Zendesk Implementation Template

Insurance Providers

Healthcare
Policy questions
claims processing
customer support

Simplify insurance inquiries and claims. This template helps answer policy questions, process claims efficiently, and provide excellent customer support.

Deploy for $499

After installation

Ticket Triaging

Ticket Forms

Automatically segment your tickets with views, setup during the installation.

Help Center

Ticket Forms

All your ticket forms will automatically be added to your help center when activated.

Reporting

Ticket Forms

You will have pre-configured reporting to help you understand your support data.

Template Overview

Perfect For

  • Insurance companies
  • Health insurance providers
  • Insurance brokers

Ticket Forms Included

  • Policy Questions
  • Claims Processing
  • Customer Support
  • Provider Network
  • Prescription Coverage
  • Renewals and Updates
  • Eligibility and Enrollment
  • Fraud and Abuse
  • Payment and Billing
Insurance Providers

Ticket Forms

Think of ticket forms as different types of enquiries a customer might have when reaching out for support. For example, a common enquiry might be "Where is my item?" or "I need technical assistance."

Each ticket form contains a set of ticket fields, which are the specific pieces of information we collect to help efficiently handle the enquiry. These fields ensure that we capture the necessary details from the start, reducing back-and-forth communication and speeding up resolution times.

Below is a list of ticket forms and their associated ticket fields. These will be automatically set up in your Zendesk instance when you use this template.

Policy Questions

Questions about insurance policies, coverage, benefits, or eligibility.

Ticket fields

Policy Number

Claims Processing

Inquiries about claim status, claim filing procedures, or claim denials.

Ticket fields

Claim Number

Customer Support

General customer service inquiries, such as billing, address changes, or policy updates.

Ticket fields

Policy Number

Provider Network

Questions about healthcare providers in the insurance network, finding doctors, or verifying coverage.

Ticket fields

Policy Number

Prescription Coverage

Inquiries about prescription drug coverage, formularies, or prior authorization requests.

Ticket fields

Policy Number

Prescription Drug Name

Renewals and Updates

Questions related to insurance policy renewals, changes in coverage, or policy amendments.

Ticket fields

Policy Number

Renewal Date

Eligibility and Enrollment

Inquiries about eligibility requirements, enrollment periods, or enrolling in a new policy.

Ticket fields

Policy Number

Date of Birth

Enrollee Name

Fraud and Abuse

Reports related to suspected fraud, abuse, or misuse of insurance benefits.

Ticket fields

Policy Number

Incident Details

Payment and Billing

Questions related to premium payments, billing discrepancies, or payment methods.

Ticket fields

Policy Number

Invoice Number

Frequently Asked Questions

Refund policy?

We offer a 15 days full refund guarantee. If you're not completely satisfied, we'll refund your purchase within 15 days of deployment.Request a refund

Will I get help after installation?

Yes, we can follow our get started guide, which contains video and text to help you get started with Zendesk Basic. You can also purchase support hours with us through your Zendesk instance.

Can I install multiple templates?

Yes, you can install multiple templates on your Zendesk instance. For example, you could install the SaaS template and the Employee Experience template to have two use cases set up in your Zendesk. This is ideal if you have multiple teams on your instance.

What's included in the template?

Each template includes pre-configured Zendesk components like ticket forms, fields, views, and triggers. These are set up based on industry best practices and can be customized after installation to match your specific needs.