Claims Advocacy
In Your Corner
Claims Advocacy Services
Coverage
Guidance
Clear explanations to help members understand how their benefits apply.
Claims Issue
Resolution
Hands-on support to identify and resolve claims issues quickly, minimizing delays and confusion.
Provider
Coordination
Supportive liaison between members and insurance providers to streamline communication and resolution.
Member
Advocacy
Commitment that ensures members receive fair and timely outcomes.
Escalation Management and Complex Case Resolution
Member Education and Benefits Communication
9
FSA/DCAP/HSA Plans
Expert administration for all types of VEBA-funded employee benefits.
10
Self-Funded, Fully Insured, Participation Plans
Comprehensive management, including enrollment, carrier communication, and employee education for legal benefit access.
Medicare
Coordination
Expert handling of complex Medicare-related claims.
Complex Case
Management
Dedicated oversight for high-priority or escalated issues.
Our Approach
Your Dedicated Advocate
When a claim is denied, delayed, or disputed, members need someone who knows how to navigate the system on their behalf. Our team works directly with providers to resolve issues quickly, communicating clearly with members at every step so nothing falls through the cracks.
Powered by BeneSource
With BeneSource, our Claims Advocacy team can quickly access the information they need to help members navigate complex claims with confidence and care. By bringing benefits, claims, and support tools together in one platform, we’re able to provide faster answers and a more personal experience.
Our advocates have a complete view of each person’s journey, helping them resolve issues efficiently while keeping the human connection at the center of every interaction.
Streamlines the administrative side of Claims Advocacy, allowing our team to focus on listening, problem-solving, and supporting members when they need it most.
Live real time updates and reporting provide precise accuracy and full transparency.
From Our Clients
We Answer the Call
01
Called to Serve
Full-Service Administration
From day one through retirement and beyond, we handle every aspect of benefits administration for our clients. Our team manages the full benefits lifecycle, including enrollment, ongoing support, financial management, and transitions. With a single, dedicated partner managing your program, accuracy and compliance are assured.
02
Called to Care
Human-Centered Support
When members need support, they connect with a highly trained and licensed benefits professional – never a call center script. Our team’s specialized knowledge ensures members receive clear, compassionate guidance and accurate answers, no matter how complex the question.
03
Called to Safegaurd
Precise Financial Stewardship
We take responsibility for all financial details, managing payments, reconciling premiums, and coordinating billing with absolute accuracy. Our diligent oversight ensures every transaction is precise and every dollar is accounted for, so you can have total confidence in your plan’s financial health.
04
Called to Innovate
Powered By BeneSource
Tailor made for large complex benefit plans, our proprietary platform connects every aspect of enrollment, administration, and financial management into one integrated system that allows for total clarity and seamless execution.
05
Called to Champion
Trusted Advocacy
Get In Touch
Ready to
Answer Your Call
Contact us today to learn how we can elevate and streamline your benefits program.