Case Studies

OutsourceRCM: Comprehensive Back Office Support Solutions for a California - Based Health Insurance Company


  • Founded in 2007, the client is a renowned health insurance company in California, distinguished for its notable online presence.
  • The client sought an extensive, long-term, scalable solution to manage rapid business growth, align resources with expanding customer demands, and enhance service efficiency while ensuring cost-effectiveness and quality.
  • OutsourceRCM provided a comprehensive solution comprising workflow optimization, multi-tier quality control, dedicated back-office support, task categorization, and project management, resulting in significant cost reduction and improved productivity.

The Story of our Customer

  • Based out of California, our renowned health insurance client specializes in delivering tailored, need-based coverage to its workforce in the United States.
  • As their enterprise rapidly expanded, grappling with the complexities of managing an expanding customer base emerged as a central challenge. A strategic realignment of resources and time allocation became imperative to harmonize with this growth trajectory to meet escalating customer needs.
  • The client sought our collaborative expertise to pursue heightened operational efficiency without compromising quality or cost-effectiveness. Our resulting partnership yielded a comprehensive, enduring, and scalable solution.

The challenge faced by our Customer

Numerous challenges required thorough attention and resolution, encompassing:

  • Enhancing work processes for optimal efficiency.
  • Forming a specialized implementation team.
  • Task prioritization and management.
  • Strengthening quality control.
  • Effective cost and timeline management.

The Solution

Our solution was meticulously devised to fulfill all client requirements by proactively addressing challenges through these strategies:

  • Streamlining with a detailed workflow map.
  • Establishing a seasoned, multi-tier quality control team.
  • Dedicated back-office support for process enhancement.
  • Task categorization and specialized team assignment.
  • Single-point project manager for timely execution.
  • Introducing advanced processes, resulting in 40% cost savings.
  • Boosting productivity by 50%.
  • Ensuring on-time task completion.

The Result

The outcome of our solution resulted in significant benefits, encompassing:

  • Achieved operational cost savings of up to 40%.
  • Attained a remarkable 50% increase in productivity.
  • Implemented advanced operational processes to optimize performance.
  • Ensured timely completion of the majority of tasks.

Our adept execution of the devised strategies effectively addressed our client's challenges, delivering exceptional efficiency and realizing the above mentioned advantages.

Leverage OutsourceRCM to Serve the Customers Better

OutsourceRCM's is a premier business process outsourcing firm boasting skilled professionals within five global delivery centers worldwide. Our comprehensive array of services spans inbound support to outbound call center solutions, providing a holistic resource encompassing human expertise, process insight, advanced technology, infrastructure support, and rigorous quality assurance measures – all geared toward amplifying the scalability of your business operations.