Pinnacle employees pride themselves on meeting the needs of our
customers. Customer service is our number one priority.
Customer Service . . .
Pinnacle sets aggressive
performance standards in order to meet the needs of our clients and their employees.
Performance Standards
Our customer service and
claims processing departments adhere to the following guidelines for performance:
- 80% of claims processed within 14 days
- 95% of all claims processed within 30 days
- Claims dollar accuracy of 98%
- Claims benefit accuracy of 96%
Clients are provided with
quarterly reports that track Pinnacle's performance in these areas. In addition, we
conduct our own internal audits to ensure compliance with these performance
standards.
Automated Call Distribution System
Pinnacle utilizes a Meridian
phone system developed by Williams Communication Solutions. Several Fortune 500 companies
use this state-of-the-art automated call distribution system to handle customer service
inquiries quickly and efficiently.
Through our toll free number,
(800) 649-9121, all calls are answered directly by an automated voice response system and
routed to an English or a Spanish-speaking representative. Customer service
representatives document all incoming calls online. This allows us to track calls by the
type of service requested, duration, and frequency, and provide sophisticated reports to
our clients.
You can also reach Pinnacle's
Customer Service Department by
e-mail.
Integration with Claims Processing System
Pinnacle's customer service
system is ntegrated with our claims processing system. Each call documented by a
customer service representative is now available in the system to be viewed by other
customer service representatives as well as claims processing staff.
This access ensures
that future calls from the same participant are handled professionally and efficiently by
reviewing information from prior inquiries. This feature also allows our customer service
representatives the ability to e-mail and forward information to other departments within
the organization for additional handling and follow-up. Taking place in a paperless
environment, this process yields a quick turnaround time and efficient resolutions to
customer service calls.
|