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Malakoff Humanis: Improving Customer Relations With the Power of NLP
Technology Category
- Analytics & Modeling - Natural Language Processing (NLP)
Applicable Industries
- Healthcare & Hospitals
Services
- Data Science Services
The Challenge
Malakoff Humanis, the leading non-profit group health insurer in France, was facing growing challenges in keeping up with customer demands and providing quality customer service. The company offers supplementary health, welfare, and pension contracts to companies, employees, self-employed individuals, and single-payer individuals. It covers healthcare reimbursements in addition to the French social security and guides clients in their choice of care establishments. The company has a dedicated data science and analytics department led by a Chief Data Officer. The data department is comprised of four main branches, each in charge of Data Science and Analytics, Data Governance, Data Architecture and Cloud, and AI and Data Visualization. However, the company was struggling to effectively manage customer claims and improve telephone customer assistance.
About The Customer
Malakoff Humanis is the leading non-profit group health insurer in France. It offers supplementary health, welfare, and pension contracts to companies, employees, self-employed individuals, and single-payer individuals. As a complementary health insurance, the mutual fund covers healthcare reimbursements in addition to the French social security, and guides clients in their choice of care establishments. The company has 11,000 collaborators, 426,000 client enterprises, and €6.5 billion in equity. It has a dedicated data science and analytics department led by a Chief Data Officer. The data department is comprised of four main branches, each in charge of Data Science and Analytics, Data Governance, Data Architecture and Cloud, and AI and Data Visualization.
The Solution
To address their challenges, Malakoff Humanis turned to Dataiku’s Deep Belief program, which provides consulting services to tackle ambitious AI projects. Through this program, Malakoff Humanis collaborated with Dataiku’s data scientists on two advanced natural language processing (NLP) projects. The first project was an AI-based solution that helps understand the topic of online claims through NLP classification algorithms and automatically dispatch the claim to the appropriate customer service team. The second project was to analyze the content of customer calls (themes and tone) in order to identify areas for improvement of telephone assistance. The main goals of the project were improved management of telephone assistance, shorter calls and fewer re-calls, less pressure on customer support teams, and improved customer satisfaction. The sentiment analysis NLP model built to assess the tone of telephone calls generates predictions for the overall tone, the tone of separate sentences in the conversation, and the sentiment at the beginning and the end of the conversation.
Operational Impact
Quantitative Benefit
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