Benefit Administration

Our experienced specialists are a valued extension of your HR team, focused on easing administration, regulatory compliance and educating employees.

Ancillary Benefit Administration

  • Consumer spending accounts (HRA, FSA, HSA)
  • Dental
  • Vision
  • Short-term disability (STD)
  • Premium billing and remittance services for non-administered ancillary coverage

Compliance Expertise

  • State regulations

Employee Enrollment and Engagement

  • EDI and online enrollment and reporting
  • Onsite employee education and support
  • Tailored employee materials and welcome kits
  • Cobranded employee microsite

The flexibility of our leading edge technology enables complete customization to administer your unique plan design providing you with the most aggressive claims control and plan performance analysis available.

Claims Administration Expertise

  • Medical, pharmacy, dental, vision, short-term disability, COBRA
  • Coordination of Benefits and subrogation
  • Cost containment programs for high-dollar services
  • Claims processing integrated with condition and case management intervention

Aggressive Oversight to Avoid Over-billing

  • Ineligible services, supplies and equipment per your specific plan document
  • Duplicate services or similar treatments billed under different codes
  • Claims that should be covered by another third party
  • Ineligible dependent claims
  • Correct coding edits and potential fraud and abuse
  • Diagnosis codes trigger Coordination of Benefits

Quality Assurance

  • Multi-layered review and approval for high-dollar claims
  • 100% of all claims inquiry calls recorded
  • Daily QA audits for every team member
  • Disaster recovery plan
  • SSAE16 compliance verification