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Benefits Administration

Increasing complexity as a result of legislative reforms and compliance requirements, rising self-service expectations, growing costs and competitive pressures, and limited internal resources are some of the challenges that insurance companies face while delivering benefits administration services. Add suboptimal systems and supporting technologies, suboptimal quality control mechanisms, and poor process and knowledge documentation into that mix, and insurers run the risk of surging expenses, regulatory penalties, and lost business.

NIIT Technologies’ Insurance Practice blends its benefits administration process delivery with insurance industry IT expertise to enhance carriers’ efficiency, performance, quality, and data accuracy. Our benefits administration services help you reduce costs and maintain regulatory compliance, while simultaneously improving client and employee satisfaction levels.

Key Features

  • Health and Welfare Benefits
    • Annual enrollment
    • Data administration/Record keeping
    • Feeds to service providers (medical providers and insurance companies)
    • Billing and Financial Management (account reconciliation)
    • COBRA eligibility and billing
    • Contribution processing
    • Life event processing
    • Plan communication and education
       
  • Define Benefits
    • Setup and record keeping

Business Benefits

  • Administration and bill reconciliation services to 64 clients, each with more than 10,000 employees, across 44 carriers
  • Reduces query escalations by more than 50%
  • 50% reduction in training time by reengineering clients’ training methodology
  • 15,000 transactions processed per year
  • 100% turnaround time SLA on a consistent basis, e.g., within five days of bill reconciliation and new hire enrollment
  • Case processing quality of more than 98%
  • 98% fatal and non-fatal accuracy rates
  • 20% annual cost savings through a fixed-cost contract