The Healthcare TPA (Third-Party Administrator) is a leading Malaysian outsourced service provider that focuses on the administration of medical and hospitalization claims for various renown insurance companies.
The organization faced several challenges, including evolving market and customer expectations, outdated technology, and constant competitive pressures.
Table of Contents
ToggleChallenges
Beyond technological hurdles, the organization faced several operational issues that disrupted efficiency and service quality:
- Outdated On-Premise Telephony System
Traditional on-premise telephony systems often suffer from poor call quality, dropped calls, and latency issues, leading to ineffective communication. These issues impact both internal collaboration and customer interactions, ultimately reducing overall service standards.
- High Maintenance & Operating Costs (from Traditional PRI to SIP-based)
Legacy PRI-based telephony systems require expensive infrastructure, dedicated circuits, and continuous maintenance, driving up operational costs. Scaling communication capabilities often demands additional hardware investments and complex system management.
- Limited Analytics & Monitoring (CX & CRM)
Traditional systems offer minimal visibility into call performance, agent productivity, and customer interactions. Without real-time analytics, businesses struggle to measure service quality, optimize operations, and make data-driven decisions.
- Minimal Integration with Business Systems
Many on-premise telephony solutions operate in silos, lacking seamless integration with CRM, helpdesk, and other critical business applications. This results in manual processes, inefficiencies, and delays in both customer service and internal workflows.
Solutions
The agency successfully identified and implemented solutions tailored to address their challenges, resulting in enhanced customer experience and operational efficiency. Additionally, the agency expanded its contact base, allowing for greater outreach and engagement. By aligning with their strategic vision of “being at the forefront of leveraging technology to improve customer engagement,” the solutions not only addressed immediate concerns but also positioned the agency as an innovative leader in their industry.
1/ Nubitel CX:
- Inbound Voice Support for Multi-Client Environments
This provides continuous 24/7 inbound voice support, designed to meet the operational demands of a multi-client environment. The platform’s scalable infrastructure efficiently manages high call volumes, ensuring reliability and consistency across different time zones and client requirements.
- Integrated CRM for a Unified Interface
By integrating seamlessly with the CRM platform, Nubitel CX provides agents with a single interface for managing all customer interactions. This integration gives agents access to interaction histories, customer profiles, and real-time data, ensuring more personalized and efficient service. Moreover, the synchronized ticketing system streamlines issue tracking, resolution, and escalation processes.
- Customizable Campaigns for Individual Clients
The platform supports highly customizable campaign setups tailored to each client’s unique needs. Features like IVR configurations, SLA management, priority handling, workflow automation, and intelligent call routing allow businesses to adapt the solution to their operational goals. This flexibility makes it possible to deliver client-specific experiences and meet diverse business objectives.
- Omnichannel-Ready Customer Engagement (future expansion – Live Chat)
Nubitel CX supports omnichannel communication, including voice, email, chat, and social media, ensuring customers can engage through their preferred channels. All interactions are centralized in a single interface, enabling agents to provide consistent and cohesive experiences across all touchpoints.
- Engagement Insights and Performance Reports
Powerful analytics and reporting tools provide actionable insights into customer engagement, tracking key performance metrics such as average handling time, first call resolution, customer satisfaction scores, and agent productivity. These reports enable organizations to continuously optimize their services and elevate customer experiences.
- Call Transfers from Contact Center to Back-Office Operations
Contact center agents can seamless perform call transfers to back-office teams or specialists through integration with Nubitel UC. This capability ensures smooth handoffs, minimizing wait times and improving issue resolution rates. Whether it’s escalating technical issues or routing calls to specific departments, the process remains efficient and user-friendly.
2/ Nubitel CRM:
- Centralized Customer Database for Unified Visibility
Nubidesk features a centralized customer database that consolidates all client and customer information into a single repository. This ensures that all teams have consistent access to accurate and up-to-date information, eliminating data silos and enabling smoother cross-functional collaboration. The centralized system also enhances data management and ensures better decision-making.
- Integrated with Nubitel CX for Seamless CTI Pop-Ups
Fully integrated with Nubitel CX to provide real-time Computer Telephony Integration (CTI) pop-ups. When an agent receives a call, the system instantly displays the customer’s information, including interaction history and case details. This ensures that agents are well-prepared to handle inquiries efficiently, reducing call handling time and enhancing the customer experience.
- Customized CRM interface to manage Healthcare Industry Needs
Designed specifically for the healthcare industry, Nubidesk offers customized features to support processes like patient management, appointment scheduling, insurance verification, and claims tracking. This industry-specific focus ensures that healthcare providers can address unique challenges while delivering superior service to their patients and partners.
- Comprehensive Interaction Histories for Case Management
Nubidesk maintains detailed records of customer interactions across all touchpoints. These records are seamlessly integrated into its case management module, enabling agents to track and resolve issues with full visibility into past communications, resolutions, and escalations. This ensures continuity and enhances the quality of customer support.
- Workflow automation to increase operational efficiencies
The CRM includes automation capabilities to streamline routine tasks such as case assignments, follow-up reminders, and escalation triggers. These automated workflows reduce manual effort, improve response times, and ensure that SLAs are consistently met.
- Scalable and Configurable to Meet Growing Needs
Built with scalability in mind, Nubidesk can grow with the organization, accommodating increasing customer bases and expanding operational requirements. Its configurable design allows businesses to tailor features, workflows, and data structures to meet evolving needs.
3/ Nubitel UC:
Migrating to a cloud-based Contact Center with SIP-based UC transforms both customer service and internal operations into a streamlined, efficient, and cost-effective ecosystem.
- Improve overall voice communication infrastructure
Transforms business communication with a cloud-based, AI-driven voice solution that ensures superior call quality, cost efficiency, and scalability. By integrating VoIP technology, it reduces infrastructure costs, supports remote and hybrid teams, and enables seamless CRM and AI-driven analytics integration.
Its advanced security measures protect against fraud and data breaches, ensuring compliance. With AI-powered noise cancellation and intelligent call routing, businesses can enhance customer experience and operational efficiency, making Nubitel UC the ultimate solution for a modern, future-ready voice communication infrastructure.
- Unified Communication for overall office usage
By integrating voice, video, and messaging, Nubitel UC simplifies interactions and reduces the complexity of managing multiple platforms. This ensures that every conversation—whether a customer inquiry or a team discussion—happens seamlessly within a unified interface.
- Encourage Real-Time Collaboration
Nubitel UC fosters instantaneous communication between all stakeholders, including agents, underwriters, and customers. Whether resolving complex queries or streamlining claim approvals, the platform eliminates delays and ensures quick, effective resolutions.
- Highly scalable
As businesses adapt to new work environments, Nubitel UC provides the flexibility needed to support remote and hybrid teams. Agents and employees can remain connected and collaborate efficiently from anywhere, ensuring uninterrupted service delivery and optimal customer engagement.