrating it all into your back office.
The Pivotal Healthcare Insurance Suite is comprised of Pivotal Healthcare FrontOffice, Pivotal Healthcare eBroker and Pivotal Healthcare eEnrollment. Implement a specific component of the Pivotal Healthcare Insurance Suite based on your business needs or deploy the entire suite as a comprehensive end-to-end solution.
