Healthcare Workforce Solutions for Customer and Patient Experience

Verint helps health insurers and healthcare providers unify contact center, back office, and digital operations on one HIPAA-compliant platform. Improve member and patient experience, reduce costs, and stay ahead of evolving compliance requirements.

Data security and compliance with HIPAA

Verint Voice of the Customer (VOC) is compliant with the privacy and security requirements set forth in the Health Insurance Portability and Accountability Act (“HIPAA”) and the Health Information Technology for Economic Clinical Health (“HITECH”) Act. For Covered Entities and Business Associates subject to HIPAA and HITECH, Verint VOC solutions provide processing, transmitting, and storing electronic protected health information (“ePHI”) which supports our customers HIPAA compliance. Upon request, Verint will execute a business associate agreement (“BAA”) which specifies HIPAA and HITECH related commitments for ePHI processed, transmitted or stored by Verint VOC.

Doctor consulting patient

Healthcare Workforce Management

Enterprise healthcare workforce management software

Verint delivers healthcare WFM through AI‑driven, enterprise‑grade healthcare workforce management software built for the realities of health insurers and providers. From member services and patient access to claims and back‑office operations, Verint helps healthcare organizations staff accurately, adapt quickly, and stay compliant—without sacrificing employee engagement or service quality.

 

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AI‑powered forecasting for healthcare demand patterns

Healthcare demand is seasonal, regulatory‑driven, and increasingly digital. Verint uses AI‑powered forecasting to model complex healthcare demand signals, including Medicare AEP surges from October through December, open enrollment cycles, prescription renewals, telehealth adoption, and claims volume fluctuations.

By learning from historical patterns and real‑time data across channels, Verint enables healthcare contact centers to anticipate demand with greater precision – reducing overstaffing, avoiding service bottlenecks, and maintaining access for members and patients during peak periods.

 

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Compliance‑aware scheduling for regulated healthcare environments

In healthcare, workforce decisions are compliance decisions. Verint supports compliance‑aware scheduling that accounts for HIPAA training requirements, credentialed roles, and audit‑ready documentation.

Schedules can reflect eligibility rules based on training currency or role‑based access needs, while maintaining clear records for audits and regulatory reviews. This helps healthcare organizations protect PHI, minimize risk, and operate with confidence in highly regulated environments.

Real‑time intraday adjustments for rapid demand shifts

Healthcare demand can change without warning – driven by regulatory announcements, policy changes, public health events, or enrollment‑related surges. Verint enables real‑time intraday management so workforce teams can adjust forecasts, rebalance workloads, and update schedules as conditions evolve.

These adjustments propagate quickly across channels and teams, helping healthcare organizations maintain service levels, control costs, and respond effectively to sudden volume spikes – without manual rework or operational disruption.

women working on a computer in an office

Healthcare CX and Patient Experience

Member experience for health insurers

Health insurers face intense member experience pressure during Medicare Annual Enrollment Period, open enrollment, and claims surges. Verint Intelligent Virtual Assistant enables digital‑first member engagement by accurately handling high‑volume inquiries around coverage, eligibility, and benefits across channels. When live support is required, Coaching Bot provides real‑time agent guidance to ensure responses are compliant, consistent, and policy‑aligned.

Patient experience for healthcare providers

Healthcare providers must deliver patient experiences that are accessible, accurate, and compliant across every interaction. Verint IVA supports patients through self‑service by answering routine questions, guiding next steps, and escalating when clinical or operational complexity requires it. During live interactions, Coaching Bot helps agents deliver clear, compliant communication in scheduling, access, and support workflows.

“Verint Workforce Optimization has helped us create a holistic management and reporting structure across our entire customer service operations—both contact centers and back office—to drive operational efficiencies and improve the customer experience.”

Operational Performance Management and Workforce Optimization

Director, Large Non-Profit Health Insurer

Featured case studies

  • Healthcare BPO Reduces Costs and Increases Back-Office Capacity

    See how Verint solutions helped a large BPO.

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  • blue cross blue shield louisiana logo

    Blue Cross Blue Shield Louisiana Enhances the Customer Experience Through New Insights

    Driving continuous improvement with Verint

    Case Study
  • Guardian logo

    The Guardian Life Insurance Company of America

    Learn how Guardian improved productivity by 20% and reduced call volumes by 20%.

    Case Study

Featured solutions

  • Workforce Engagement

    Empower your workforce to engage more effectively with customers in the contact center, branch, and back office operations.

    View Solution
  • Experience Management

    Analyze and act on customer feedback across channels to identify and respond to issues and enhance engagement.

    View Solution
  • Verint Conversational AI

    Empower customers to help themselves faster and with less effort.

    View Solution
  • Compliance

    Support regulatory requirements in your contact center, financial trading, emergency response, and other operations.

    View Solution

Frequently asked questions

Healthcare workforce management (WFM) helps healthcare organizations forecast demand, schedule staff, and manage performance across contact center and back‑office operations. It accounts for healthcare‑specific factors such as seasonal enrollment surges, claims processing volumes, credentialed roles, and compliance requirements – ensuring the right staff are available at the right time while controlling costs and maintaining service quality.