Vlocity Health Insurance Solutions
How Silverline creates digital experiences for leading health insurers
Silverline is a leading Vlocity partner with 10+ years experience delivering solutions for payers in healthcare. Silverline enables your transformation by leveraging industry-leading Vlocity solutions on the Salesforce platform. In contrast to many legacy insurance platforms, Vlocity was built natively on Salesforce and is designed to deliver digital, customer-centric experiences. Vlocity’s acquisition by Salesforce enables seamless integration with the market-leading CRM platform, marketing automation solution, and member engagement capabilities.
The health insurance industry is in a state of major transformation, as long-term consumer and business trends have converged. Because of this transformation, and resulting shifts in expectations, there is an unprecedented opportunity for payers to capitalize on growth opportunities through increased pricing flexibility, greater speed to market, and more responsive member service.
Helping payers meet member expectationsSilverline + Vlocity
Members today expect a more connected, personalized experience with their health insurance company. Payers imagine an environment where members can be viewed holistically as they pass through their healthcare journey.
Furthermore, as payers attract, acquire, administer and care for their members, a more intuitive, succinct approach is required. Silverline addresses payer needs by delivering industry-specific cloud and mobile capabilities that embed digital, omnichannel processes — enabling experiences that better serve members and customer service team members.
Attract new members, grow your network
Silverline leverages Vlocity to help your organization capitalize on distributed marketing across multiple channels to control product messaging and branding. Consistent marketing improves brand affinity, helping to attract prospective members and improve retention.
Increased distribution management allows your teams to drive market segmentation through license management and appointment certification for brokers. Once brokers are onboarded, an enhanced broker portal can encompass seamless solicitation of plan designs, rating, and census management, thereby increasing your team’s productivity. For larger groups, your team can take advantage of capabilities to generate group-specific proposals through Contract Lifecycle Management; and align for future contract generation if sold.
Acquire the right fit
Once an interest is known, the next step is to turn your prospects into members.
Conduct onboarding and renewals with ease.
Silverline will work with you to execute both individual and group enrollment through Vlocity’s powerful guided workflows that simplify onboarding.
Your team can perform analytics to drive renewals and view historical performance for pricing and other considerations, as well as cross/upsell based on utilization. SmartComms access allows you to drive policies and certifications through portal or mobile applications, while the underwriting workbench creates automated underwriting.Enable expert product alignment.
Your team can create and maintain product portfolios using Health Marketplace, and match the right member with the right product while also aligning group-specific product selection.
To foster this alignment, Vlocity offers Shop & Enroll features throughout key market segments, such as Individual, Medicare, Small, and Large Group. Increasing member conversion from group plans to individual is also streamlined to minimize abandonment and improve member lifecycles.
Administer with ease
Silverline leverages both Salesforce and Vlocity to promote a true 360-degree view surrounding the member’s care, their relationship with their provider, their employer, and the payer. Silverline leverages this view along with our own industry expertise to help you achieve:
Redefined customer service member experience
Salesforce acts as your one source of truth for a 360-degree view of every interaction with groups and members, resulting in increased member satisfaction and customer service associate efficiency.
Improve your user experience with guided flows and transactional updates to all payer operational systems (e.g., claims, membership, outside vendors, government entities, etc.).
Modernized provider relationship management
Vlocity is an all-encompassing platform for recruitment, credentialing, onboarding, contracting, and self-service provider portal.
Achieve operational improvements and drive group contract execution through seamless tracking, redlining, and template preparation. Increase billing accuracy for Large and Small Groups, Retirees, COBRA, and Individual Enrollees.
Insightful, data-driven decisions
Your technology stack needs to support you in all aspects related to groups, members, care management, utilization trends, and financials through Tableau CRM (formerly known as Einstein Analytics).
Gain insights using sales forecasting and Einstein’s next best action to guide your team to their most effective opportunities. Use claims data to monitor condition management and offer programs specifically designed to meet the needs of employers seeking population management.