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CallSniper / Medicare FMOs

Give compliance one review method across the downline.

An FMO compliance lead must review calls produced by independent agencies with different scripts, teams, and plan mixes. CallSniper applies the selected scorecard to each uploaded recording and keeps the score beside timestamped transcript evidence, making coaching and escalation by agency easier to document.

“Thanks for calling back, Mrs. Okafor.
Before we go over any plan benefits, I have a required disclaimer to read you,
and then I will confirm the scope of appointment we have on file.”

Disclaimer ahead of benefits, checked with a timestamp on every agent in the downline.

The whole downline,
reviewed the same way.

An FMO with a large downline cannot manually review a meaningful share of the recordings it receives. Reusable scorecards, account organization, and findings linked to the transcript give compliance a consistent review method while still allowing criteria to vary by agency. Hosting, retention, permissions, and alert routing should be confirmed during the pilot.

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Follow a downline agent's call from the recording notice to the enrollment.

Each row is a moment the scorecard checks and the conversation it opens with the team.

The momentThe detail to reviewThe team conversation
Recording notice

Was the call recorded from the greeting to the disconnect, and was a recording or monitoring notice delivered where state law requires one?

Check the recording start against the greeting, and the notice against the states that agency writes in.

TPMO disclaimer

Was the disclaimer delivered in full, from the current approved language, before any discussion of plan benefits?

Play the moment benefits first came up beside the moment the disclaimer ended.

Scope of Appointment

Was an SOA confirmed and documented before plan specific discussion began, and did the call stay inside the product types it lists?

Compare the products discussed against the SOA on file and tag the call by carrier.

Enrollment confirmation and callback

Did the agent confirm the beneficiary's understanding before submitting the enrollment, state the effective date, and set the callback or next step?

Share the strongest close from one agency with the rest of the downline.

A downline Medicare call scorecard, 100 points.

Points are illustrative because CMS publishes no point scale, so confirm each row against the current CMS text and your counsel before pushing the template to your agencies.

CriterionObservable behaviorPoints
Recording and noticeCall recorded from greeting to disconnect, with a recording or monitoring notice delivered where state law requires it15
TPMO disclaimerRequired disclaimer delivered in full, from the current approved language, before any discussion of plan benefits20
Scope of AppointmentSOA confirmed and documented before plan specific discussion, with the call kept inside the product types it lists15
Permission to contactPrior express written consent on file before the outbound call, covering the products discussed10
Benefit accuracyBenefits described match the current approved plan materials, with the correct plan year and effective date20
Enrollment confirmationConfirms the beneficiary's understanding before the enrollment is submitted10
Callback and next stepsStates the confirmation details, the callback, and what the beneficiary should expect next10
Total100

Illustrative review flags

  • A marketing or sales call with no recording on file
  • Plan benefits discussed before the TPMO disclaimer was delivered
  • Plan specific discussion held with no Scope of Appointment on file
  • A stated benefit that appears nowhere in the approved plan materials

Bring these to a pilot.

  • A month of recorded calls from two or three agencies in your downline, exported from their dialers
  • An agent roster mapped to each agency so scores land on the right desk
  • Your current approved TPMO disclaimer language and the script your agencies train on
  • The report your compliance lead sends to the carriers

The pilot applies one approved scorecard across those agencies and keeps each agency's submitted recordings identifiable in the review set.

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Make it fit
your operation.

Confirm the workflow with the people who will use it.

How does one scorecard reach every agency in the downline?

Group uploaded recordings by agency, then apply the approved scorecard and any agency-specific criteria. Start with two agencies to validate the grouping and review workflow before expanding it across the downline.

Who sees what?

Define who may access each agency's recordings before upload. The initial setup should match those access rules and keep each agency's review set separate.

Does HIPAA apply, and what happens to the audio?

Beneficiary audio should be uploaded only under agreed access, retention, security, and contractual privacy terms. Ask for the current security documentation and agreement before sharing recordings.

Do the calls have to come from a dialer connection?

You can begin with bulk uploads of audio already exported by participating agencies. Any scheduled pull or connection to an agency's phone platform must be confirmed and scoped during the pilot.

Start with two agencies in your downline.

Bring a month of their recordings, an agent roster, and your approved disclaimer language. Review how one rubric performs across both agencies.

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