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What Are Healthcare Claims Processing Services

CX & Back-Office Solutions for Consumer Lenders

Consumer lenders are riding record origination volume — personal loan originations hit an all-time high of 7.6 million in a single quarter, and outstanding balances have crossed $277 billion. But that growth collides with compressed margins, rising per-loan processing costs, and tightening regulatory scrutiny from the CFPB.

 

As part of our banking, financial services & insurance solutions, SkyCom becomes your bilingual nearshore extension across the entire loan journey — from application intake and document verification to servicing, borrower retention, and early-stage collections. You get faster funding cycles, higher borrower satisfaction, and defensible compliance at a fraction of onshore cost.

Call Center & Back-Office Services for Consumer Lending

End-to-end support built around your loan origination system and servicing platform.

How We Partner with Lenders

From first conversation to long-term scale — handled end to end.
01

Discovery

We map your loan products, compliance requirements, systems, and borrower journey.
02

Custom Training

Agents certified in your products, lending regulations, security protocols, and brand voice.
03

Secure Launch

Go live in 4–8 weeks from our El Salvador and Colombia sites with full monitoring.
04

Optimization

Daily QA, hourly feedback, and AI-powered insights (Fusion CX) that drive KPIs higher over time.

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    Testimonials

    What Our Clients Say

    Real results from healthcare organizations that trust SkyCom for claims processing outsourcing.
    A soft-focus photo of bilingual call center agents at workstations used as a decorative backdrop for the client testimonials section

    "Our first-pass rejection rate was 14% and our small billing team simply couldn't work the denial backlog. SkyCom's claims team drove first-pass acceptance to 96% within four months and cleared a denial backlog we'd written off as unrecoverable — bringing in $920K we never expected to see. Their specialists know payer edit rules better than anyone we've worked with."
    Dr. Samuel Adeyemi-Cruz
    Revenue Cycle Director, Multi-Specialty Physician Group

    "As a TPA, our claims volume doubled after landing two large self-funded accounts, and our adjudication turnaround was slipping. SkyCom scaled a dedicated claims team in six weeks that cut our average adjudication time by 40% while improving accuracy. They handle our pended claims and COB verification seamlessly — our member satisfaction scores went up as a direct result."
    Linda Fernández-Wright
    VP Operations, Third-Party Administrator

    "We were drowning in denied claims across three hospitals — over 12,000 in the backlog. SkyCom built a denial management operation that worked through the entire backlog in five months and stood up a prevention program that cut new denials by 34%. The ROI was clear within the first quarter, and their team operates like our own staff."
    Robert Nakamura-Diallo
    Director of Patient Financial Services, Regional Health System
    Frequently Asked questions

    Frequently Asked Questions

    Find quick answers to common questions about outsourcing healthcare insurance verification with SkyCom.
    We support the full loan lifecycle: application and origination support, income/employment and identity verification, loan servicing and account management, early-stage collections, fraud and dispute handling, and borrower retention. Programs are built around your specific loan products and workflows.

    Are your agents trained on lending compliance?

    Yes. Agents complete certification on TCPA, FDCPA, Reg Z/TILA, FCRA, ECOA, UDAAP, and GLBA requirements, plus your internal policies and call scripting. All interactions run on PCI DSS 4.0.1 and SOC 2 Type II controls with recorded QA.
    Yes. Our LATAM agents are native or near-native bilingual, delivering fluent English/Spanish support and seamless code-switching — critical for serving the fast-growing Hispanic borrower segment without added cost.
    We operate PCI DSS 4.0.1-certified, SOC 2 Type II, and ISO 27001:2022 environments with GLBA-aligned controls — including encryption, tokenization, restricted access, and regular third-party audits across all lending programs.
    Yes. Agents work directly inside your loan origination and servicing systems and CRM, following your existing workflows. We adapt to your stack rather than forcing you onto ours.
    Most programs go live in 4–8 weeks depending on complexity, including full product and compliance training — with zero setup fees and no disruption to your current operations.
    Our LATAM facilities — including the 800-seat San Salvador site — provide rapid, elastic scalability, so you can ramp for marketing pushes, seasonal demand, or portfolio growth without quality drops.
    Lenders typically see 50–70% lower operational cost, faster application-to-funding cycles, higher verification accuracy, and improved borrower satisfaction — with transparent dashboards and weekly performance reporting.
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