Member AI & Benefit Navigation.
Every member gets instant, accurate benefit answers via WhatsApp — in their language, in seconds, without calling your call centre.
42% of calls to South African medical scheme call centres are benefit queries: balance checks, network provider lookups, authorisation status, benefit limits. None of these require a human agent — but they consume the majority of your call centre capacity.
Member AI handles all of these queries autonomously via WhatsApp, in plain language, in all 11 SA official languages. Members get answers in seconds. Your call centre staff are freed for complex, high-value interactions that genuinely require human judgement.
Balances, limits, network providers, authorisation status — all answered instantly
All 11 SA official languages — members engage in the language they prefer
35–50% reduction in inbound call volume within 90 days of deployment
24/7 — including weekends and public holidays