Payers
Streamlined Support for Health Plans & Members
More efficiency, less complexity, and exceptional support for payers and policyholders.
How We Help You Succeed
Managing healthcare coverage requires efficiency, accuracy, and seamless support for payers and members. We provide compliance-driven solutions that streamline operations, improve member experiences, and optimize healthcare processes.
Solving Key Roadblocks in Healthcare Payer Support
Claims Processing & Accuracy
Efficient claims handling minimizes errors and speeds up approvals, ensuring smooth experience for providers and members.
24/7 Support & Assistance
Health coverage questions can’t wait. Our always-on teams provide real-time support across chat, phone, and email.
Regulatory Compliance & Data Security
We ensure full adherence to healthcare regulations, protecting sensitive patient data while reducing administrative burdens.
Engagement & Retention
Using AI-driven insights, we enhance communication, proactively address concerns, and improve satisfaction.
Cost-Efficient Operations
We optimize workforce planning, reduce overhead costs, and ensure payers can efficiently manage high inquiry volumes.
Why Choose Iterum?
Healthcare Expertise
We help payers streamline operations, enhance experience, and ensure seamless claims and policy management.
Tailored Solutions
Flexible support designed to optimize efficiency and improve service at every stage.
Multilingual Service Support
Fluent support in English, Spanish, French, and Portuguese to provide clear communication for policyholders.
Compliance & Data Security
Strict HIPAA and industry regulations, for secure transactions and full protection of sensitive member data.
Smarter Solutions for Healthcare Payers
Managing healthcare coverage efficiently requires real-time insights, seamless interactions, and optimized workflows. Our AI-powered tools enhance claims processing, improve member support, and ensure compliance-driven operations. Here’s how:
Speaker Recognition
Identifies and distinguishes between speakers, ensuring secure, efficient member verification and policyholder assistance.
Sentiment Analysis
Detects member emotions in real time, helping payers proactively address concerns, improve service quality, and enhance engagement.
Disposition Automation
Automatically categorizes and tags member inquiries, streamlining claims processing, policy changes, and benefits support.
Transcriptions
Converts calls into searchable text, ensuring accurate documentation for claims, disputes, and compliance audits.
Word Flagging
Flags critical terms like “coverage denial,” “appeal request,” or “billing issue” to prioritize and resolve member concerns efficiently.
AI Phrase Analyzer
Understands policyholder intent to optimize chatbot and agent responses, ensuring faster, more accurate assistance.
Business Logic Mapping
Maps member interactions and claim processes to enhance policy support, reduce errors, and improve service workflows.
Call Summary
Generates concise overviews of interactions, helping teams quickly follow up on claim statuses, benefit explanations, and appeals.
Feature Extraction
Extracts key insights from member conversations to optimize plan offerings, improve engagement, and refine service strategies.
Measuring Silence Time
Analyzes pauses in conversations to identify process inefficiencies, optimize agent scripts, and improve resolution times.
Security & Trust – Protecting What Matters Most
We meet the highest industry standards, ensuring enterprise-grade protection across every layer of operations. From compliance to advanced threat prevention, we safeguard your business, customers, and data.
Background Checks
Criminal records, OFAC verification, and ongoing security training ensure a trusted workforce.
Workplace Policies
Strict clean desk policies, paperless environments, and 24/7 CCTV monitoring keep operations secure.
IT Security
VLAN segmentation, restricted internet access, guest PC controls, and USB port restrictions prevent unauthorized access.
Controlled Communication
VLAN segmentation, restricted internet access, guest PC controls, and USB port restrictions prevent unauthorized access.
Our Results in Your Advantage
We don’t just deliver numbers—we deliver real, measurable value that BPO buyers care about.
Flexible, No Long-Term Commitment
We operate on month-to-month contracts, giving you the agility to scale up or down without being locked into rigid agreements.
30-Day Launch in Any of Our Locations
Need to get up and running fast? We can launch full operations in just 30 days across our global sites, ensuring a seamless, rapid transition.
Recruitment Costs 1/3 of Industry Averages
Finding the right talent shouldn’t break the bank. Our efficient hiring process cuts recruitment costs by 66%, while still delivering top-tier talent.
Case Studies
See how Iterum delivers measurable results and transforms Back-Office Operations for our partners.
Financial Services Company Lowers Cost Per Contact by 25% with Custom Intelligent IVR
See how Iterum supported fast growth with custom solutions.
Medical Device Company Reduces Error Rate and Saves Money with Pareto Database Solution
See how Iterum supported fast growth with custom solutions.
International Airline Successfully “Lifts and Shifts” to Work-at-Home in Response to Pandemic
See how Iterum supported fast growth with custom solutions.
Your Customer Experience?
Iterum Connections is here to help you scale your operations, streamline workflows, and deliver exceptional customer support. Let’s take the next step together.
