Health, Dental & Disability Claims Processing

Seamless, Timely Health, Dental & Disability Claims Processing

Amalgamated Employee Benefits Administrators has been providing a high level of Health, Dental and Disability Claims Processing for over 30 years. Its processes and proven track record have stood the test of time and have benefitted diverse employee benefit plan sponsors and their members. Covered within this solution are the following components:

  • Seamless administration of claims processing
  • Accurate adjudication of claims in compliance with benefit rules
  • Thorough utilization reporting and management tailored to meet each client’s needs and guide its fiscal decisions
  • Full compliance with benefits administration, information security and privacy legislation including COBRA/HIPAA and HITECH regulations
  • Member-friendly communications designed to promote conscientious benefits utilization
  • Performance management programs for all Analyst and Quality Assurance staff
  • Liaison with the medical management team for clinical and high dollar claim reviews
  • Response to member inquiries regarding eligibility and claims status