Our TPA services provide a complete end to end solution, from billing and collection (including direct to the insured), policy administration, through to claims adjudication and payment. We can provide any of these services on a stand-alone basis.
Service is offered in English, French and Spanish. This is part of our commitment to providing exceptional service to all of our clients.
Our dedicated team can provide a full range of administration
services to our clients in Canada and the USA, including;
- Premium Billing, Collection and Remittance
- Toll free multilingual call centre services
- Processing of Evidence of Insurability
- Life Insurance Conversion Assistance
- Sophisticated enrollment and eligibility tracking
- Comprehensive activity and cost control reporting
- Compliance with all US regulatory requirements (COBRA,
Our claims adjudicators are experienced in all benefit areas.
- Pro-active Disability Claims Management Services
- Multilingual forms and correspondence
- Toll free, multilingual claims inquiry service
- Medical case management
- Comprehensive Activity and Cost Control Reports
- Cost-plus claims administration of uninsured benefits
- Detailed data tracking, including diagnosis, procedure,
provider type, units of time, reasonable and customary
- Electronic claims submission, processing, and remittance
- Cost containment via strong PPO networks. Preferred
Provider Organizations (PPO)
- Out of Network claims negotiations.