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"I understand your frustration..."

Workers at a health care call center.

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A Convergys Corporation call center in Erlanger, Ky. Paper stars, inscribed "The Power Of One," are awarded to call center agents for performing well and showing empathy. Stars can be traded in for gift certificates and other perks.

TEXT OF STORY

Bill Radke: I hope you had a terrific three-day weekend and that you did not have to spend it scouring the new Healthcare.gov website that launched. If you did look at it, you saw the government's first attempt to make shopping for health insurance more like shopping. Eventually, you'll be able to compare insurance companies on factors like customer service -- something health plans were once able to ignore. What did they care if you were happy? You weren't the one choosing them; it was your benefits department they had to please. Under health reform, insurance companies should pay more attention to the place where they and their customers meet: on the telephone.

Marketplace's Gregory Warner visited a customer service call center in Kentucky and sent this report.


Gregory Warner: The last time you called customer service at your health insurance company, on the other end of the line might have talked to someone at the Convergys Corporation.

Convergys is a company that other companies hire to handle their customer service calls. They answered one billion calls last year at call centers all over the world. They answer the phones for insurance companies, but also credit cards and banks and cell phones. They are, in their words, a relationship management company.

Jeff Brown: OK, I'm gonna let you guys in here. I gotta keep buzzing, because the alarm is going to go off.

Jeff Brown runs this call center in Erlanger, Ky. He leads me through a sea of headsetted heads, in 500 cubicles. Floating here and there are posters scribbled in magic marker -- "Mike's Team Rocks The World" and "Smile!" Jeff stops at a desk and clicks on a mouse.

Brown: So the first screen we're looking at is the way we actually record calls.

Warner: You know, for training and quality purposes. Sorry, just had to say that.

Brown: Absolutely.

Warner: And this is where it is.

Brown: This is it.

This is where Jeff listens to calls and scores them off a checklist called a "quality form."

Brown: Roughly 40 percent of the quality form is dedicated to empathy. Things like "Did you give an empathetic statement to the customer?" and "How many times in the past week have you forgot to do that?"

Because more than any other callers they deal with here, health plan customers that Convergys surveyed say they don't think their insurance company cares about them, or about their health. So Convergys, being in the relationship biz, launched empathy workshops. They hired empathy coaches to roam the aisles and swoop down on agents when they flounder.

Warner: Are you the empathy trainer?

Susan Houben: I am, my name is Susan. Nice to meet you.

Susan Houben.

Houben: I'm glad you came. It's nice.

Warner: Oh, thanks a lot.

Susan Houben does not miss a chance to interject a little kindness.

Houben: That kind of gives me a dance of joy!

Warner: Wow, a dance of joy. That's great. I really appreciate that.

Or a big heap of kindness into every encounter. She teaches new employees the four components of a successful apology, and how to smile with their voice. Then Jeff Brown listens back to the tape of the call and scores the performance.

Brown: And the performance is also, pay for performance. So if you're performing high, you're gonna get paid more.

Which means that the next time you call customer service and you hear:

Houben: I care, I understand.

Agent: I understand your frustration regarding this issue or...

Houben: I hear what you're saying.

Agent: I do apologize that you've had to go through this many times.

That's the sound of an agent trying not to get fired. And your giant insurance company trying to improve their relationship with you. To...

Christine Kowalczyk: Lock in loyalty. And they've got to do that now.

Christine Kowalczyk is a vice president at Convergys. She says that the day after President Obama signed the health reform bill, new calls to the center spiked 20 percent. And the subject of those calls was enough to strike fear into the hearts of the biggest insurance companies

Kowalczyk: Now, they are asking us "Can I drop out of my plan?," "When will my premiums go down?" "I want to use the government plan. How do I do that?"

That government plan -- those government-run exchanges we keep hearing about -- don't start until 2014. But Christine says that people are starting to shop around. Millions who now have insurance through their employer could switch to the exchanges where they have more choice.

Kowalczyk: I'm not going to spend a lot of time, as a customer of a health plan, when I have a choice, if I'm not getting treated properly.

Part of building that relationship in this new age of choice means health plans reaching out to customers more directly. Convergys even made a demonstration video about this. It shows a hypothetical customer getting a text message from his health plan.

Cell phone beeps with a text message

Man: Hmm. I have a text from Attentive Health Care. I better call them now.

Phone dialing

Robot voice: Attentive Health Care. Hello Mark.

The supersensitive robot that answers the phone not only knows Mark's name but why he's calling. And tracks his habits enough to advise him to increase his health savings account deduction before it runs out. And then it does the increase for him. All in a two-minute phone call.

Man in ad: Wow! I'm glad that's taken care of!

But don't let the nice guy act fool you. Insurance company profits are still based on getting as many healthy people as possible and keeping sick people to a minimum. In a world where insurance companies track our behavior closer than a jealous lover, companies can use those same tracking tools to pick and choose the customers they want to treat well.

