Alternatives to benefitexpress

Genius Avenue powers the insurance industry with innovative platform solutions and custom capabilities that connect products to customers and increase bottom line. Insurance Carriers With a team of insurance professionals, go beyond the software. Voluntary Benefits End-to-end customizable capabilities that simplify operations and drive sales. Brokers Get payroll benefits and streamline enrollment and administration. Captives Carriers Eliminate outdated systems and optimize enrollment. We assist our partners in expanding markets, simplifying enrollment and administration, optimizing business processes, and unlocking the full potential of customer-centric, digital platforms.

Creatio is a global vendor of a no-code platform to automate workflows and CRM with a maximum degree of freedom. Featuring an intuitive no-code UI builder, a drag-and-drop business process builder, and a variety of built-in tools for workflow automation, the Creatio platform allows you to create business applications of any complexity and scale - addressing both structured and unstructured industry workflows, rich reporting, diverse machine learning use cases, and flexible analytical dashboards. With Creatio, the development effort for such applications is reduced by up to 10 times! Additionally, Creatio provides a marketplace of ready-to-go solutions, connectors, and templates for popular business needs and use cases. The Creatio platform is built on a modern technology stack, which offers maximum degree of freedom to integrate the platform within your organization’s digital ecosystem. Creatio CRM is a full-fledged suite of products for marketing, sales, and service automation integrated on one no-code platform. Creatio products can be deployed as a single CRM bundle or as standalone solutions to fit your company’s exact needs.

Collective Health stands out as the pioneering integrated solution enabling self-funded employers to manage their plans, control expenses, and prioritize the well-being of their employees, all from a single platform. We invite you to discover how our tailored programs, seamless administration, and intelligent member experience enhance the benefits we provide. Serving a diverse clientele that includes scientists, truck drivers, and musicians, we take pride in having the most satisfied clients and members in the health insurance sector. Explore why many leading self-funded employers nationwide opt for Collective Health. If you are a broker or consultant aiming to advance your clients’ healthcare strategies, Collective Health offers a streamlined technology solution that optimizes employee healthcare for all stakeholders. With a membership nearing 250,000 and a portfolio of over 50 clients—including notable names like Driscoll’s, Pinterest, Red Bull, Restoration Hardware (RH), and Zendesk—Collective Health is revolutionizing the healthcare journey for innovative organizations. By focusing on integration and member satisfaction, we aim to reshape the future of health insurance.

With over 18,000 employers and 8 million employees relying on it, Selerix BenSelect serves as a vital tool for employers, brokers, and carriers to manage core and voluntary enrollments, comprehensive benefits administration, and smooth integrations with third-party data systems. Selerix is fully committed to empowering you to excel in your HR role. Our all-encompassing benefits platform is built upon extensive industry expertise and advanced technology, ensuring it meets your needs effectively. It is affordably priced, packed with features, and offers genuine customization options to fit your organization’s requirements.

EbixEnterprise serves as an all-encompassing solution for insurance management, effectively optimizing policy oversight throughout its entire lifecycle. The platform comprises six key elements: Customer Relationship Management (CRM), health insurance exchange, policy administration, claims administration, data analytics, and a consumer web portal. These components are interconnected, facilitating the seamless transfer of data in response to various business requirements. SmartOffice CRM empowers organizations to efficiently handle agent and broker details, commission structures, sales pipelines, and state licensing information. Furthermore, the Online Quoting Portal, HealthConnect, stands out as a premier marketplace for both buyers and sellers of health insurance and employee benefits. In addition, EbixEnterprise Administration functions as a robust policy management system, equipping users with all necessary tools to oversee policies, define insurance plans, and maintain associated rate data. This comprehensive approach not only enhances operational efficiency but also drives improved decision-making across the organization.

Ease, formerly EaseCentral, is a technology-based platform that allows insurance brokers to provide better service to their SMB clients. Ease makes it easy to set up and manage benefits and onboard new employees. It also allows you to stay compliant and give employees one place for all your human resources information. Ease is used by more than 70,000 small and medium-sized businesses today for benefits and HR.

eHealthApp allows brokers and consultants to stand out by efficiently collecting health information. The broker can use the collected information to obtain health underwritten quotations and allow the broker to analyze it to determine the best fit for their group clients. TPA's, GA and Carriers can sponsor eHealthApp brokers in a way that does not hurt the competition, increases underwriting accuracy and makes products more widely accessible. Contact us today to request a demo and learn more about eHealthApp.

