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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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Susan Prince's picture
Susan Prince - Jul 6, 2010

Oh, the irony. I spent about 45 min. on the phone today with a Blue Shield representative trying to change my personal physician. I'd just switched from one health care group to another, to follow my own doctor, who switched groups. Blue Shield automatically assigned me a doctor in the nearest town; my own doc worked at the same office. But ... because I live 1.3 mi. beyond the 30-mi. limit CA has set on health care service, the switch has to be approved by a panel at Blue Shield. The poor Blue Shield rep did all she could to help, and literally oozed empathy (to the point of annoyance, actually; it wasn't her problem, it was mine), but she couldn't solve my problem. Gotta tell you, my support for a single-payer system, which would do away completely with for-profit health care (and, by the bye, insurance companies), grew three sizes today, like the Grinch's heart. Susan Prince, Alta, CA

Jonathan Lovelace's picture
Jonathan Lovelace - Jul 6, 2010

This is hardly empathy, let alone sympathy, just an artificial imitation. And eventually people will wise up, just like we now ignore ads pretty much everywhere.

Bonnie Lumaghi's picture
Bonnie Lumaghi - Jul 6, 2010

Still looking for the promised lists -- ?

Elizabeth Levy's picture
Elizabeth Levy - Jul 6, 2010

Yes, where is that guide to all the secrets, please?

Cee Janowicz's picture
Cee Janowicz - Jul 6, 2010

So, where is that guide to the secrets of call center penetration anyway?

Andrea Hitt's picture
Andrea Hitt - Jul 6, 2010

Health Insurers aren't worried about keeping unhealthy patients on their rolls - the new wave in medicine (deja vu all over again)is to shift risk to the Primary Care Physician (apparently there's insufficient risk in diagnosis, care, working nights and weekends) - When that 50 yr old new patient, over-weight, smoker, sedentary, experiences some perfectly predictable adverse event, the PCP loses quality points and money for failing to prevent succeed in prevention - One wonders if physicians will, like Insurers, begin to 'cherry-pick' when people call for new patient appointments - Most, like my physician spouse, will not - but young residents have already spoken - they aren't choosing primary care - So the Insurers, and the Clinics they'll run, will replace them with RN's and PA's - win-win for Private Insurance no matter what happens -

Ken Holehouse's picture
Ken Holehouse - Jul 6, 2010

No insider's guide that I can see. Now that's not very kind or empathetic-- to promise something and not deliver.

JAMES MERE's picture
JAMES MERE - Jul 6, 2010

SAME QUESTION AS OTHER LISTENER: WHERE IS THE LIST OF HOW TO DEAL WITH CALL CENTER CALLS.

R M's picture
R M - Jul 6, 2010

Looking for the link as well. Where's a call center when you need one! :-)

Eric Wolf's picture
Eric Wolf - Jul 6, 2010

Came for the insiders guide - but could not find it I see the emapthy test but heard the insders guide was on the website - can you leave a link at the end of the article please... Thanks

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