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A Leading Health Insurer in US

A leading health insurer in US was committed to provide high quality health insurance and exceptional customer experience to its members. However, they had disconnected processes due to inaccurate member identifiers. As a result they had erroneous processes for enrollment, service delivery and reimbursement. In the past they used a rudimentary, legacy Member Master but were unable to scale and support strategic member-centric initiatives. They needed a single view of their members across multiple systems & channels to execute a member-centric omnichannel strategy and make personalized recommendations.

Reltio Cloud was used to deploy a Member 360 solution, providing visibility into the entire touch-point history for each member and optimizing member engagement and experience while meeting HIPAA (Health Insurance Portability and Accountability Act of 1996) compliance requirements. It helped them do prospect data collection, segmentation, targeting, and direct-to-consumer (DTC) campaigns with higher precision. Reltio’s Self-Learning Graph helped them uncover relationship among products, plans, and members to offer right product to the right member at the right life stage. With Reltio’s cloud-based platform, flexible modern data architecture, and agile deployment they were able to deliver lower total cost of ownership and quicker time to value for IT, sales, and marketing teams.