Healthcare Payer Solutions

Treat your members’ health with compassion and compliance.
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To your (payers’) health.

As healthcare reform continues to reshape the industry, we’ve kept supporting healthcare payers as they try to lower costs and deliver exceptional member service. Our flexible healthcare payer and analytics solutions can ramp up as demand increases, while data and analytics help us identify and eliminate pain points. Thanks to our HIPAA and PCI-compliant solutions and customer-centric focus, you can rely on Alorica to keep you and your members in great hands.

Healthcare experience and insights.

  • Alorica oversees thousands of licensed and non-licensed healthcare professionals
  • We provide healthcare payer solutions from 40 sites in five countries
  • 16 years as healthcare experts, with a track record of producing results
  • Full-time, dedicated healthcare compliance team



Burstable staffing for seasonal enrollment needs, across 100 locations and including Work-at-Home solutions


Industry leader in preventing, detecting and correcting healthcare compliance issues


Data-driven insights match member preferences with products and services they are most likely to purchase

Results you can measure.

  • 3 times the flexibility of burstable staffing for seasonal needs, across one of the largest and most mature healthcare footprints in the industry
  • 20 – 25% increase in enrollment sales, thanks to predictive healthcare analytics solutions
  • Compliant with requirements such as CMS, URAC, HIPAA-HITECH, PCI, ISO 27000 and NIST 800



Putting the customer at the center of it all.

  • Proven recruiting practices for licensed and non-licensed healthcare professionals, along with a dedicated team that processes non-resident licenses in all 50 states
  • Alorica Boost, our proprietary revenue generation process that optimizes sales conversions, helps to onboard the ideal healthcare advocates for consultative sales
  • Create a strong compliance framework for your program through best-practice training initiatives, backed by leading knowledge management applications and processes
  • Center of Analytical Excellence (CAE) uses data-driven healthcare analytics and reporting to optimize existing processes, and to help develop new solutions



Healing Healthcare

A leading health insurance company sought a partner that could provide world-class customer care and business process outsourcing services, proven inbound and outbound contact center services and the ability to hit key target metrics using healthcare analytics solutions.

View Case Study
increase in conversion rates
increase in overall customer enrollment
of non-qualified leads eliminated

Exceptional quality and increased conversions.

One of the nation’s largest health insurance companies needed a comprehensive Medicare enrollment solution to improve the hiring and training of seasonal and steady-state agents. Together, we developed a licensing onboard strategy, refined sales training, and implemented a workflow between IVR automation, pre-qualification and sales.


Higher weekly sales than any other provider


Greater call volume from one week to the next successfully handled with Alorica flex staffing


More cross-sell revenue than other providers

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Your business has unique customer management needs. See the difference a personalized solution can mean to your customer retention, satisfaction, and bottom line.