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Membership & Enrollment

ChallengeAdministrative costs for all Health In-surance providers are changing dra-matically in the new competitive land-scape for the ACA individual market vs. the traditional group markets. Ad-ministrative expenses average 19% of the premium in the individual market, 13% of the premium in the small group market, and 9% of premium in the large group market. Additionally, labor costs required to assist individuals continue to rise as 60% of Plans report eligibility and enrollment assistance required. On average this is one to two hours per in-dividual enrollment.

The costs are broken down into several factors:• Costs of FTEs manning enrollment

centers • High enrollment times and costly

Assister programs• Unpredictable flow of enrollment

applications

SolutionThe key to reducing operational costs is identifying and improving the efficien-cy of the processes and work activities to complete an enrollment.

WorkiQ provides the detailed opera-tional intelligence and workforce ana-lytics needed to improve productivity.

WorkiQ Workforce Analytics identifies the following in real-time:• Average units of work and average

time to complete specific process-es. This helps to identify poten-tial bottlenecks and productivity drains.

• Processes and work steps that can be eliminated or automated to im-prove throughput and accuracy.

• Categories of work and member-ship staff productivity. This en-ables membership managers to perform “in the moment coaching” and balanced work allocation.

BenefitsThe WorkiQ solution provides event-based intelligence to quickly lower the overall costs of operations.

Benefits include:• Compare “true” employee produc-

tivity by taking into account the mix and complexity of the work they handle

• View most frequently utilized ap-plications and websites in real-time

• Identify productive activities and time spent by associates in these activities

• Compare all associates on multi-ple types of productivity and work items

• Evaluate FTE utilization• Improve your employee engage-

ment and accountability• Automate desktop activities or

augment the user as they perform their job function

WorkiQ® makes it easy to understand and visualize employee performance. It enables the organization to go beyond simple statistics and self-reporting, cre-ating actionable insights that drive real improvements within your business.

AboutThe WorkiQ® solutions drive produc-tivity improvements throughout your workforce. WorkiQ® Workforce Analyt-ics provides visibility across the organi-zation of what, how much, and how ef-

fective employees complete their work. Only WorkiQ® provides the visibility to know exactly what work is being done, how it is actually being done, and the quantitative measures required to im-prove workforce productivity.

Solution Brief - Health Plans

(972) 888-0407

www.workiq.com

@MyWorkiQ