Health Insurance Best Practices Guide
This guide details 25 high value best practices for Health Insurance company operations organized by function, including Member Services, New Business Processing, Claims Processing and more. Use this document as a guide in implementing work activities in your Health Insurance company operations that have proven to increase efficiency, cost effectiveness, customer service and work quality. The majority of OpsDog's best practices require no new technology and can be implemented without infrastructure or regulatory-related organizational changes. Order this document to point your Health Insurance company operations in the right direction.
Which organiational areas and/or lines of business are covered in this best practices guide?
This guide includes details on 25 best practices (including a description of the best practice, comparison to the status quo, related KPIs, and benefits of the best practice over other common methods) covering the following areas:
- Health Plan Operations
- Claims Processing
- Member Services
- Application Processing
- Member Onboarding
- Patient Education & Wellness Programs
- Network Development & Management
- Provider Contracting
- Provider Services
- Sales & Business Development
Download a Sample Health Insurance Best Practices Guide
Frequently Asked Questions
Q: How do you determine what are best practices?
A: Through 25 years of research and hands-on consulting. We’ve been analyzing the operations of hundreds of industry leaders—including scores in the Fortune 500—since 1993. We have detailed, documented, and anonymized data, at the activity level, for proven best practice. We combine that with original research to create easy-to-use guides that give you an instant edge.
Q: How can your Best Practice Guides help me and my business?
A: They can drive improvement in both individual and company performance. Use our guides to train employees in the work methods that are proven to yield the best results. Learn and leverage from the best, rather than trying to reinvent the wheel. And do it easily, with clear written descriptions of each best, or leading, practice.
Q: Your download-able guides look great. But I need something custom. Can you help?
A: Heck yes. Our analysts would be happy to create a custom-tailored Best Practice Guide just for you. Give us your objectives and scope, and we’ll do the rest. Simply email us (firstname.lastname@example.org) or call us at 866.650.2888 and one of our friendly professionals will be happy to answer all your questions.
Health Insurance Customer Service
This workflow template illustrates the processing of inbound contacts (phone or email) from health insurance customers, or members, and the subsequent resolution of customer requests and/or...
Type : Workflow Template
Process Participants : Health Plan Members (Customers), Customer Service Representatives, Customer Service Specialists, Account Processing Staff