We envision a true commitment to service that includes daily contact with HR staff, employees and vendors. Our service can include the following:
Plan Implementation:
- Comprehensive Review of Current Benefits Package
- Strategic Funding Analysis including discussions and recommendations for Consumer
- Driven Health Plans, Dual Plan options and other innovative financial solutions
- Marketing Submissions for all lines of coverage
- At-a-glance Benefits & Cost comparisons
- Plan Orientations, Employee Educations and Carrier Enrollments
- On-line setup for Benefits Information Access (includes education for plan administrator)
- COBRA & HIPAA administration assistance
- Plan Administrator Training
Day-to-day Service:
- Employee Assistance with complicated claims adjudication, benefits interpretation and eligibility issues
- Investigate Eligibility & Billing Issues with carriers and vendors
- Coordinate and Advise on general customer services needs such as ordering ID cards, request forms, assist with obtaining prior approvals, pre-certification and appeals
- Mid-year meetings with plan administrator to review claims and vendor performance
Renewal and Year End:
- Health & Benefits Fairs & Open Enrollment Communications
- Year End Claims & Plan Performance Analysis
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