[Case study](/case-studies)24 January 20242 mins

# Skan Helps F50 Healthcare Payer discover insights to help improve First Call Resolution (FCR) rate​

Discover how Skan AI accelerated business process transformation for a Fortune 50 healthcare payer — improving customer service operations through real-time process intelligence.

Cost Savings

$13.6M

$13.6M

Workforce Optimization

$6.4M

$6.4M

Industry

[Healthcare](/case-studies/industries/healthcare)

Company Size

400,000+

Revenue

$6B+

Location

United States

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This Fortune 50 company leverages technology to provide health insurance for over 150+ million people across the U.S. For their customers, they merge the power of data with a full range of benefits to improve the healthcare experience from top to bottom.

## Objective

To deliver best-in-class administrative services at an optimized price point, the client wanted to transform their operating model with [Process Intelligence](https://www.skan.ai/process-intelligence) and a new automation initiative. To start, the client selected a department for initial optimization. The call volume was heavy, with 3m+ calls annually. The workload dipped [First Call Resolution](https://www.skan.ai/use-cases/contact-center-optimization) (FCR) to 72%, the result of in-sourcing key customer service functions.

Aiming to improve FCR to 80%+, the client realized they needed to move beyond existing manual observation tools. Through their journey to improve FCR, the client also wanted to reduce call Average Handle Time (AHT), optimize workforce capacity, and establish an auditable model for compliance.

## Solution

With their innovative Process Intelligence platform, Skan AI created end-to-end process maps and provided insights on workforce capacity utilization, productivity, and automation opportunities. Skan's solution provided the client with insights into variant analysis and discovered patterns for rework loops.

By identifying and training the workforce, Skan AI helped the client improve its overall efficiency and streamline its processes. Armed with insights from Skan AI's Process Intelligence, the company was able to gain valuable insights into its operations and make data-driven decisions to drive growth and profitability.

## Outcome

After Skan AI's process transformation work revealed the frontline inefficiencies suppressing agent output, this F50 healthcare payer achieved measurable gains in customer service performance and operational cost reduction. The changes netted the client $13.6m in annual savings with improvement in workforce capacity utilization & process optimization.

A 40% reduction in process variability, achieved by identifying and implementing select Standard Operating Procedures, led to $4m in annual savings. The partnership also yielded:

-   40% reduction in customer account update cycle time through automation, based on an analysis of how the business was using customer account screens
-   Improved FCR to 77% with a clear path defined for reaching the client's 80% target mark
-   Reduced AHT by 12% across all case types  
    ​

Industry

[Healthcare](/case-studies/industries/healthcare)

Company Size

400,000+

Revenue

$6B+

Location

United States

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