Innovative Provider of Prepaid Healthcare Plans Delivers New Levels of Customer Service Through use of Shift Technology Solutions
Shift Technology, a provider of AI-driven decision automation and optimization solutions for the global insurance industry, announced that Saludsa, Ecuador’s leading prepaid medical services provider, and one of Latin America’s largest health insurers, will deploy Shift Claims Automation. One of the solutions comprising the Shift Insurance Suite, Shift Claims Automation will allow Saludsa to significantly increase the number of claims settled without the involvement of claims professionals, improving the claims experience for all plan participants.
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Since its founding in 1993, Saludsa has taken a “patient first” approach to health insurance which encompasses both tending to the health of its clients and promoting healthy lifestyles. As important, the insurer is dedicated to providing exceptional customer service which includes the development and introduction of new products and services as well as implementing technology designed to remove friction from the claims process.
“At Saludsa we are incredibly proud of our track record of innovation and the positive impact it has had on our members,” explained Álvaro Zambrano, Saludsa Operations Vice-president. “We believe that our work with Shift will help us create an automated claims process that is fast and efficient, while at the same time making it easier for claims professionals to spend time with those clients who may need a little more attention.”
Saludsa is applying Shift’s decision automation and optimization capabilities to reimbursement activities for customer using the Saludsa app. A powerful combination of Natural Language Processing, Machine Learning and insurance-specific algorithms provide the Saludsa app with the ability to understand the information entered by customers, aligned to knowledge about the policy and the medical services provided to settle reimbursements quickly, fairly, and accurately.
“Saludsa is one of the premier health insurance carriers in Latin America and the company has demonstrated an incredible appetite for using advanced technology to deliver an exceptional customer experience,” stated Jeremy Jawish, CEO and co-founder, Shift Technology. “Through the adoption of Shift Claims Automation, Saludsa is yet again demonstrating how it can ‘be there’ for its members.”
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