Streamline your operations and prioritize your employees’ well-being. With Alan, you can eliminate the hassle of paperwork and confusion, ensuring that fulfilling your responsibilities doesn’t require specialized knowledge. Experience time-saving health insurance with a clear, straightforward offer. Your employees can easily access a simple online table of benefits anytime, without any physical documents to handle. Forget about the complexities of managing arrivals, departures, and portability; everything is conveniently handled through your mobile device or computer. Alan's insurance is fully authorized by the ACPR Banque de France and backed by reputable reinsurers like CNP and SwissRe, consolidating all your employees' protections in one accessible location, free from obligations. Alan green provides health coverage that delivers comprehensive protection without excessive costs. Alan blue offers health coverage that ensures excellent reimbursements regardless of the healthcare provider or optician chosen. Lastly, Alan Foresight features provident insurance, which safeguards your employees against unforeseen challenges such as long-term illness or disability, ensuring that their needs are met during tough times. This innovative approach allows you to focus on growth while providing essential support to your team.

PeopleStrategy is a full-service broker that offers expert benefits consulting, intuitive software for HR and comprehensive administrative services. This allows employers to have one source for all the tools and resources they need to attract, manage, and retain talent. PeopleStrategy's cloud-based, HR platform is perfect for companies with 50 to 500 employees. It also allows for easy scaling up and down. It offers HRIS, Payroll and Benefits Administration, Time and Attendance, Onboarding, Applicant tracking, Performance, Compensation Planning Compliance, Reporting & Analytics all in one platform. PeopleStrategy Insurance Services helps employers develop a long-term and sustainable benefits strategy. Expert benefits consultants can help you choose the right mix of non-insured and insured benefits options for your employees and their families.

Innovative new Health Reimbursement Arrangements (HRAs) streamline the health insurance provision process, offering you reassurance and simplicity. Wave goodbye to the complexities of traditional group plans. To initiate, simply respond to a few questions regarding your preferences for the HRA's functionality. You can rest easy knowing our platform will assist you every step of the way, empowering you to tailor your plan to your needs. After finalizing your HRA design, we will handle all legal obligations and ensure your employees are integrated into our system smoothly. Once everything is set up, our team will assist you in managing the claims process efficiently. Each day, we strive to foster a healthcare system that prioritizes your peace of mind, as we firmly believe that everyone deserves a more straightforward approach to health insurance. By prioritizing clarity and simplicity, we aim to enhance your overall experience with health benefits.

Insurance Discovery enhances financial outcomes by uncovering previously unrecognized billable coverage that providers may not be aware of, thereby minimizing underpayments and uncompensated care. By employing advanced search functionalities, this solution reveals instances where patients possess multiple active payers, which can significantly improve reimbursement prospects. Additionally, it helps to prevent delays in reimbursement and accelerates revenue collection by ensuring that claims are submitted to the correct payers on the first attempt, thanks to more precise coverage details. When utilized with verified demographic information, Insurance Discovery provides reliable coverage and eligibility insights. This modern approach replaces outdated manual methods of insurance discovery with a swift and thorough search that queries numerous databases in mere seconds, yielding detailed and accurate coverage information. Furthermore, it enhances the overall experience for patients and residents by facilitating accurate estimates of out-of-pocket expenses, ultimately contributing to a more favorable financial journey for them. By streamlining these processes, providers can focus more on patient care rather than administrative tasks.

The Virtual Benefits Administrator (VBA) stands out as the top cloud-based software solution for benefits administration in the industry. Offering comprehensive functionality and limitless adaptability, VBA empowers users to effectively create and oversee various health benefits, including medical, vision, dental, disability, Medicaid, Medicare, Medicare Supplement, care management, long-term care, health savings accounts (HSAs), flexible spending accounts (FSAs), health reimbursement accounts (HRAs), and COBRA. This extensive range of services positions VBA as an essential tool for organizations looking to streamline their benefits management processes.

