AI Agents for Member Service
Redefine member engagement with AI Agents
Empower your members with personalized, adaptive intelligence through agentic self-service experiences.
Context Aware
AI Agents provide tailored responses based on plan and member details, ensuring every interaction remains relevant and effective.
Scalable Support
Offer 24x7 support without additional staffing, addressing time sensitive requests — especially during periods of peak demand.
Compliant & secure
Designed with native guardrails and industry-leading standards like HIPAA, Ushur's AI Agents ensure proper usage while maintaining privacy and trust.
Adaptable & accessible
Support a diverse member base with multilingual capabilities and a clear, easy-to-understand information tailored to a 6th-grade reading level.
Automate key touchpoints across the healthcare member journey
Healthcare organizations can now elevate member experiences by automating critical touchpoints throughout the member journey. Ushur AI Agents enable fast, accurate, and personalized services, empowering members with access to the information they need without delays, reducing frustration and improving overall satisfaction.
Enable faster, more equitable access to member care — at scale
Despite available online help options, members continue to call in for routine inquiries. Eliminate barriers to essential information, ensuring members get the care they need — without overburdening your staff or compromising compliance.
Comprehensive, Compliant and Built for Healthcare
- Trusted, Compliant Intelligence: Purpose-built for healthcare with deep domain expertise, delivering highly accurate responses while ensuring strict regulatory adherence.
- Seamless, Scalable Engagement: An omnichannel platform that automates end-to-end member interactions across all digital touchpoints.
- Rapid ROI, Faster Time-to-Value: Prebuilt for common call drivers with full customization, enabling enterprises to deploy quickly and see immediate impact.
Intelligent, Personalized Support — Anytime. Anywhere.
Leverage real-time data, plan-specific insights and proactive recommendations to deliver 24/7 support. Tailor guidance to each member by contextualizing their insurance plan and offering personalized, actionable recommendations.
Ready out of the box
Knowledge
Leverages organizational documents and data to deliver precise, context-aware answers to member inquiries, enhancing trust and satisfaction.
Summarize
Distills enterprise knowledge into clear, concise answers that are personalized for member action.
Reach your members wherever they are — with confidence and peace of mind
Rest assured the proper protocols are in place to keep every interaction compliant and secure.
Trusted by top leaders in regulated industries
In industries where security and empathy matter most, Ushur AI Agents for Member Services is redefining customer engagement with seamless, compliant, and personalized experiences.
A Large Medicaid & Medicare Health Plan scales empathetic engagement
- Handled 18% of web traffic through seamless self-service, reducing the need for live agent support.
- Automated 21% of requests for four top call drivers—Member ID card requests, PCP changes, address updates, and contact information updates—streamlining common inquiries.
- Resolved 36,000+ interactions independently, alleviating pressure on member service teams and improving efficiency.
- Delivered over 20% of responses outside business hours, ensuring members received timely support whenever they needed it.