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Crisis Response Solutions for Healthcare and Life Sciences

During this time of global disruption, healthcare consumers need you more than ever. We are providing Pega clients with solutions to help automate customer support, maintain workforce health and operations, and streamline claims processing.

Automate member and patient customer support

In the face of a crisis, organizations are struggling to keep up. Call centers are experiencing overwhelming call volumes and keeping up with emails is difficult even at the best of times. Now is the time to boost your customer service, employee productivity, and processes. Pega Email Bot™ helps health and life sciences organizations:

  • Manage and expedite responses to inquiries, relieving pressure on contact centers
  • Route emails efficiently to quickly respond to program, benefits, and claims requests 
  • Give customers the timely and personalized responses they expect and need
  • Empower employees to focus on what matters most: customer relationships

Maintain workforce health and operations

As COVID-19 continues to spread across the world, leading organizations need to ensure the health and safety of hundreds of thousands of employees, as well as millions of customers. This confusing, fast-changing situation demands scalable and flexible technology. Pega’s COVID-19 Employee Safety and Business Continuity Tracker helps health and life sciences organizations:

  • Enable employees to notify their employer of their health status
  • Track how many employees have been exposed, tested, or self-quarantined
  • Take action as each employee’s status changes
  • Manage employee availability for on-site or remote work
  • Help healthy employees re-enter the workforce

Streamline claims processing

Governments and health plans everywhere are trying to manage the quickly-evolving COVID-19 crisis. Organizations are struggling to swiftly and accurately implement the daily updates and guidelines for claims processing. And manual training can’t keep up with increased volumes and constant changes in policy either. Pega’s Claims Bot helps health and life sciences organizations:

  • Keep pace with increased volume and new policy changes to make processing faster and easier
  • Intake, validate, fix, and orchestrate claims processing
  • Retain ability to trace and audit payments accurately across rapidly-changing benefits
Request a demo
Claims Automation for Healthcare 1

Let’s partner together

Together, we can help you adapt to changing policies and get your healthcare consumers the support they need in this time of crisis. Contact us to learn how to use these solutions within your existing Pega environment.

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