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Benefits Configuration

A large managed care organization turned to Jacobson for support during a major reorganization and consolidation effort. Jacobson helped them develop a work plan, design an efficient process for configuring plans, and assemble and train a team of plan-building consultants to manually configure and test the system.


Customer Service

This Blue Cross Blue Shield client was experiencing a high volume of inbound calls from both members and providers. In order to preserve the client’s reputation for excellent customer service, Jacobson responded within four days with a team of 19 customer service representatives and a seasoned project manager.


Enrollment Reconciliation

This leading health plan was experiencing enrollment discrepancies between its in-house database and CMS system. Jacobson quickly delivered a dedicated team that tackled the discrepancies, decreasing them from 22 percent to less than 3 percent.


Systems Conversion

The staff of a third-party administrator was experiencing a steep learning curve and struggling to maintain productivity as they converted from a legacy system to Trizetto’s Facets. Jacobson provided a team that cleaned up the resulting backlog, cleaned up data files and trained client staff on the new system.


Financial Recovery

A major Blue Cross Blue Shield plan’s inventory for unallocated cash was at an extremely unsatisfactory level. Jacobson sent a team of contractors to help with the backlog; within a year, the inventory had dropped significantly.


Healthcare Reform Facets Trainer

As healthcare reform deadlines were approaching, a health plan desperately needed additional trainers. Jacobson worked quickly to identify a trainer with extensive healthcare reform knowledge and Facets technology expertise.


MAC Claims Backlog

In response to a significant backlog in written correspondence, this Medicare administrative contractor contacted Jacobson. After one week of condensed training, Jacobson’s staff of experienced customer service representatives handled more than 21,000 calls over the course of four months.


Asbestos Reserving

This company acquired an asbestos book of business that was in run-off and found it challenging to find a permanent actuary with asbestos reserving experience. Jacobson supplied a senior-level actuary with asbestos reserving expertise on an as-needed basis for several years.


Asset Liability Management Actuary

This organization needed assistance improving its asset liability management (ALM). Jacobson quickly provided an actuary with significant ALM, market risk and governance expertise to help the company create a better framework.


Admin Expense and Allocations Analyst

A Midwestern health plan was in need of an expert who could help them better understand and overhaul overhead costs by business line. Jacobson quickly supplied an experienced consultant who delivered exceptional results.


Actuarial Pricing Consultant

When a single-state homeowners insurer began to see rapid expansion of their products, they realized their team of actuaries was struggling to keep up with demand. Jacobson placed an expert with decades of ratemaking, pricing and filing experience to help this insurer get up to speed in less than 10 weeks.


Customer Service

A Southwestern health plan was experiencing difficulty handling their call volume, resulting in long hold times and high abandon rates. Jacobson quickly provided a team of customer service representatives to address the client’s call volume.