bcbsf-case study final

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BlueDirect BlueCross Blue Shield of Florida Making Best Practices Benchmarking a Transformational Tool The Challenge "So…where do I go from here?" Jackie Coffey asked herself. She had just been named Director of the BlueDirect call center, a relatively new and inexperienced inbound sales team for Blue Cross Blue Shield of Florida (BCBSF). Deciding what to do was a major challenge not only for Jackie, but for all of BCBSF, because the company’s market was changing rapidly. Layoffs and benefit reductions at so many companies in Florida had left increasing numbers of people without even basic health insurance coverage. This represented a major opportunity, but the competition was rapidly proliferating as well. While BCBSF held a privileged market position in terms of branding and consumer acceptance, other insurers were pro-actively targeting the expanding market for health insurance among newly self-employed people, as well as the separate but also growing market of senior citizens seeking supplements to their government-funded health benefits. Management felt that BlueDirect needed more than a few tweaks. They wanted to give it a major overhaul and provide a true framework for success going forward. Management Education for Best Practices The Management team decided that a little education could go a long way in helping pinpoint ways for BlueDirect to succeed. With the support of senior leadership, including Vice President Chuck Sartiani, Jackie enrolled in a four-day call center leadership course. The course covered call center management issues ranging from people to processes to technology, with an emphasis on basic blocking and tackling and practical applications. The classes were interactive and filled with "take aways" that were written on the board whenever a point was made that resonated strongly with the attendees. At the end of each day the instructor noted that everyone should have at least one or two "take aways" that could make a real difference for their center. However, Jackie had not signed up to get just one or two of anything! She wanted to pull together as many best practices as possible in order to systematically and methodically put together a comprehensive plan, then measure progress during execution of the plan .

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Page 1: bcbsf-Case Study Final

BlueDirectBlueCrossBlueShieldofFlorida

MakingBestPracticesBenchmarkingaTransformationalTool The Challenge"So…wheredoIgofromhere?"JackieCoffeyaskedherself.ShehadjustbeennamedDirectoroftheBlueDirectcallcenter,arelativelynewandinexperiencedinboundsalesteamforBlueCrossBlueShieldofFlorida(BCBSF).DecidingwhattodowasamajorchallengenotonlyforJackie,butforallofBCBSF,becausethecompany’smarketwaschangingrapidly.LayoffsandbenefitreductionsatsomanycompaniesinFloridahadleftincreasingnumbersofpeoplewithoutevenbasichealthinsurancecoverage.Thisrepresentedamajoropportunity,butthecompetitionwasrapidlyproliferatingaswell.WhileBCBSFheldaprivilegedmarketpositionintermsofbrandingandconsumeracceptance,otherinsurerswerepro-activelytargetingtheexpandingmarketforhealthinsuranceamongnewlyself-employedpeople,aswellastheseparatebutalsogrowingmarketofseniorcitizensseekingsupplementstotheirgovernment-fundedhealthbenefits.ManagementfeltthatBlueDirectneededmorethanafewtweaks.Theywantedtogiveitamajoroverhaulandprovideatrueframeworkforsuccessgoingforward.Management Education for Best PracticesTheManagementteamdecidedthatalittleeducationcouldgoalongwayinhelpingpinpointwaysforBlueDirecttosucceed.Withthesupportofseniorleadership,includingVicePresidentChuckSartiani,Jackieenrolledinafour-daycallcenterleadershipcourse.Thecoursecoveredcallcentermanagementissuesrangingfrompeopletoprocessestotechnology,withanemphasisonbasicblockingandtacklingandpracticalapplications.Theclasseswereinteractiveandfilledwith"takeaways"thatwerewrittenontheboardwheneverapointwasmadethatresonatedstronglywiththeattendees.Attheendofeachdaytheinstructornotedthateveryoneshouldhaveatleastoneortwo"takeaways"thatcouldmakearealdifferencefortheircenter.However,Jackiehadnotsigneduptogetjustoneortwoofanything!Shewantedtopulltogetherasmanybestpracticesaspossibleinordertosystematicallyandmethodicallyputtogetheracomprehensiveplan,thenmeasureprogressduringexecutionoftheplan.

