As part of its core strategy to be closer to the customer and to deliver its high-value services digitally, the client chose the Spixii Conversational Process Automation platform for its expertise to integrate to core systems and build business processes in a conversational way that can deliver end-to-end automated.
Automating the pre-authorisation process is very challenging due to the high number of possible combinations of symptoms and treatments, explaining why it is usually executed over the phone with the support of expert agents going through all the steps. Digitally speaking, the previously adopted web forms were simply capturing free text input from customers, and the questions were too generic to power any process automation, let alone be
user-centric when using a mobile.
Leveraging the Spixii Conversational Process Automation platform, the insurers designed the new customer journey with their business knowledge. In the Spixii platform the journey and the business process are one. In other words, the operational tasks that the skilled agents would perform started to be automatically triggered by business logic depending on the positioning of the customer in the journey.
The new process took the form of a powerful conversational self-service which a business process executed by a chatbot available 24/7. Exceeding expectations, the processing time was reduced 20 folds from 40 minutes to 2 minutes (0 for the agent and 2 minutes for the customer). At the same time, vulnerable customers could benefit from longer conversations and no line being unexpectedly cut or no agent having to end the conversation: they could respond at their time with no rush.
Available through desktop and mobile applications, more than 45% of all interactions resulted in 100% automated decisions, a number that can only grow as more symptoms and treatments will be better categorised. In comparison, the remaining 55% resulted in better data capture saving a considerable amount of time for manual processing.
With more than a couple of hundreds of requests received per day, the self-service produces more than 60 uninterrupted working man-hours per day or more than 900 days per year. This has a significant impact for the resilience of the customer service operations.
Being 24/7 available, the new process deals with requests as they come and can handle a virtually unlimited number of conversations at the same time and protect customers that get in touch out of working hours when call centres may not be available.
The automation of the operational tasks was tested and approved by the relevant stakeholders, giving total confidence in the repeatability and consistency of the automation of this high-value process.
In addition to the digital, operations and IT applications teams, the data and analytics team of the client also has access to the Spixii platform to crunch the valuable data and identify future improvements with the ultimate goal of increasing the automation ratio.
