Zingtree Tags: healthcare insurance decision trees

Health Insurance Decision Trees: How Blue Shield of California Uses Zingtree


Operating within a large call center for healthcare insurance is a complex process. Healthcare specialties aside, any type of insurance is complicated both in discussion and when put into practice – agents working in insurance call centers need to be well-trained for every conversation. For Blue Shield of California, these difficult healthcare insurance processes are a constant occurrence.

“We are a call center in the health insurance field that takes member and provider calls in regards to eligibility, benefits, and claims processing. We have so many written documents to guide our representatives through processes which can be quite long when written out in a step action method.”

Improving Call Center Processes with Interactive Decision Trees

For insurance call centers, documentation and standardization of processes can be a source of stress for employees. However, with the right techniques and tools in place, keeping up with written materials and standardizing support workflows and call scripts can lead to a profound improvement in customer experience, support, and overall productivity.

Agent scripts and decision trees for insurance are one solution that has simplified and streamlined the types of insurance processes that Blue Shield of CA (and many other healthcare and insurance organizations) handle every day. Traditional call scripts and knowledge bases of information are quickly being upgraded to interactive decision trees that are far more effective, easy to build, and simple to navigate.

Interactive decision trees and agent scripts for insurance make it easy to follow processes, select products or other options, and collect critical customer data. In Blue Shield’s case, they have “begun implementing Zingtree to bring the written process to a more interactive state” in order to truly optimize and improve the process of customers receiving the answers they need.

“Zingtree has allowed us to make these step action tables more interactive and simplifying the process. A representative now, because of Zingtree, can get to their answer in 3 steps instead of 10 steps because we are able to frame the questions to get to the exact situation first.”

Cutting back on the time spent during each interaction leaves customers more satisfied, provides them with answers more quickly, and ultimately saves organizations valuable time and money on communications. Leading businesses and call centers worldwide use interactive decision trees to streamline and simplify every detail – meaning more people helped, more money saved, and more consistently-positive experiences.

Want to learn more about interactive decision trees and agent scripts for insurance? Discover our in-depth catalog of blogs and articles, or contact our demo team to see how decision trees can help.