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Expert AssessmentShortlyafterfinishingthecourse,theBlueDirectteaminvitedtheinstructortodoanassessmentoftheBCBSFcenter,startingwithacompletebaselinebenchmarkofwherethingsstoodatthattime.Keyoperationalmetricsfromtheirmanagementreportsandconscientiouslycompletedthebenchmarksurveyquestionnaires.Theyalsoworkedwiththeinstructortocompletesurveystocollectcallersatisfactionandagentsatisfactiondata.UponenteringtheBCBSFLcallcenter,theinstructorwasstruckbytheMissionStatementhangingprominentlyonthewall:"Tobecomea‘HealthSolutions’organizationandperceivedas‘trustedadvisers’”.Theyhadtakentheinstructor’sclassroommessageregardingtheimportanceofMissionStatements,andhadpromptlycraftedastatementaroundwhichallcolleaguescouldrally.Theteamwasdeterminedtobenchmarkallmanagementdecisionsagainstthisstatementofprinciples.Asonemanagerstated:"HavingthatMissionStatementonthewallservesasaconstantremindertoallofus,individually,andasateamofagents,supervisorsandmanagers.Ithasreallyhelpedmefocusmyowneffortsaswell."What did the benchmark metrics and analyses tell the team?Theinstructor'sorganizationhadcreatedthreeimportantdocumentsforJackieandBCBSF:abenchmarkingreport(whichshowedBCBSF’sperformancemetricssidebysidewiththeaverageforitsindustry),acallersatisfactionreport,andanagentsatisfactionreport.Fromthesedocuments,somenotablestrengthswereevident,butalsosomeworrisomeweaknesses,whichdemandedaction.Onthepositivesideweresuperiorresultsinfirstcallresolution,lowchurnrate(indicatinggoodcustomerloyalty),salesrevenueperagent,agentoccupancy,andutilization.Ontheotherside,thecenterperformed“inthered”(belowindustryaverages)inagentsatisfaction,transfers,averagespeedofanswer,timeinqueue,holdtimes,andabandonrate."Embrace the Red!"BlueDirect’sVicePresident,ChuckSartiani,setanimportanttonewithregardstotheseresults.Insteadofbeingupsetwiththefindingsthatwerebelowindustryaverages,hedeclaredthatitwashispolicy"toembracethered."Bythathemeantthattheteamshouldnotshyawayfromaddressingthenumbersthatbenchmarkedbelowindustryaverages(theseweredisplayedinredonalltrackingcharts).Rather,theteamshouldwelcomefullexplorationandanalysisofproblematicmetrics,talkaboutthemopenly,andfindsolutionsforthemasateam.Asampleofthe"explorations"arerecordedhereforillustrativepurposes,thoughtherewereseveralotherswhichmadeanimportantdifferenceforthecenteraswell.

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Average Speed of Answer, Queue Time, Transfer Rate and Abandon Rate

Thesemetricspointedtoseveralpotentialprocessandtechnologyissueswhichtheinstructor’sorganizationandmanagementteamdugintoinamethodicalfashion.Problemswerefoundwiththecallroutingprocess.Chiefamongthesewasthefactthatinitialmis-routingfromtheIVRcontributedheavilytoatransferratethatwasthreetimestheindustryaverage.Thisinitialmis-routingwasalsoclearlyasourceofdownstream"backup"inthesystem,whichexacerbatedexistingissueswiththeSpeedofAnswer,QueueTime,andAbandonRate.Itwasnotcleariftherewereimportantdemographicissueswiththeirsystemaswell.Inadditiontotheclearagedistinctionbetweenself-employedcallersandcallersover65,theteamwonderedifotherfactors,suchasgender,incomeandeducation,mighthaveanimpactonhowusersperceivedtheirphonesystem.Managementreactedbycommissioninganin-depthanalysisoftheIVR(inbothEnglishandSpanish),delvingintoalloftheflowsandbusinessprocessessurroundingcallidentificationandrouting.Asaresultofthisproject,theyfoundthefollowing:

• Contrarytoexpectations,demographicindicators(age,gender,income,education)wereweaktonon-existent.

• Satisfactionvariationsamongthethreemajorcalltypes(sales,statusandservice)weresignificant

• ThereexistedimportantopportunitiestoclarifyIVRpromptsforimprovedunderstandingandflow

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• Telephonytoolswerethegreatestdissatisfactionsources.Elevenpercentofcallerscommentedonserviceortechnologyproblems

• DissatisfactionwasalsoexpressedwithhavingtogiveaSocialSecuritynumberforidentificationpurposes,sometimesmorethanonce

• Therewasasignificantnumberofrequestsforspecificself-serviceapplicationstoroutecallstoagentsasquicklyaspossible.

ThisstudyprovidedthedataandanalysisnecessarytomakesubstantialchangesintheIVRprompts,routingandtools.Theresultsincludedthefollowing:

• ThecallflowthroughtheIVRwasflattenedfrom5to4levels,andrepetitiverequestsforidentifyinginformationwereremoved.

