Overview

Zipari CX 360 is a consumer-experience (CX) module built specifically for health-insurance payers and TPAs. It aggregates data across systems to present a unified, real-time 360° profile for members, brokers, employers and providers, enabling personalized engagement, faster service, and better operational visibility. The product is designed to integrate with existing payer systems and includes prebuilt, insurance-specific workflows to accelerate agent onboarding and case resolution.

Features and Capabilities

• 360° Consumer Profiles: Provides consolidated member, broker, employer, and provider profiles with policy details, benefits utilization, claims context, clinical signals, and communication history.
• Agent Workspace & Omnichannel Support: Unified agent interface that surfaces the full consumer context across channels (portal, phone, chat, email) to improve first-call resolution.
• Prebuilt Insurance Workflows: Ready-to-use, payer-specific workflows (authorizations, referrals, renewals, broker commissions) to speed implementation and reduce customization effort.
• CX Engine & Next-Best-Action: Decision engine that prioritizes actions and recommends personalized next steps based on consumer behavior and goals.
• Data Aggregation & Connectors: Integrates with core systems via APIs and prebuilt connectors to pull claims, enrollment, provider data, and other sources into a single view.
• Analytics & Insights: Real-time visibility into interactions, trends, utilization, and campaign performance to inform outreach and measure ROI.
• Segmented CX Views: Specialized CX tabs/views for Members, Brokers, Employers, and Providers with role-specific fields and metrics.
• Compliance & Security: Built for the health-insurance vertical with attention to security, privacy, and regulatory requirements.
• Rapid Deployment: Configurable product design and microservices architecture aimed at faster time-to-value for payers of different sizes.
• Campaign / Engagement Hub Integration: Works with Zipari’s engagement tooling to prioritize outreach, track goals, and automate omni-channel campaigns.