The functions your business runs every day Run by us, accountable to you
Tru Performance staffs and operates entire business functions for enterprises — customer support, healthcare RCM, legal process outsourcing, finance, IT helpdesk, and more. Specialist-led, AI-enabled, co-managed. We carry the operating weight, you stay in the decisions that matter.
Seven functions one operating standard
Each function below is a standalone capability with its own team, certifications, tooling, and SLA framework. Engage one. Engage several. Most clients start with one and expand as the work proves itself.
The contact centre your customers actually feel
Chat, email, voice, and social support across tier 1 and tier 2. Multilingual coverage. Aligned to your CSAT, AHT, FCR, and NPS targets, not ours.
- Customer support — chat, email, voice, social
- Technical support — tier 1, tier 2, escalation paths
- Multilingual coverage
- Voice and IVR operations
- Back-office support and admin
End-to-end revenue cycle management
For healthcare providers, payers, and RCM service companies. Patient access through final payment. Specialist-led teams, payer-specific experience, audit-ready output.
- Patient access and pre-authorization
- Coding and charge capture
- Claims submission and scrubbing
- Denial management and appeals
- Payment posting and reconciliation
- AR management and patient billing
Scalable legal support confidentiality maintained
For law firms and in-house teams. Contract lifecycle management, litigation workflow support, document review, compliance, and intake. Efficiency improved, costs reduced.
- Contract lifecycle support — drafting, review, abstraction
- Litigation workflow management
- E-discovery and document review
- Compliance support and audit prep
- Legal intake and case management
Bookkeeping to compliance audit-ready by default
For banks, accounting firms, and financial services companies. Accuracy, speed, and audit-ready output on every engagement.
- Bookkeeping and general ledger
- Accounts payable and receivable
- Bank reconciliation
- Financial reporting and management accounts
- Tax preparation support
- Compliance and regulatory reporting
Internal IT that runs like infrastructure
Internal IT helpdesk, application support, infrastructure monitoring, and proactive incident management for enterprise IT teams. SLA-aligned, certification-backed.
- Internal IT helpdesk — tier 1 and tier 2
- Application support and bug triage
- Infrastructure monitoring
- Incident management and response
- Knowledge base management
Order ops, returns, and CX scale through peak
Order management, returns handling, omnichannel customer service, and back-office operations for online and brick-and-mortar retailers. Reduce return rates, raise CSAT.
- Order management and fulfillment coordination
- Returns and exchanges handling
- Omnichannel customer service
- Catalog and listing operations
- Marketplace operations — Amazon, Shopify, Shopify Plus
Specialist talent HR and compliance handled
Specialized talent across customer support, IT, legal, healthcare, and finance. Plug into the network, fill skill gaps fast, scale teams without the overhead.
- Specialized staffing — function by function
- Team-extension model — your team, our specialists
- HR, payroll, and compliance management
- Onboarding and ramp programs
- Long-term workforce planning
Senior specialists across every function
you already run
Domain-credentialed operators. Multi-language coverage. Compliance built in.
Managed operations run as a partnership
The shape of outsourcing has changed. Buyers want shared ownership, not a black box. Visibility, not status updates. Continuity, not turnover. The way we run engagements reflects that.
5+ years
Specialists, not seats.
Every team is built around the function. Healthcare RCM is staffed by coders, billers, and AR specialists with payer-specific experience. Legal by paralegals and contract attorneys. Finance by qualified accountants. Domain depth, not interchangeable seats.
Shared dashboards shared channels
Co-managed, not handed over.
You stay in the operating decisions that matter — hiring direction, performance standards, priorities. We carry the operating weight — HR, payroll, compliance, coverage, quality. Joint ownership of what matters.
KPIs agreed at scope. Reported monthly
Outcomes, not headcount.
Pricing is structured around the operational outcome — claims processed, tickets resolved, contracts reviewed, books closed. Headcount is the input, not the deliverable.
86% year-1 retention
Continuity, not churn.
Industry turnover sits at 40 to 60 percent annually. Ours is materially lower — career paths, training investment, work that matters. Continuity is what makes the operation get sharper the longer it runs.
Deep operational expertise across regulated and complex industries
Business Operations is the only Tru Performance capability that runs vertical-specific work. Each of these industries has its
own regulatory, compliance, and domain-knowledge requirements. We staff and certify accordingly.
Healthcare
Providers, payers, RCM companies, and health-tech platforms.
Healthcare RCM · CX · IT SupportLegal
Law firms, in-house counsel, and legal-tech platforms.
Legal Process Outsourcing · TalentFinancial Services
Banks, accounting firms, fintech, and insurance.
Finance & Accounting · TalentTechnology & SaaS
Customer support, technical support, and sales support for SaaS companies.
CX · IT & Technical SupportE-commerce & Retail
Order ops, returns, and omnichannel CX for online and physical retail.
E-commerce Ops · CX · TalentHealthcare Technology
Implementation services, ongoing support, and RCM operations for health-tech.
RCM · IT Support · CXThree ways to engage pick the one that fits
We run it
We run the entire function end-to-end. You set KPIs and review outputs. We staff, train, manage, and improve.
Most common for
Healthcare RCM, customer support, finance, and legal process outsourcing.
We embed in your team
We embed specialists into your existing team. They report through your management chain on day-to-day work, through ours on HR and development.
Most common for
IT support and specialized technical roles.