• Self-serviceapplicationsweredeveloped.Thesechangesaredeliveringhigherlevelsofcallersatisfactionand,bydirectingthecampaigncallstotheappropriateagent,BlueDirectisrealizinga$240,000costsavingsannually.Whenthecenterwasbenchmarkedayearlater,thefollowingpositivechangeshadoccurred:thetransferratehadbeencutinhalf,theaveragespeedofanswerwasdown70%,queuetimehadfallen68seconds,andabandonsweredownover28%.Notonlyhadthishighlysuccessfulmetrics-inspiredfocusimprovedthequalityofserviceforcustomers,butitmadeagentshappieraswell.Theynolongerwastetimeroutingcallstothecorrectdestinationanddonothavetodealasmuchwithirritatedcallers.Thisallowsthemtoconcentrateonprospects,improvingtheirsalesrate,and,mostimportantly,earnmorecommissions.Italsosavedinagenttimeandtelecommunicationscosts.Agent SatisfactionAgentsatisfactioncorrelateswellwithincreasedsalesandimprovedcallersatisfaction.Happyagentsmakeforhappycallers,andhappycallerstendtobecomepayingmemberswithrecordsofloyalty.However,theoriginalagentsatisfactionsurveyshowedthatagentsatisfactionintheBCBSFcenterwasataverylowlevel,scoring75%lowerthantheindustryaveragein“topbox”agentsatisfaction.Abenchmarkedagentsatisfactionmetricatthislevelwasaveryserioussourceofconcern.Rarely,however,isonefactor

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aloneresponsibleforsuchresults;abroadapproachmustbeusedtotracerootcauseinfluencersbacktovariousbrokenprocessesinthecallcenter.Usingtheagentfeedbacksurvey,aswellasagentfocusgroups,theinstructoruncoveredanumberofsourcesofdissatisfactionforagents,including:

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Training - Traininghadbeenveryspottyinthepast,especiallyamongmoresenioragents.Senioragentsfeltstronglythattheyhadnotreceivedoptimalsalestrainingandthatthis,inturn,causedthemtoregisterweakersalesperformanceandlowercommissionratesthanemployeeswhohadbeenmorerecentlyhiredandwhohadreceivedbettertraining.

Advancedsalestrainingwasquicklymadeavailabletoseasonedagentswhowishedtotakeit.Thetraining,whichfocusedoncallcontrolandsalesresults,producedimmediateandmeasurableimprovementsinproductivity--which,inturn,boostedagentmorale.BlueDirectalsointroducedanimproved,moreefficientnew-hirecurriculum.Asaresult,newhiretrainingtimewasreducedfrom12weeksto6weeks--and81%ofthenewagentshitsalesplanwithin90days.Understandingthateducationneededtoinvolveeveryoneandbeongoinginnature,BlueDirectlaunchedorganizedtraining“blitzes”involvingallmanagers,supervisors,andtrainersonthefloorsimultaneously,focusingonspecificsalesskillstokeeptheagentsengaged.

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Trust-Inparallel,themanagementteamtooknoteofthefactthattheAgentSatisfactionReporthadindicatedtherewasanissueofconfidencethatneededtobeaddressed.AnopendoorpolicywasimplementedandtheManagementteammadeaconcertedefforttoactivelyinteractwithalloftheemployeesinastraight-forward

mannerateveryopportunity,formalandinformal.Ayearlater,focusgroupswiththeagentsindicatedthatSeniorLeadersrecognizedallofthem,calledthembyname,andhadearnedtheirconfidence.Theagentsknewthattheentireleadershipteamwasnotonlylistening,but,moreimportantly,theyweresolicitingandincorporatinginputfromtheagentsaswell.Theydidthisboththroughone-on-oneinteractionsandthroughanagentcommitteewhichwasformedtoprovidetimelyinputtomanagement.Overall,thiscategoryofagentfeedbackimprovedby349%fromtheinitialreport

Coaching and Communication Anotherareaofweaknesswascommunication.One-on-onesessionsbetweenagentandsupervisorswereinconsistentatbest.Theyweredelayedorcanceledregularly.Asaresultofmanagementinitiatives,behaviorchanged,butmoreimportantly,theattitudeaboutthesemeetingschanged.Supervisorsweregivenaddedtrainingbyanoutsideexpertonhowtobeaneffectivecoachandmentorforsales

