AUTOMATED 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.

See it in Action

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.

Sales and Enrollment
Member Service
Provider Care
Claims

		        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 & age-out notifications
Appointment schedule

		        Digital registration/onboarding
Dependent verification
Health risk assessments
Benefits education (ongoing)

		        Programs education, ex. care management
Program elections, ex. care management
Beneficiary changes
Life events, ex. 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

Build intelligent automations for comprehensive automated business processes and see what you can achieve with Ushur

Age-In Notifications, Enrollment, and Opt-In

Manage the sales and enrollment portion of Open Enrollment at kickoff to make it easy for members to discover and select their new plan at age 26 or 65.

Health Risk Assessment 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.

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 at Irish Life

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 Manager at Healthspire