Major US healthcare benefits firm

The client in this case is a major healthcare benefits management firm based in the USA.

Profile

  • Industry: Insurance – health
  • Turnover: $854 million
  • Business: Leading health insurer with more than 52 million members nationwide
  • Challenge: Achieving PCI DSS compliant telephone payments
  • Solution: CardEasy Secure Voice Appliance with transition plan to CardEasy Secure Voice Cloud

Benefit

  • Contact centre fully descoped from PCI DSS
  • Agents and callers remain connected
  • Works seamlessly with all current and future contact center systems

Background

This insurer administers benefits for more than 52 million members nationwide and offers member self-pay fitness programs for more than 460 million eligible members. With offices in Carmel, IN, San Diego, CA, and Fort Worth, TX, with over 1,500 employees.

The challenge

The organization operates contact centers with more than 600 agents, all of whom handle payment-related calls. It was important to them to provide a secure and positive experience for their customers and members with every interaction, while driving up efficiency and reducing audit costs and risks associated with their contact center payments.

Solution

We delivered our patented CardEasy Agent Assist solution which allows the organization’s contact center agents to take card payments from their members over the phone in a PCI DSS compliant and secure manner.

At the point in the conversation where payment card details are required, using CardEasy, the agent can either capture the member’s payment card details via touchtones or advanced speech recognition. In the case of touchtones the member is simply entering their card numbers using their telephone keypad. In the case of advanced speech recognition the member is simply reading their card numbers aloud. In both cases the payment card data is captured securely by CardEasy and is not seen or heard by the agent or included in either call or screen recordings. CardEasy provides the agent with a real time display of the member’s progress and the payment card data is submitted directly to the payment services provider without entering the contact center systems.

In order to simplify PCI DSS audit requirements, we met with the organization’s Qualified Security Assessor (QSA) prior to contract execution to ensure that they were comfortable with the level to which their contact center would be descoped from PCI DSS. Other vendors were quoting installation times of six to nine months whereas CardEasy was able to offer a hosted solution to be up and running in all the organizationโ€™s contact centers within four weeks.

  • During the implementation process the organization identified a number of use cases that it had overlooked. The flexibility of the CardEasy solution meant that these could be accommodated as part of the deployment process.

Value

The organization wanted to retain contact between the agents and the members during the secure payment process which the CardEasy solution has delivered for them. There is no requirement for the agent to transfer the call or put the member on hold which provides a seamless experience and reduces average handling time. This is one of the key reasons why the organization selected CardEasy over other vendors.

As a result of deploying the solution the organization’s contact centers have been fully descoped from PCI DSS and the risk and cost associated with these payments has been significantly reduced.

What the client says

The biggest benefit has been that itโ€™s working and thatโ€™s what you want, right? We donโ€™t want to hear anything from our contact centers. If we donโ€™t hear anything then that means itโ€™s working as expected, they donโ€™t have any complaints. I always check in and they say, โ€œNo problems, itโ€™s working like itโ€™s supposed to.โ€ Thatโ€™s whatโ€™s important.

Chief Information Security Officer

Looking forward

The organization was aware of a planned migration from its on-premise contact center platform to a new platform fully cloud hosted. CardEasy is able to support them with this transition through the migration from our Secure Voice Appliance to our Secure Voice Cloud, and the solution can easily be adapted as necessary.

  • "The price was important, and the fact that it was a hosted solution, and the ease of implementation, but it was also really important to find a company that was good to work with. I just found that you guys were just so amazing from sales to tech support; just great to work with. It was probably one of the best implementations that Iโ€™ve seen in my career."