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AI-Powered Transformation for elevating customer service for a Fortune 500 Financial Protection Company

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Overview.

Our client is a Fortune 500 company, providing financial protection to more than 50 million people worldwide. It is the largest provider of supplemental insurance in the United States.

Challenges

The client was having numerous challenges:

  • They were unable to resolve all the customer requests as it was taking more manual efforts.
  • They were looking for email automation to increase more interaction with policyholders.
  • Manual process of customized promotional offers to customers
  • AI based solution was expected for policyholder authentication.
  • Lack of comprehensive view of customer for the phone channel.

Solution

  • The project provided AI-based email and chat capability to customers, enabling better customer and employee experience.
  • Solution enabled Policyholder authentication within the chatbot.
  • Added an additional layer to enhance customer experience.
  • Use of Pega Decisioning for strategy and promotional offers
  • First E2E Pega CSR implementation in US jointly delivered by Coforge teams.
  • E-signature for Changes to Beneficiary and name change
  • Flexible Payment Options for Non-Monthly Bill Mode Policies
  • Enhanced NLP Model training

The Impact

  • 30% improvement in customer service productivity by leveraging Chat and Email bots.
  • 40% cases handled without human intervention, improving TAT by 45%
  • 3000 emails per week managed with no human help saving efforts & cost of 15 FTEs.
  • Next-Best-Action newly deployed for agent upsell + cross sell of other products enabling a better customer experience.
  • Increased the efficiency of interactions with policyholders through immediate, accurate and consistent responses.

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