Clarity Performance Solutions

Clarity Performance Solutions provides business process outsourcing services specifically designed for healthcare payers and third-party administrators. The company focuses on three core service areas: medical claims administration, contact center operations, and member engagement through predictive analytics.

The firm's approach combines automation, AI-driven insights, and healthcare-specific expertise to address operational challenges including claims backlogs, call volume management, and member engagement. Clarity offers trial programs that demonstrate results within weeks, promoting a flexible engagement model without rigid long-term contracts. Their published metrics include 35-50% cost savings compared to traditional staffing, 98.8% first-call resolution rates, and the ability to achieve quality benchmarks within 6-10 weeks.

Case studies demonstrate experience maintaining turnover rates below 5% in payer contact centers and achieving zero percent call abandonment. The company provides multi-channel support capabilities and has documented efficiency gains of 30% over competitors in contact center operations.

Consider Clarity Performance Solutions when facing immediate operational challenges in claims processing or contact center performance that require rapid improvement. Their trial program structure suits organizations wanting to validate results before committing to long-term BPO relationships.

The company's focus on payer-specific metrics and demonstrated experience with contact center efficiency makes them relevant for health plans struggling with call abandonment rates, average speed to answer, or claims processing backlogs requiring scalable support.

Clarity Performance Solutions operates exclusively in the healthcare payer segment, focusing on health plans and third-party administrators. Their services address payer-specific challenges including claims adjudication workflows, member and provider contact center support for benefits and eligibility inquiries, and analytics-driven member engagement for medication adherence and quality improvement programs. The company demonstrates understanding of payer metrics including first-call resolution, average speed to answer, and claims processing accuracy.

Mid-sized to large healthcare payers and TPAs with 50,000+ members experiencing specific pain points in claims administration, contact center operations, or member engagement programs. Organizations open to outsourcing operational functions and seeking to reduce costs while maintaining or improving quality metrics and member satisfaction scores.