The FINEOS Platform stands out as the sole comprehensive end-to-end SaaS core product suite for clients, featuring FINEOS AdminSuite for managing everything from quote to claim, alongside add-on products such as FINEOS Engage to enhance digital interaction, and FINEOS Insight for advanced analytics and reporting capabilities. It serves as a cornerstone for your digital insurance approach. By integrating FINEOS AdminSuite, FINEOS Engage, FINEOS Insight, and robust platform capabilities, the FINEOS Platform establishes itself as the most contemporary single core insurance solution tailored for Life, Accident, and Health sectors. In contrast to outdated legacy core systems that relied on a 'one size fits all' technology model, which is no longer suitable for dynamic businesses, modern consumers, employers, and brokers now benefit from sophisticated SaaS solutions and software that elevate expectations for an insurer's digital initiatives. The previous monolithic insurance software systems primarily concentrated on the intricacies of insurance contracts, overlooking the need for flexibility and adaptability in today's fast-paced market. Embracing the FINEOS Platform means adopting a future-ready approach that aligns with current consumer demands and technological advancements.

USSI takes pride in showcasing its complete range of professional insurance software solutions, crafted as a comprehensive turnkey administration package. These all-inclusive software offerings are designed to guarantee that your insurance firm functions at peak performance in a rapidly evolving and competitive industry landscape. The InsurancePlus Individual Life and Health Administration software from USSI effectively oversees the management of business portfolios for both traditional and innovative Life and Health insurance providers. This solution accommodates various product lines such as Whole Life, Term Life, Interest Sensitive policies, Final Expense plans, Annuities, and Supplemental Health insurance. Additionally, USSI's InsurancePlus Group Life and Health Administration software efficiently manages portfolios for Group Health insurance companies, Self-Insured Funds, and Third-Party Administrators (TPAs), supporting a diverse range of plan options like Point of Service, Major Medical, Term Life, High Deductible, and Traditional Indemnity plans. With such a wide array of features, USSI ensures that its software solutions are versatile and adaptable to meet the unique needs of every client in the insurance sector.

EvolveNXT’s platform is designed for health insurance carriers and any commission-based business, providing a customizable suite of solutions that enhance sales performance and simplify the management of intricate business processes. With over ten years of experience collaborating with top insurance carriers, we have crafted a solution tailored to meet the demanding requirements of competitive and regulated markets. Our compliance-focused approach allows organizations to boost the efficiency of their sales channels while promoting sustainable growth in enrollment. Notably, the intricate commission structures that apply to Medicare brokers are among the most challenging to navigate; EvolveNXT facilitates the management and automation of Medicare compensation while ensuring adherence to CMS regulations. By utilizing our commission management software, insurance carriers can not only streamline their operations but also empower their teams to achieve peak sales performance, paving the way for greater success in an ever-evolving industry.

Streamline revenue cycle management, care quality oversight, and workforce optimization through a unified, user-friendly portal featuring single sign-on capabilities. Over 47,000 provider locations depend on our cutting-edge tools to ease the complexities of the patient care experience. Transform the financial experience for patients while alleviating administrative and clinical challenges with the Inovalon Provider Cloud, eliminating the need for fragmented workflows. Our SaaS offerings are designed to enhance both financial and clinical results throughout the patient journey, facilitating improved revenue cycle processes for enhanced reimbursement and ensuring optimal staffing levels for high-quality care. This all-in-one portal enables your organization to elevate its performance, boosting revenue, staff satisfaction, and care standards. By enhancing operational efficiency, productivity, and overall effectiveness, you can unlock the full potential of your organization. Explore the transformative capabilities of the Provider Cloud today.