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agents.Meetingswerenolonger“optional”activities;supervisorswentintothemwithbetterinformationandmoreeffectiveplans.Therewasoversightfrommanagementandaccountabilitydemandedofthesupervisorstoassurethatthequalityandfrequencyoftheone-on-oneswasoccurring.Duringtheinitialassessment,theinstructorhadencouragedherandherfellowmanagerstoviewthesupervisorsas"agentenablers"and"agentchampions."Supervisorsshouldnotbeseenprimarilyasdisciplinariansorrecordkeepers,butratherasmentor-cheerleaderswhoencourageagentsandgivethempointersonhowtomakemoresalesandthusmakemoremoney.Everyinteractionwastobuildtheagent'sconfidenceandeverycoachingsessionwastobefocusedonhelpingtheagentachievesuccess.Thecollectiveimpactofthesechanges(andothersnotrecountedhere)wasanexceptionalincreaseintopboxagentsatisfactionofover500%.Bytakingthebenchmarkingresultstoheartand"embracingthered,"managementhadturnedaroundaproblemsituationinapproximately18months.Caller SatisfactionTheBlueDirectManagementteamunderstoodthatcallersatisfactioniscriticalthroughoutthesalesprocess.While

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theircallersatisfactionwasclosetoindustryaverage,theBlueDirectteamwantedtobeanindustryleaderincallersatisfaction.Theyknewtherewereopportunitiestoimprove

thecaller’sexperience.Anumberofinitiativeswereaddressedthataimedtoincreasecustomersatisfactionandenhancetheagents'abilitytoclosesales,aswellasensurethatexistingcustomersstayedinthefold:

1. FirstCallResolutionhasalwaysbeenareliablepredictorofCallerSatisfaction.BlueDirectengagedanexperiencedvendorwhichimplementedapost-callIVRsurveytoascertainCallerSatisfactionandFirstCallResolutiondirectlyfromthecaller.TheyconductedtwotothreesurveysperAgentpermonth;andsupervisorssharedthecustomer’sresponseswiththeAgentsimmediately.Bylisteningcloselytocallsthatgarneredtopboxandbottomboxscoresfromcallers,BlueDirectwasabletocreateacoachingprogramthatreinforcesappropriatebehavior--andalsoleadstoincreasedsales.

2. AverageSpeedofAnswerisanotherpredictorofcallersatisfaction.As

indicatedabove,BlueDirect’sresultwastwiceashighastheindustry,meaningthattheykeptpotentialbuyerswaiting,onaverage,twiceaslongastheirindustrycompetitors.TheIVRstudymentionedabove,alongwithotherchangestothetelephonyandworkforcemanagementsystem,allowedthecentertoimprovesignificantly.

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Pacing Considerations in Change Processes Whileworkingforbetterment,theteamunderstoodthattryingtodotoomuchatoncecouldresultinmeltdownsthatworkedagainstimprovement.So,"embracingthered"neededtobetemperedby"pacingthechange".Managementmonitoredthesituationcloselyandlayeredinimprovementinitiativesasquicklyasorganizationalrealitiesallowed.Theresultsweregratifyingandincludedthefollowing:

• Loweringagentturnoverandimprovingtimetocompetency.Changesinrecruitment,trainingandtalentmanagementmadeamajordifference.Thetoplinenewannualrevenueof$7.8Mfortheseagentswasaneyeopenerforseniormanagement.Theinvestmentinthisinitiativerepaiditself23timesoverwithinthefirstthreemonths.

• WorkforceManagementimprovements:o helpedbringtheabandonedcallratedownfrom10%to3%.BCBSF

estimatedthatthisallowedittobook$5.1Mmoreinannualrevenue.Comparedwiththeinvestment,thisbookedbusinessprovideda14.6Xreturnoncostinthefirstyear.

o enableda13%productivitygain(1.1hoursperagent/perday),whichresultedinmorethan$10Minannualrevenuegain.

• WebSales–BlueDirectunassignedwebsalescostpersaleof$17is86%lowerthanthe$124costbornewhenusingtheexternalServiceBureau,deliveringanongoingannualsavingsof$600,000andproviding$18,000,000innewannualrevenue.

Insum,theBlueDirectteamleveragedbenchmarkingasakeyelementtofocusattentionandtohelpdrivechangeintheirorganization;theytookownershipoftheirresultsandkepttheiragentsengagedthroughouttheprocess.Eighteenmonthslater,theirimprovementsarestrikingintermsofmorale,quality,salesresults,andcostsavings."Benchmarkingdoesn'tdothework",saidJackieaboutBlueDirect'sadventureinbestpractices,"butitshowedusexactlywhereworkwasrequired.Benchmarkingwasanessentialtooltoidentifystrengthsandweaknesses,andallowustobecomecertifiedasaCenterofExcellence.”VicePresidentChuckSartianiadded:”by‘embracingthered’withopenmindsandateamapproach,wehaveshownwecansucceed.Youcanbesurethatwewillbenchmarkourresultsregularlytomonitorourprogressfromnowon....becauseournewsloganis:‘maintainthegain!’”