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.
Establish oversight of the claims processing functions, 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 fulfillment.
Setup, support and manage payment and payment reconciliation effectively and efficiently.
Support policy processing from end to end, including application, issuance, maintenance and commissions administration.
Support end-to-end policy processing including application processing, policy and product underwriting, maintenance, pricing and configuration.
Sales and Quoting
Support insurance front-end transactions processing from marketing, campaign management, policy origination, quotes and illustrations.