Review provider demographic and network relations data, credentials, onboarding of new providers, set up of product pricing/fee schedules and establish provider education services to serve members.
Encompass oversight of the claims processing functions such including proof of existence, interest on proceeds, settlements, waivers and recertifications.
Support full claims processing from claim entry, form distribution, adjustments, payment, auditing and a full grievance and appeals process.
Support end-to-end agent and agency processing including licensing, commissions and debit balance management.
Support processes including customer service, licensing and appointments and mailroom and print fulfilment.
Get an effective and efficient group management setup, support, payment and payment reconciliation service.
Full support of policy processing from the application, issuance, maintenance and commissions processing.
Support end-to-end policy processing including application processing, policy and product underwriting, maintenance, pricing and configuration.
Sales & Quoting
Support insurance front-end transactions processing from marketing, campaign management, policy origination, quotes and illustrations.