Medical claim adjudication and repricing
We deliver fast, accurate claims processing, with the flexibility to configure the claims system to your needs. Plus, we can accommodate any benefit design. Our in-house, clinical, Medical Management team proactively negotiates with providers to lower your claim costs.
Enrollment and eligibility
We quickly onboard your group, coordinating eligibility with other vendors and network partners. Automated uploading of member data to the administrator portal eliminates manual tasks and errors.
Health Reimbursement Accounts (HRA), Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) management
We manage benefits beyond healthcare, providing a one-stop shop to your administration team
Our experienced on-shore team always meets its service level agreements, providing superior customer service in multiple languages.
Advanced technology platform
Our award-winning technology improves member engagement and simplifies plan management and member communications.
Contribution accounting/HR administration services
We calculate and execute payroll deductions for your members and collect premiums from members and retirees.
Trustee board management
We plan and run the Labor Fund’s trustee meetings as frequently as required and handle all logistics, including circulating the agenda, recording minutes, ordering food as needed, etc.
Vendor integration & reporting
Our advanced technology platform integrates with any vendor, providing a single, centralized location for managing all your benefits. Reporting on key demographic, utilization, and trend metrics help control costs and drive success.