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SSR

Third Party Administration

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 tools
  • Comprehensive activity and cost control reporting
  • Compliance with all US regulatory requirements (COBRA, HIPAA, IRS)

Claim Services

Our claims adjudicators are experienced in all benefit areas. Services include:

  • 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 charges
  • Electronic claims submission, processing, and remittance capabilities
  • Cost containment via strong PPO networks. Preferred Provider Organizations (PPO)
  • Out of Network claims negotiations.
 
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