Our integrated Administrative Services teams manage Eligibility, Claims Processing, Cafeteria 125 and Customer Service. With the most knowledgeable personnel on-hand – most have 13+ industry and functional-area experience – we pride ourselves on our ability to keenly administer the development and execution of your plan – while always providing responsive and personal service.
Eligibility: Knowledgeable and Flexible
- Personalized service; your account will have a single designated representative
- Convenient submission of information by phone, fax or through our BenefitWatchSM portal
- Efficient, flexible billing system
- Optional consolidated billing of all products
Claims Processing: Efficient and Accurate
- Processing backed by ClaimWatch™, a total claims management solution.
- Electronic processing of claims for accuracy
- Average turnaround time 6 to 8 days
- PPO Network repricing & non-PPO discounts
- Simultaneous reimbursement for convenience
- Subrogation services feature legal expertise & monthly claim transfers
- Audits once a month; exceeds industry standard year after year
- Fraud and abuse protection Learn more
Cafeteria / Section 125: Custom and Comprehensive
- Preparation of Flexible Benefit Plan document, corporate resolutions, summary plan descriptions, enrollment forms
- Employee enrollment meetings
- Monthly company statements; quarterly employee statements
- Automated claims rollover if we process your medical claims
- Weekly claims processing
- Preparation of the annual IRS 5500 filings
Customer Service: Personal and Convenient
- Experienced, live receptionists answer all calls within 30 seconds (average)
- Extended hours for your convenience
- Bi-lingual representatives available
- Latest technology helps us help you
- Handle average of 15,000 – 17,000 calls per month