Kowalczyk: It segments their customer population.

Christine says Convergys already does this for a large cell phone company, when you call customer service and you punch in your account number.

Kowalczyk: If I spend a lot of money and you don't? You better believe they should treat me better than you, right? So they may offer me a free coupon or a free month's worth of service. Where you, they may just say, "Thank you for being a great customer!"

Under the new rules of health care reform, insurance companies can't drop you if you're sick or very expensive for them to cover.

So if some day in the future you call your health plan and find yourself on eternal hold? Or lost in a phone tree maze? Just maybe that's the sound of your health plan trying to get you to break up with it.

In Erlanger, Ky., I'm Gregory Warner for Marketplace.

Radke: Are you nice enough to pass the call center kindness test? Check out our website, where you can answer a sample call. Test your own empathy quotient.

We'll also give you an insiders guide to beating the call center system: All the secrets from the other side -- when to dial, what to say. See them here

About the author

Gregory Warner is a senior reporter covering the economics and business of healthcare for the entire Marketplace portfolio.

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Jesse Johnson's picture
Jesse Johnson - Jul 8, 2010

Hi Jesse,
This is a radio show that describes the program. This is all part of the customer training I did at Verizon and AT&T that is part of Neurolinguistic Training. I think you'll find it fascinating and you will find that you probably do a lot of this as well. I could not send it to everyone so share it if you will.

Richard Kilby's picture
Richard Kilby - Jul 8, 2010

COME ON GUYS _ where is the INSIDER'S GUIDE??? Is there a phone number I can call to get the link...? Maybe the moderator of this forum can get this question resolved for all of us who are looking for it...?

Singlepayer Central's picture
Singlepayer Central - Jul 7, 2010

This is a GREAT example of the how healthcare insurance companies waste our premium dollars. Reminds me of the endless paragraphs of "we're so sorry you're having difficulty using the xyz gadget..." etc. etc. finally getting to the last paragraph of the useless email where they tell you to call the CS dept. which when you call them simply repeats the 60 sec. of frothy apologizing and in the end fails to fix the problem.

You know what - FIX THE DMN PROBLEM and we'll all be happy. You do NOT need a Ph.D. to discern that saying it nicer or being more apologetic or getting all mushy on a customer is NOT going to fool anybody. In fact, you'll just piss people off more.

Address the real problem and stop wasting money on crap like this. The real problem is that for every healthcare dollar spent 1/3 of it goes to pointless nonsense like this as well as overstuffed salaries for deadbeat executives (mostly male, by the way) who do nothing more than make phone a few phone calls and shmooze with other overpaid executives.

This is simply insanity and costly insanity at that.

Kathy Cosley's picture
Kathy Cosley - Jul 7, 2010

This piece completely misses the point: customers know when the person they are talking to has no real information and no real power to solve their problem. Outsourced customer service is just a buffer between unhappy customers and the company they are dissatisfied with. An unhappy customer wants the provider to be accountable for their defective product or deficient service. Empathy, whether genuine or "trained in", only makes them angrier if it comes from someone who is not answerable for their grievance. If their complaint regards a service they can do without or where there is real competition in the marketplace, they at least retain the power to take their business away. In the case of health insurance, they have little power as a consumer to withhold their custom. This is an insidious and horrible trend toward consumer enslavement and manipulation.

Tom Wilson's picture
Tom Wilson - Jul 7, 2010

Where is the link to the Insiders guide? Also, did you know there is a new book on customer service due out in September titled: Negotiate Anything! How to Make Companies Treat You Fairly.

Scott Spera's picture
Scott Spera - Jul 7, 2010

The link to the insider's guide was pointed to the wrong article. Here's the correct link: http://www.publicradio.org/columns/marketplace/business-news-briefs/2010...

fisher cruz's picture
fisher cruz - Jul 7, 2010

You should be fined for not having insurance because if you have an emergency and go to the emergency room, then you do not have the money for the bill, it gets charged to everyone else. Get medical insurance for your entire family at the best price from http://bit.ly/9sfoMb By contributing to the pool and doing your part, overall costs come down. Its like stores that have to charge more because of all the theft. People go to the hospital and then not pay, it gets charged to everyone else.

Mark Askren's picture
Mark Askren - Jul 7, 2010

I'm looking for the insider's guide as well. Will you be posting it soon?

Joan Wallace's picture
Joan Wallace - Jul 6, 2010

Call center fake empathy makes me gag. I get nothing but annoyance out of someone "understanding my frustration" off a script.

Rick Stern's picture
Rick Stern - Jul 6, 2010

Empathy my butt. I am so sick of dealing with service providers that say "I feel your pain". There are so many times when I've wanted to call them out on that, but why bother to scream at someone who's just getting paid to say that. They shouldn't bother reading from that script, stop wasting both of our time and just solve the problem I'm calling about.

I'm sure there are millions of others that feel as I do. I just hope that this story wakes up senior management in these companies.

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