Pegasystems
Inc., (NASDAQ: PEGA), the leader in Business Process Management
(BPM) software solutions, today announced that Independence
Blue Cross (IBC) has selected Pegasystems’ Customer
Process Manager™ for Healthcare (CPM-HC) for its customer service
desktop to deliver a higher level of service to its community of
customers, members, physicians and hospital partners.
Independence Blue Cross and its subsidiaries are the Philadelphia
region’s largest health insurers, with more than 2.6 million members
locally, and 3.4 million overall. For nearly 70 years, IBC has offered
high-quality healthcare coverage tailored to meet the changing needs of
members, employers and health care professionals. IBC began using
Pegasystems’ healthcare SmartBPM®-based solution frameworks
last year to optimize its sales, underwriting, renewals and claims
processing activities. In purchasing CPM-HC, IBC will be extending its
Build for Change® capabilities from the back office into the
front office operation, providing an end-to-end seamless experience for
its customers. CPM-HC will help IBC to improve the overall service,
quality and accuracy of the six million customer inquiries it receives
each year. The flexibility that Pegasystems delivers to IBC’s customer
service operations will also support the insurer’s strategic goal to
grow with its members as their needs change.
"At Independence Blue Cross, we are passionate about improving the
health of our members and dedicated to strengthening the well-being of
our community, and distinguished customer care is the hallmark of our
organization,” said John Janney, Senior Vice President of eBusiness &
Support Services at Independence Blue Cross. "We work each and every day
to identify new cutting edge ways to improve the ease and speed of doing
business with us. Pegasystems has enabled us to provide
benchmark-setting service and accuracy for the 25.5 million claims that
we process annually, and we wanted to extend that level of service and
accuracy to our customer service operations. The deployment of
Pegasystems’ CPM-HC solution will help our customer support team work
more efficiently, while keeping our focus on the changing needs of our
customers.”
Customer relationship management (CRM) solutions traditionally rely on
employees to understand a wide breadth of information, a set of complex
offerings, and policies in order to provide excellent service at the
time of customer interaction. This process has proven to be cumbersome
and even trained employees experience difficulty, often creating
inconsistent and inefficient service. Pegasystems transcends traditional
CRM technology that just puts lots of data on the CSR desktop. Instead,
it takes an intent-driven, process-based approach across channels, to
both improve CSR productivity and the customer experience.
Key features and benefits of Pegasystems’ intent-driven approach to
customer service include:
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Seamless service across multiple channels, such as phone, Web and
email;
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A 360 degree view of the customer to foster more personalized
interactions between CSRs and members and improve the customer
experience;
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More efficient service by providing CSRs with consolidated
information, dynamic call scripting and process-driven navigation;
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Improved automation of routine tasks across multiple back-end
platforms to enable a single point of service across product lines;
higher levels of customer satisfaction and first call resolution due
to improved reporting and operational analytics.
"We are pleased that IBC has selected Pegasystems’ CPM-HC to augment its
customer service capabilities, and can benefit from the expanded use of
our technology in this most critical area of their business,” said
Elizabeth Hart, Senior Director, Healthcare Solutions for Pegasystems.
"With the integration of our Customer Process Manager framework, and the
reusability of Pegasystems’ technology throughout their organization,
IBC can drive even higher standards of excellence for customer care and
quality of service.”
About Pegasystems’ Customer Process Manager
Pegasystems’ Customer Process Manager Solution leverages best-practice
workflows to help CSRs resolve most service requests at the point of
customer contact, minimizing the need for further contact and
back-office processing. It can be fully-integrated with back-end
systems, allowing companies to leverage existing investments and
simplify complex interactions that formerly required access to multiple
systems. The solution uses intent-driven processing to understand why a
customer is calling and prompt the agent with appropriate service
activities, fee-generating services, and offers. Additionally, the
rules-driven platform can be easily modified by business users to
promote new offerings or accommodate changing market and regulatory
demands. For more information on Pegasystems’ healthcare solutions,
visit www.pega.com.
About Independence Blue Cross
Independence Blue Cross is a leading health insurer in southeastern
Pennsylvania. Nationwide, Independence Blue Cross and its affiliates
provide coverage to nearly 3.4 million people. For more than 70 years,
Independence Blue Cross has offered high-quality health care coverage
tailored to meet the changing needs of members, employers, and health
care professionals. Independence Blue Cross’s HMO and PPO health care
plans have consistently received the highest ratings from the National
Committee for Quality Assurance. For more information, please visit www.ibx.com
About Pegasystems
Pegasystems, the leader in Business Process Management, provides
software to drive revenue growth, productivity and agility for the
world's most sophisticated organizations. Customers use our
award-winning SmartBPM® suite to improve customer service,
reach new markets and boost operational effectiveness.
Our patented SmartBPM technology makes enterprise applications easy to
build and change by directly capturing business objectives and
eliminating manual programming. SmartBPM unifies business rules and
processes into composite applications that leverage existing systems --
empowering businesspeople and IT staff to Build for Change®,
deliver value quickly and outperform their competitors.
Pegasystems’ suite is complemented by best-practice frameworks designed
for leaders in financial services, insurance, healthcare, government,
life sciences, communications, manufacturing and other industries.
Headquartered in Cambridge, MA, Pegasystems has offices in North
America, Europe and Asia. Visit us at www.pega.com.
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The information contained in this press release is not a commitment,
promise, or legal obligation to deliver any material, code or
functionality.
The development, release and timing of any
features or functionality described remains at the sole discretion of
Pegasystems, Pegasystems specifically disclaims any liability with
respect to this information.