A Smarter Member Portal Built Around the Care Continuum

Challenges

Choosing the right health insurance plan deeply affects the quality and affordability of a member’s care, and helping members choose the right plans and make the right care decisions is a genuine competitive differentiator for healthcare payers. Our client, a leading player in the US insurance space, wanted to implement a “Smart Search” experience within its member portal, using AI to deliver a genuinely enhanced user experience rather than the generic search most members were used to. Getting there meant offering intuitive, context-aware search results that gave members quick access to relevant healthcare resources, along with round-the-clock, personalized support that didn’t rely entirely on live representatives. The client needed a way to optimize operations by automating routine tasks and reducing workload, while still using member interactions to inform smarter decision-making and more tailored services, ultimately boosting satisfaction and loyalty through support that felt personal and instant.

Solution

  • Smarter, Context-Aware Search Across the Member Journey

    Ascendion engineers partnered with the client to map the member’s journey and identify areas of improvement, transforming the member experience with a new self-service portal built around advanced, AI-driven search that delivers intuitive, contextually-aware results. That capability enhanced the overall user experience while enabling efficient self-service and reducing the need for support from live representatives.

  • Data-Driven Personalization at Every Touchpoint

    The solution used data-driven insights to optimize content for up-to-date, relevant healthcare resources, offering tailored support for each member’s unique needs and engaging them with relevant information to create a genuinely interactive and personalized experience. Member data was used to enhance services and provide tailored experiences, increasing cost-efficiency by automating tasks and reducing operational expenses, while enabling more informed decisions and better-tailored services based on real member insights.

Tech Stack:

AI-Driven Search Analytics & Machine Learning Member Data Platform

Business Impact

Delivered a 25% increase in customer satisfaction.

Achieved a 30% reduction in support demands by empowering members to self-serve effectively.

Delivered 15% better support through more informed decisions.

Enabled the system to analyze search behavior for ongoing content improvement, leading to a more informed and empowered member base.

Reduced wait times and enhanced operational efficiency.

Lowered support costs and optimized resource allocation.

Supported informed decisions and service optimization through a 10% improvement in data-driven insights.