Utilize the potential of data and technology to pave a way towards the future. Our efficient, secure, compliant, and scalable frameworks encompass comprehensive processes and services designed to enhance your institution's effectiveness and influence. By harnessing advanced digital technologies, you can revolutionize customer interaction and boost operational efficiencies. With state-of-the-art technology and extensive domain knowledge, we enable you to accelerate your market entry and realize value more quickly. Our solutions are designed to be lightweight and user-friendly, integrating smoothly into your existing processes, minimizing errors through automation, and enhancing overall performance. With an agile foundation, we possess the expertise and experience needed to elevate your digital transformation initiatives. Companies that place a premium on innovation and digital transformation in their business strategies often experience remarkable outcomes. Our specialized technology, business transformation frameworks, and profound insights in HealthTech, InsurTech, and FinTech position you for success. Embracing these advancements not only streamlines operations but also sets the stage for long-term growth.

Reimbursify stands out as the pioneering mobile-enabled software platform that offers a groundbreaking solution to empower patients, assist healthcare practitioners, and facilitate digital partners in efficiently submitting out-of-network reimbursement claims for both medical and mental health services. This innovative app simplifies the process of filing out-of-network (OON) reimbursement claims with your health insurance provider, providing a swift and hassle-free experience to ensure you receive every dollar you're entitled to. With an intuitive registration process designed for primary insured individuals, spouses, and dependents, the platform boasts a smart dashboard that organizes all your claims and monitors the funds you are set to receive. Additionally, it features a unique Rejection Resolution Pathway that quickly addresses any rejected claims, along with a provider search function that automatically fills in essential provider details to further streamline your experience. Reimbursify not only maximizes the efficiency of the reimbursement process but also enhances the overall user experience, making it an indispensable tool for anyone navigating the complexities of healthcare claims.

Noyo revolutionizes the employee benefits landscape by providing a modern, API-driven data infrastructure that streamlines connections across the ecosystem. By integrating with Noyo, you can unlock a vast array of benefits and establish quick connections to its APIs, facilitating efficient and precise data exchanges with insurance providers. Enhance customer satisfaction through robust automation, real-time insights, and reliable, clean data. Noyo uniquely delivers comprehensive APIs for benefits administration, managing every stage of a policy's lifecycle seamlessly. Effortlessly onboard new groups into the carrier's system while ensuring that enrollment confirmation is initiated automatically. Utilize APIs to manage transactions, obtain confirmations, and guarantee accuracy in member changes. Renewals can be processed and confirmed via API, reducing manual labor and enabling swift, dependable coverage. Elevate your digital enrollment experience with partner-oriented APIs and top-notch synchronization features. With a flexible one-to-many API solution, you can quickly integrate into existing systems and begin realizing the benefits of this advanced technology. This innovative approach not only simplifies processes but also empowers organizations to efficiently manage their employee benefits.

Transform and enhance every element of your benefits program using PlanSource. Reach your employees through personalized messaging and communication initiatives that can be tailored by group and automatically disseminated via email, text, mobile app, and additional platforms. With integrated self-billing and invoice reconciliation, you'll spend less time auditing and correcting insurance bills monthly, allowing for a more productive workflow. Our comprehensive compliance solutions provide reassurance regarding ACA measurement and reporting, COBRA administration, eligibility criteria, and much more. Efficient workflows and immediate integrations offer an enrollment process crafted to increase engagement and participation in plans. Our fully mobile experience—available on both our app and website—simplifies the process of exploring benefits, making it as easy as online shopping. By removing manual tasks and countless hours of HR administrative duties, you can achieve genuine end-to-end automation for your benefits system. This not only elevates employee satisfaction but also enhances the overall effectiveness of your benefits administration.

For employers, reducing the time spent on managing their group benefits allows them to dedicate more focus on their most valuable asset – their people. With FormFire, quoting, selling, and maintaining small groups becomes a seamless experience, eliminating the need for cumbersome paperwork and various platforms. The platform streamlines the management of group benefits, making it not only more efficient but also appealing for smaller organizations. Additionally, FormFire simplifies the collection of employee data, enabling brokers to enhance client acquisition and retention. At the time of renewal, employers can effortlessly quote every available plan, including both ACA and medically underwritten options, all without any paper exchanges. With guidance from a reliable broker, employers are empowered to select the optimal plans to offer in a digital marketplace, which may range from major medical coverage to pet insurance. Employees also benefit by being able to select their plans online, allowing them to easily compare options and pricing in real-time, thereby enhancing their overall experience. This innovative approach ensures that both employers and employees are equipped to make informed decisions that best suit their needs.

