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Overflow management delegation

Delegating the management of health and welfare benefits requires a high level of service quality to increase the satisfaction of policyholders, insured individuals, and healthcare professionals. As a leader in solutions for managing and processing sensitive data, be ys outsourcing services develops strategic pillars to serve your organization and meet the diverse demands of policyholders, members, and healthcare professionals with the sole objective of increasing their satisfaction.

+10M

tasks processed per year

98.5%

service quality

+20M

Policyholders use our services

How it works

 

Healthcare & Welfare Benefits Management (Back-Office)

A major challenge requiring high service quality to increase the satisfaction of members, insured individuals, and healthcare professionals.

TYPES OF OPERATIONAL PROCESSING

  • Data entry for requests for coverage, reimbursement requests, and quotes from members, insured individuals, or healthcare professionals.
  • Analysis and processing of complaints from members or insured individuals and follow-ups with healthcare professionals (reminder letters, payment demands, pre-litigation notices, and litigation).
  • Control and data entry of membership forms, updates, or modifications to records.
  • Monitoring of premium payments and follow-up on unpaid premiums.

Management of Member and Insured Relations (Front Office)

A major challenge for maintaining and developing the network of healthcare professionals and improving the satisfaction of members or insured individuals.

TYPES OF OPERATIONAL PROCESSING

Handling inquiries from members, insured individuals, or healthcare professionals:

  • Multi-channel
  • Various types of requests: information on rights and benefits, reimbursements, request or cancellation of coverage
  • Using be ys outsourcing services tools and/or client tools (application solutions, telephony, CRM, etc.)
  • Monitoring pick-up indicators (quality of service, waiting time, etc.), processing compliance, and member/insured/professional satisfaction
  • Maintaining and developing the healthcare professional network and improving the satisfaction of members or insured individuals

KYC (Know Your Customer) processing

Towards Health 2.0 – Transform and simplify the creation of beneficiary files, with the implementation of a secure platform for document verification and authentication.

TYPES OF OPERATIONAL PROCESSING

  • Automatic and manual verification of membership files
  • Recovery of client supporting documents on our KYC tool (identity document, proof of address, health insurance card, supplementary health insurance card)
  • Completeness and control of the member’s identity and file documents
  • Verification of consistency of different file documents
  • Creation of the beneficiary’s file

Dematerialization of healthcare invoices

Today, we are witnessing a significant transformation in the context in which insurance and mutual insurance companies operate. These upheavals call for them to transform in order to address two major challenges: the increasing integration of digital technology within healthcare organizations and the overhaul of the healthcare journey. All this while respecting regulatory changes and security constraints related to the protection of sensitive data.

TYPES OF OPERATIONAL PROCESSING

  • A modular solution tailored to our clients’ specifications
  • Receiving and integrating invoice streams
  • Analysis and control of received documents
  • Dematerialization of invoices
  • Transforming paper flow into electronic format
  • Integration of electronic flow (B2 CP format, Noemie 687, etc.) into the client’s information system for liquidation
Related CX Services

Outbound Contact Centre Services

Our Outbound Contact Centre services ensure the best contact with your customers and your prospects, to help meet your business objectives.

Back-office activities

Our multilingual back-office services are meant to support your company with a full range of simple and complex tasks through a broad range of languages.

Automation & Technology

We can support your customers through automated solutions and various integrated channels, such as phone, email, chat, social media, etc.

* Contact us

We really like to help, so please tell us a little bit about your current challenges.

We would be delighted to offer you an initial consultation free of charge.