health insurance | Customer Service Solutions, Inc.

Is Their Poor Planning Your Emergency? - 12/17/24


Have you ever heard the saying:  Your poor planning is not my emergency. I’ve heard it said often – not necessarily directly from one person to another.  More typical is that I hear it from the person having to drop everything and do something immediately because someone else didn’t think Read more

Empathy Examples for Everyday Situations - 12/10/24


I’ve often said that empathy is the single most important characteristic of people who are great at customer service.  If empathy is essentially “to understand the other person,” it helps so much to have that ability in order to specifically help someone.  To talk to what’s unique about them.  Read more

Tell Them Why You’re Giving Thanks - 12/3/24


Thank you! Merci! Danke! Doumo! Gracias! It seems like every language has a translation of Thank You.  Even though I only fluently speak English and speak Spanish, un poco, I – and probably most of you – have heard some or all of the translations of "Thank You” noted above.  Read more

Refine Your Decision-making Process - 11/26/24


Every day, you make decisions of what to do and what not to do.  And in the world of customer service, often the affected parties are our customers, our co-workers, and our company.  Here are a few quotes to consider when you’re thinking about evaluating and refining your decision-making Read more

Acting on the Guiding Principles for Great Customer Service - 11/19/24


In last week’s tip, we shared 5 Guiding Principles for Great Customer Service.  This week, let’s address what “taking action” looks like on those key principles.  If last week was about what to do and WHY, this week is about the HOW. Engage with Interest: To engage with interest, proactively Read more

Guiding Principles for Great Customer Service - 11/12/24


It’s hard to know every procedure, every policy, every technique possible to handle every situation correctly.  After all, maybe our procedures are standard, but our customers are not.  Maybe our policies stay pretty consistent, but our customers’ needs and issues, their attitudes and actions can change from customer to Read more

From a Simple Question to an Exceptional Experience - 11/5/24


Phyllis loves her job.  It’s not just because she loves being a customer service representative, not just because she really likes her co-workers, and not just because she enjoys her company.  It’s because she really appreciates her customers, as well. A customer had ordered a register book off the company Read more

Fix One Problem without Creating Another - 10/29/24


If you’ve ever had an issue with your dishwasher, this will sound familiar.  I’ve dealt with so many dishwashers over the years, and they always seem to have some kind of an issue.  Maybe it’s because of the mix of water and technology, but for whatever reason, these never Read more

Delight Your Customers - 10/22/24


Buddy the Bug Man was different.  His company was new, and the only reason why Janet tried him out was that the service she had used for years just wasn’t working.  Whether it was mosquitoes in the yard, ants in the kitchen, or cockroaches flying through on their way Read more

A More Complete Definition of Responsiveness - 10/15/24


I was purchasing something recently that was being custom-developed.  At one point, the company’s employee and I had a good 20 e-mails going back and forth - 10 from each of us.  Unfortunately, I broke my own rule, and I did not pick up the phone after 2 or Read more

Federally-Driven Health Insurance and the Future of Customer Care

Posted on in Business Advice, Healthcare Please leave a comment

Who would want the Federal Government telling them what to do? Well…for a price…a lot of businesses. Many observers wonder why the insurance industry is behind the Federal Government mandating insurance coverage for all. The quick answer is this – if your product was mandated, how much would you fight Government involvement? If you’re Dunkin’ Donuts, and every individual in the country is required to eat a glazed donut every day, would you object? If you were Schwinn, and every person in America had to buy a new bike every year, would you object?

Yes, with that requirement will come a lot of oversight, but the insurance companies are looking in the short-term more at the increase in demand, not the increase in oversight.

And why are we discussing this? Because the structure of the legislation should result in at least one good thing for citizens – improved customer service from insurance companies. According to an article in Forbes magazine titled Why Customer Service Matters in the New Healthcare Insurance Landscape, insurers will “have to deal with challenges such as competition, price and margin pressure, and consumer education. In this environment, cost-effective, yet, reliable direct-to-consumer customer service before, during and after the initial “sale” will be a critical competence for success.”

The tips provided for the insurers in the article include the following:

1. Hire/retain great staff.

2. Make it easy for the customer to do business with you.

3. Go to the customer to serve them.

I made these tips a little more generic to illustrate the broader point of the article. No matter what kind of business you’re in, great customer service involves three core pieces: Your people, your processes, and your customers. Take all the strategies in the world on customer service, and boil it down to these three. Consider the following questions:

1. What are the characteristics of your best employees? Identify them, build those skills, and look to acquire others that have these best practice qualities.

2. How can you make things quick, self-evident, and simple on the customer do business with you? How can you make it equally as easy for your employees to deliver great service?

3. Determine where your customers make decisions, where they use your services, where they get information about your company and your competitors. What can you do to be more present with your customers?

If your business (or the health insurers themselves) answer these questions and take action, maybe the future of customer care may be a little brighter.

Listen to our latest podcast episode of “Stepping Up Service” on The MESH Network at http://themesh.tv/stepping-up-service/

Check out our Healthcare Customer Service Consulting Services: http://cssamerica.com/csshealth.htm


Why the President Wanted to Mystery Shop

Posted on in Business Advice, Government, Healthcare Please leave a comment

You may have read the articles that came out recently that addressed the Federal Government’s plans to call different physician practices as a prospective patient. These callers would not have asked questions for the true purpose of learning the answer or becoming a patient. These are mystery shoppers. These are individuals who call to see how certain questions are answered and how certain policies are applied.

Essentially what the Federal Government wanted to do was to determine if some physician practices are turning away patients or delaying their access to care/appointments if they do not have a preferred form of health insurance. It wanted to use these mystery shoppers to identify people who are not doing essentially what they’re supposed to be doing.

It’s interesting that many companies use mystery shopping in this “gotcha” manner. This is why so many employees are negative toward mystery shopping. They feel like it is something being done to catch employees doing wrong. Staff feel like the only reason why they’re being shopped is so they can be caught and dealt with in some kind of a punitive manner.

But mystery shopping done effectively tries to gauge consistency of service, responses, and processes across the organization, from person-to-person and facility-to-facility. Mystery shopping done right tries to identify what internal best practices exist so that they can be leveraged across the organization. Mystery shopping done right identifies organizations do great, and what organizations need to improve upon. And mystery shopping done right also includes sometimes contacting your company’s competitors to see where you have a competitive edge and where you’re falling short through the customer’s eyes.

So while we understand the Federal Government trying to identify who is doing things in the most appropriate way, we encourage you to have a broader perspective in the use of mystery shopping. Use mystery shopping to reward, recognize, find internal best practices, find areas which are opportunities for improvement, and find ways to beat your competitors.

Mystery shop to improve performance.

Read our New Book – “Ask Yourself…Am I GREAT at Customer Service?” http://www.amigreatat.com/

Interested in improving your company’s customer service? See more at our new website! http://www.cssamerica.com/