Health Insurance Provider

Unifying Multi-line Insurance Operations with Salesforce-powered Portals and Enrollment Automation

A Connecticut-based health insurance provider specializing in Medicare Advantage, individual and family plans, Medicare supplements, and group sales partnered with Argano to dismantle siloed systems and manual processes. Amid competitive pressures in the healthcare landscape, the organization sought to centralize sales and service workflows, streamline broker and consumer enrollments, and create intuitive portals for all stakeholders—ensuring agile, scalable delivery of personalized insurance experiences.

1

The Challenge

The provider's disjointed technology stack created operational friction, limiting efficiency and responsiveness in a fast-evolving market. Primary obstacles encompassed:

  • Cumbersome spreadsheet and email management for group sales, prone to errors, delays, and inconsistent data handling
  • Outdated homegrown Medicare systems lacking the sophistication to support complex enrollments and regulatory demands
  • Fragmented coordination across multiple portals and backend systems, fostering silos that impeded cross-team collaboration
  • Inefficiencies in broker and consumer engagement, hindering seamless shopping and enrollment for diverse product lines
  • Scaling difficulties amid growth, with rigid processes unable to adapt to increasing volumes or market shifts

These constraints not only eroded operational agility but also risked competitive disadvantage, constraining the provider's ability to deliver timely, compliant insurance solutions.

2

The Solution

The provider partnered with Argano to architect a comprehensive Salesforce foundation, leveraging Sales Cloud and Service Cloud alongside the OmniStudio managed package to orchestrate unified workflows and stakeholder interactions. The implementation prioritized intuitive, integrated portals to drive enrollment efficiency while accommodating the nuances of health insurance products. Essential components included:

  • Deployment of Experience Cloud to construct four tailored portals—Consumer, Broker, Member, and Provider—for secure, self-service access and personalized engagement
  • Broker Portal enhancements with dedicated Shop & Enroll modules for Medicare Advantage, Individual & Family plans (on- and off-Exchange), and Medicare Supplements, standardizing processes for rapid, error-free enrollments
  • Integration of small business solutions within the Broker Portal to expand capabilities and support group sales automation
  • Streamlined backend orchestration via OmniStudio, enabling real-time data synchronization, compliance safeguards, and adaptive configurations across all channels

This holistic platform resolved immediate silos while building extensible infrastructure, with Argano offering collaborative expertise from blueprinting through launch and continual optimization.

3

The Results

The Salesforce unification propelled the provider toward operational excellence, empowering streamlined sales, enhanced stakeholder experiences, and robust growth readiness in the healthcare insurance arena. Significant advancements featured:

  • Eliminated manual bottlenecks in group sales and enrollments, boosting accuracy and accelerating time-to-market for new products
  • Seamless, personalized interactions across portals, elevating broker and consumer satisfaction while broadening market reach
  • Unified system landscape fostering cross-team visibility and agility, reducing silos and enabling proactive compliance management
  • Scalable enrollment frameworks adaptable to regulatory changes and volume surges, supporting sustained expansion
  • Stronger competitive edge through modernized processes, laying the groundwork for innovative service delivery and long-term success

Armed with this transformative ecosystem, the provider now navigates the complexities of health insurance with precision and partnership, delivering exceptional value to clients across Connecticut and beyond.