Case Study

National Health Insurer Constructs and Consolidates Four Call Centers into a State-of-the-Art Customer Care Center, Achieving 35% Unit Cost Reduction

35%

Unit Cost Reduction

Strategic Imperative

To improve service to customers and healthcare providers by consolidating and restructuring four call centers into a single state-of-the-art customer care center, while delivering the new building and furnishings on time and within budget.

Client Background

  • Major U.S. health insurance provider serving customers and healthcare providers through large-scale service operations
  • Scope covered four separate customer service organizations and construction of a consolidated state-of-the-art customer care center
  • Service delivery required coordinated people, processes, technologies, facilities, and pricing across differing customer requirements
  • Service-performance commitments and a greenfield campus expansion created urgency to deliver the facility on time and within budget
  • Leadership viewed customer-care transformation as essential to improving service consistency, responsiveness, and cost performance
  • Productivity averaged 50–60%, establishing a clear baseline for service-capacity and unit-cost improvement

Key Issues & Barriers

  • Four service groups showed wide performance variability and consistently missed established service targets
  • Fragmented organizational structures limited consistent service practices, accountability, and performance management across operations
  • Existing technologies were not leveraged to improve representative productivity, response speed, or operating visibility
  • Customer service processes contained rework, increasing effort, slowing response, and elevating unit costs
  • Limited career pathing and weak skill recognition demotivated long-tenured representatives across customer service roles
  • Traditional call-center behaviors constrained the organization’s transition to a unified customer-care operating culture

Key Implementation Components

  • Consolidated four service groups into a single customer service organization to ensure consistent structure and service execution
  • Segmented customers according to service requirements, enabling differentiated customer and healthcare provider service models
  • Modified pricing structures to align service economics with the requirements of distinct customer segments
  • Redesigned customer service processes to eliminate rework and improve responsiveness across customer and provider interactions
  • Aligned the building, furnishings, and organizational launch with strategic customer-care cultural requirements

Benefits & Results

35%

Unit Cost Reduction

57%

Call Abandonment Rate Reduction

48%

Average Speed of Answer Improvement

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