We deliver it
We run a defined initiative end-to-end with a fixed scope, timeline, and deliverable. Clean handover at the end.
Most common for
Backlog clearance, migrations, audits, and one-off operational projects.
Delivering on expectations with measurable outcomes
3D Dental Healthcare
Turning dental-market demand into pipeline
3D Dental Healthcare
We grew SprintRay's search visibility and reached dental pros through paid and programmatic, generating 500+ qualified leads.
Automotive Video Messaging
Rebuilding app adoption for a video-first sales platform
Automotive Video Messaging
We fixed Covideo's search visibility, sharpened ad targeting across automotive buyers and rebuilt onboarding, growing app downloads 5x.
Design
A 20% retention lift through lifecycle redesign
Design
We rebuilt GoTo's customer communications, using segmentation and branded templates to keep more customers engaged.
Education
Scaling delivery without adding headcount
Education
We helped Core Education absorb rising demand across HubSpot, content, and reporting by working as an embedded extension of the team.
Delivering on expectations with measurable outcomes
3D Dental Healthcare
Turning dental-market demand into pipeline
3D Dental Healthcare
We grew SprintRay's search visibility and reached dental pros through paid and programmatic, generating 500+ qualified leads.
Automotive Video Messaging
Rebuilding app adoption for a video-first sales platform
Automotive Video Messaging
We fixed Covideo's search visibility, sharpened ad targeting across automotive buyers and rebuilt onboarding, growing app downloads 5x.
Design
A 20% retention lift through lifecycle redesign
Design
We rebuilt GoTo's customer communications, using segmentation and branded templates to keep more customers engaged.
Education
Scaling delivery without adding headcount
Education
We helped Core Education absorb rising demand across HubSpot, content, and reporting by working as an embedded extension of the team.
Building businesses, making an impact
“We have partnered with Tru Performance to run digital marketing projects in various English, Spanish and German speaking countries. It is beautiful to work with them. We appreciated in particular their great service, seamless integration of their work into our projects, technical expertise and their innovative approaches to solve customer’s marketing problems. Highly recommended.”
“The Tru Performance team is a great partner in our efforts to build out and improve our digital presence. They are dedicated to meeting our high (and sometimes shifting!) needs. Additionally, the team goes above and beyond to recommend ways to quickly approve and adapt our processes to better leverage the tools we have in our tech stack for sales and marketing. Great team. Great partners.”
“When we needed some extra development bandwidth due to a temporary increase in workload, Tru Performance managed to quickly provide assistance, with the resource allocated seamlessly delivering quality results to tasks with little guidance.”
“Tru Performance has helped us in the development of one of our projects which involved development, designing and managing an online store. The company’s talents are evident with their excellent work on this scope, using both web design skills as well as advertising strategies to promote it further.”
"Working with TruPerformance has been an outstanding experience! Their exceptional organizational skills and well-structured methodology made the entire process seamless. The team has been incredibly helpful, open, and collaborative, and truly invested in delivering results, which we began seeing quickly. If you're looking for a professional, results driven SEO team, TruPerformance is the way to go."
"We were a young company creating a new category for data visibility, security and protection. It's not always easy to work with startups like ours. But they took our challenges with focus, expertise, and relentless dedication – and helped us grow all the way through acquisition in just a few short years. We would not be where we are today without them."
“I came in contact with Tru Performance searching for a Marketing Outsourcing Services provider. By taking a look at their previous projects and having calls, we agreed to work together, basically, on SEO and Digital PR. They have worked incredibly well with our clients by being communicative and transparent all the time.”
“We have partnered with Tru Performance to run digital marketing projects in various English, Spanish and German speaking countries. It is beautiful to work with them. We appreciated in particular their great service, seamless integration of their work into our projects, technical expertise and their innovative approaches to solve customer’s marketing problems. Highly recommended.”
“The Tru Performance team is a great partner in our efforts to build out and improve our digital presence. They are dedicated to meeting our high (and sometimes shifting!) needs. Additionally, the team goes above and beyond to recommend ways to quickly approve and adapt our processes to better leverage the tools we have in our tech stack for sales and marketing. Great team. Great partners.”
“When we needed some extra development bandwidth due to a temporary increase in workload, Tru Performance managed to quickly provide assistance, with the resource allocated seamlessly delivering quality results to tasks with little guidance.”
“Tru Performance has helped us in the development of one of our projects which involved development, designing and managing an online store. The company’s talents are evident with their excellent work on this scope, using both web design skills as well as advertising strategies to promote it further.”
"Working with TruPerformance has been an outstanding experience! Their exceptional organizational skills and well-structured methodology made the entire process seamless. The team has been incredibly helpful, open, and collaborative, and truly invested in delivering results, which we began seeing quickly. If you're looking for a professional, results driven SEO team, TruPerformance is the way to go."
"We were a young company creating a new category for data visibility, security and protection. It's not always easy to work with startups like ours. But they took our challenges with focus, expertise, and relentless dedication – and helped us grow all the way through acquisition in just a few short years. We would not be where we are today without them."
“I came in contact with Tru Performance searching for a Marketing Outsourcing Services provider. By taking a look at their previous projects and having calls, we agreed to work together, basically, on SEO and Digital PR. They have worked incredibly well with our clients by being communicative and transparent all the time.”
Run your operations with us
Show us where the operational work is stretched today. We will diagnose where it is breaking, where it is compounding, and show you what running with Tru Performance looks like.
