Client advocate…not a product or carrier advocate.
Understand and communicate trends in the healthcare financing sector.
Has access to a variety of insurance carriers and vendors, with the ability to negotiate effectively with them.
Communicate industry trends, benefits, changes, etc. to your employees.
Implement employee assistance, disease management, prescription benefit management, and other appropriate programs.
Assures acceptable and accurate claims processing.
Represent YOUR COMPANY, not the insurance company, vendor, or TPA.
Analyze current benefits, carriers, and vendors, and make appropriate recommendations.
Assist with deriving premium cost sharing strategies and spending account contributions.
Assist you in conducting health risk assessments to better understand the particular health care cost drivers affecting your organization.
Prepares you to deal with regulatory changes.
Monitor and improve benefit designs and offerings.
Provide claims, data, and bench marking information to help you make informed decisions.
Ensure plans are carefully written and comply with applicable laws.
Evaluate technical capabilities of the vendors used to administer your various plans.