Self-Funded Claims Administration

The key to successful self-funded administration is integration with all your service providers, and we pride ourselves on being collaborative and flexible with all entities, such as the consultant, the stop-loss carrier, case management and the pharmacy benefits manager.

Our Self-Funded Claims Administration services include:

  • Claims Processing – Medical, Dental, Vision, Short Term Disability, Flex & HRA Plans
  • Enrolment & Eligibility
  • Proactive Case Management & Cost Containment Services
  • PPO and Rx Network Access and Management
  • Out of Network Fee Negotiation Programs
  • Stop Loss Insurance Monitoring & Management
  • Full Banking and Accounting Administration & Management
  • Benefit Appeal Preparation & Follow-up
  • Plan Document Maintenance, Booklets & ID Cards
  • Flexible Spending Account Administration
  • COBRA, HIPAA & ERISA Compliance Administration
  • Secure Online Portal for claims and eligibility