Significant savings in handle time reduction for research, and improved representative productivity requires less staffing YoY
99%+ Accuracy
Response to inquiry is precise to the point of legal liability, grounded and tied to member contracts
+24% First Call Resolution
Unprecedented support delivers efficiencies and effectiveness allowing calls to be handled expertly
Your one stop shop for omni-channel solutions
Our solutions can be deployed through multiple mediums to serve your consumers or members, and easily integrate with most major CRM’s.
Increased Member Satisfaction and Employee Productivity for your Contact Center
Our ServiceSense AI-powered benefit engine combines all plan, benefit, coverage, and cost information including support for HCPCS, CPT, and J-Codes in one place with an easy to navigate and query UI.
40%-60% of all calls are benefit related.
Members & Providers want confident and accurate answers immediately with minimal effort and time, and employees want to meet and exceed that expectation.
CSRs can quickly and easily locate accurate and comprehensive answers fostering trust and confidence for members, while removing extensive hold times for research and supervisor escalation when gaining answers. This way we increase representative expertise, productivity, and job satisfaction for employees.
Expanded Detail
If expanded detail is needed to provide a more comprehensive answer, a simple click within the row provides a fully comprehensive answer.
Answers at any depth are provided instantaneously to users, saving valuable handle time and improving overall consumer satisfaction.
Synonym and Intent Logic
Customers and CSR’s are not clinicians or claims experts, and not always familiar with language detailed on a Master Benefit’s List or Evidence of Coverage.
Sensentia’s AI powered Benefit engine supports natural language, synonyms, and intent to assist users with locating the benefit. For example if a representative enters “Sugars”, the system is intelligent enough to bring back all relevant diabetes benefit selections.
This allows user to enter terms as relayed by the member to locate the correct answer expediently saving valuable handle time and increasing CSAT.
Sensentia’s best-in-class AI technology and benefit modeling expertise delivers: