Ushur for Open Enrollment


Ushur is the premier AI-Powered Customer Experience Automation™ (CXA) platform to engage with current and future members across their enrollment journey. Ushur combines conversational AI with knowledge work automation to make meeting customers in their channel of choice scalable and repeatable.

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Age in Notifications, Enrollment, and Opt-In (age 26, Over 65, etc.)

Manage the sales and enrollment portion of Open Enrollment at kickoff to make it easy for members to opt-in and age-in to medicare when they’re ready.

Health Risk Assessments and Program Education

Delight with member services to educate, assess, and support your members at every life event and beneficiary change.

Network Selection & In-Network Steerage

Minimize costs for members by helping them find providers and care inside the policy network.

Cost Transparency

Reassure members in the claim process with proactive notifications, rapid inquiry handling, and easy payments after enrollment.

Healthcare Journeys & Micro-engagements™

Open enrollment is a stressful process for your customers if they can’t find the information they need and act on it immediately. Automate the customer experience and your many Micro-Engagements™ across the enrollment lifecycle to make sure they complete their enrollment quickly and with confidence.

  • Renewal Reminders
  • Open Enrollment Announcement
  • Open Enrollment Alerts Opt-In
  • Benefits Education
  • Benefits Selection Decision Support
  • Data Intake for File-Based Enrollment
  • Cross-Sell & Up-Sell
  • Age in Notifications (age 26, Over 65, etc.)
  • Medicare Appointment Schedule
  • Digital Registration/Onboarding
  • Dependent Verification
  • Health Risk Assessments
  • Benefits Education (ongoing)
  • Programs Education, ex. Care management
  • Program Selections, ex. Care Management
  • Beneficiary Changes
  • Life Events - Add Dependent
  • Demographic Updates (ex. address change)
  • Digital ID Cards
  • Check HSA Balance
  • In-Network Steerage
  • Network Selection
  • Network Change
  • Telemedicine Access
  • Emergency Room Diversion
  • Post-Hospitalization Transition
  • Preventative Care Education
  • Rx Refill/Medication Adherence
  • Reminders
  • Prior Authorization
  • Appointment Reminders
  • Rx Refills & Renewals
  • Inquiries (Claims, Eligibility, etc.)
  • Status tracker
  • Proactive status notifications
  • Provide cost transparency
  • Data collection to enable straight through processing
  • Coordination of Benefits
  • Grievance Handling & Appeals
  • Make Payments

“Ushur is a true partner in our digital transformation. Their ability to rapidly prototype and automate customer journeys has provided Unum with a competitive edge, delighting our customers while allowing our employees to focus on higher-value work. As impressive as their technology is, the quality of the Ushur team may be what sets them apart. They truly care about our success.”

Mike Simonds

COO at Unum

“The results we got were phenomenal, and we hadn’t written a line of code. We’d never seen anyone who could do that. From our standpoint, Ushur were the only ones out there truly doing something different.”

Ken Lynch

Head of IS, Irish Life
Read the case study ‣

"We looked at several vendors to help us transform our customer experience and ultimately chose Ushur because of their Invisible App. To be able to serve our customers (especially seniors) on a seamless channel, without any need for downloads or having to deal with an app, is a game changer."

Ashley Restad

Program Director, Healthspire


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