In day-to-day operations, plan details, billing periods and customer requests arrive in separate records and files, preventing the team from reviewing the same case in one place.
As a result, the link to the source can be lost while an eligibility and impact summary is prepared, leading to repeated checks and uncertainty about the basis for the decision.
Incomplete automation may overlook a refund, tax or contract exception, while poorly controlled automation creates a risk of incorrect charges or disrupted access.
The customer operations specialist is the final decision-maker. If a refund, tax or contract exception applies, the workflow stops and the case is presented to the specialist with the supporting records. The specialist can amend or reject the suggestion, or stop the process.
Only the fields required for the task are processed from the plan, billing period and customer request. Source-system permissions are preserved, and personal and commercially sensitive data is minimised before being passed to the model. Every read, suggestion, human amendment and write to the target system is logged.
A good fit
Not a good fit
The plan, billing period and customer request are used. The exact connections, fields and retention limits are defined during the access review.
If a refund, tax or contract exception applies, the workflow stops. The record enters the customer operations specialist's queue with source evidence.
Because incorrect charges or disrupted access could result, no final action is taken without human approval. The source, suggestion and human decision are recorded separately.
Project led by:DijitalPi
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