Member Advocacy

Health Insurance can be confusing, let our experts help guide your employees

We recognize the importance of assisting the Human Resources team with as much support as they need. We want to be considered an extension of their department and further assist with items such as: development and delivery of employee communication, contract review and compliance related questions. Because employee benefits are complicated, our Claim Counselors program will assist your employees and family members to resolve their benefits related questions to include the following:

  • Deductibles
  • Co-payments
  • Coinsurance
  • Out of pocket maximums
  • Claims filling requirements
  • Extensions of benefits
  • Flexible Spending
  • Exclusions
  • Limitations
  • Coordination of Benefits (COB)
  • Requests for information
  • Appeals process
  • Eligibility
  • HRA/HSA concepts

Additionally, we will assist with the following:

  • Investigate claims payment and/or eligibility accuracy when in question
  • Act as an intermediary between employee and insurance company or administrator as needed
  • Help employees become better health-care consumers

Client Testimonial

“I want to thank all of the people who have helped me in one way or another and in a very timely
manner. In my opinion you are the best of the best and great people to work with, I am truly happy to be associated with you.“

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