Medicare Verification (Health Insurance)
We serve as the last step in enrolling participants into a Medicare health insurance plan. On behalf of our clients, we perform outbound calls to enrollees, confirm their enrollment details and detect any fraud.
Our agents receive annual training to answer high-level enrollee questions regarding plan details, participating doctors, when they will receive their new insurance cards, etc. From this pool, we staff the outbound calls based on sample for each week.
After receiving a daily file of recently enrolled customers, our agents reach out to applicants to confirm their enrollment and ensure they understand the product they have selected, the plan rules and other guidelines. At the end of the call, we confirm enrollment in their new plan and advise customers of the seven-day cancellation policy. If at any time we suspect fraud, we escalate the case according to the client-approved process.
We make several contact attempts within seven days, and if we’re unable to contact the enrollee, we send him/her a letter and perform several follow-up attempts afterward.
At any time, clients can view the number of loaded sample records and the current status of each in the verification process via our secure, interactive program website. They can view important metrics using our back-end reporting and the final files that we return.
By serving as a help desk for this program, we make sure that customers understand what they’re buying, are successfully enrolled and our client's are satisfied.