A comprehensive software solution designed for insurance brokers, carriers, and HR departments to streamline business operations. Employee Navigator partners with top insurance brokers and carriers across the country to offer cutting-edge benefits and HR software tailored for businesses of all sizes. Become part of the rapidly expanding benefits and HR platform that over 1,000 brokers and 27,000 companies have already embraced. Moreover, Employee Navigator’s SOC2 Type II certification is a testament to our dedication to maintaining security, integrity, confidentiality, and privacy in all our services. This commitment ensures that our clients can trust us with their sensitive information while optimizing their HR and benefits processes.

VERMEG has developed SOLIFE, a robust policy administration system specifically designed for life and health insurance providers. This system streamlines the complete management of new business activities, policies, and claims, featuring capabilities such as cash and events management, seamless accounting integration, and oversight of distribution and fees. It also addresses reinsurance, tax and legal compliance, dedicated reporting, and efficient claims handling. With over two decades of industry experience informing its design, SOLIFE adopts a client-centric model and is regularly updated to align with evolving regulatory requirements, including MiFID and PRIIPs. The platform is built to facilitate digital processing via APIs and responsive design, ensuring a modern user experience. Its high degree of automation not only minimizes administrative expenses but also includes a versatile product-design workbench that enhances the speed of market delivery. Furthermore, the system accommodates various distribution models, making it adaptable to a wide range of business requirements, ensuring that it remains relevant in an ever-changing marketplace. This flexibility empowers insurance companies to optimize their operations and meet their unique challenges effectively.

HealthRules® Payer represents a cutting-edge core administrative processing system that offers transformative features for health plans across various types and sizes. For over a decade, health plans utilizing HealthRules Payer have effectively capitalized on market opportunities, maintaining a competitive edge. What sets HealthRules Payer apart from other core administrative solutions is its innovative application of the patented HealthRules Language™, which resembles English and introduces a groundbreaking methodology for configuration, claims management, and information transparency. This system empowers health plans by enabling them to expand, innovate, and outperform their peers more effectively than any other core system available today. As a result, HealthRules Payer not only streamlines operations but also fosters a culture of agility and responsiveness within health organizations.

Leading insurance firms leverage our SaaS solution to create a personalized shopping experience, streamline policy management, and enhance teamwork among clients, brokers, and health plan teams. Supercharge your operations with our top-tier platform, which delivers speed, adaptability, efficiency, and regulatory compliance throughout your organization. Ensure that you never overlook a chance to attract clients by showcasing your array of health plans and insurance offerings effectively. Increase operational efficiency, manage workflows seamlessly to maintain smooth business functions, and enhance client follow-ups. Save valuable time by allowing JET Insure to monitor events, enabling you to concentrate on essential business pursuits. Discover how we can refine your operations to meet both present and future healthcare demands, while also illustrating the ways our solution can accelerate your growth trajectory. By partnering with us, you can stay ahead in a competitive landscape and ensure sustained success.

AgentSync builds modern insurance infrastructure to eliminate complexities and drive efficiencies in producer management and compliance workflows. Improving your broker onboarding, contracting, licensing, appointing, and compliance processes, AgentSync’s customer-centric design, seamless APIs, automation, and unparalleled service enable you to grow your business, create an exceptional producer experience, and prevent regulatory violations. Manage, AgentSync’s core product, reduces compliance costs and prevents regulatory violations before they happen. Manage automates the administrative paper chase necessary to verify that agents have the required appointments and state licenses to sell. By automating such tasks, the complexity of selling insurance is dramatically reduced.

The FundOfficeXG system by basys can significantly enhance the efficiency of your benefits administration by meticulously tracking all facets of your contributions accounting and eligibility management. This robust administration suite, combined with easy-to-use online self-service portals, equips you with the necessary tools to oversee, monitor, and compute eligibility and employer contributions effectively. FundOfficeXG boasts an extensive array of advanced processing capabilities, offering a comprehensive solution for both the remittance and collection of benefit contributions, as well as managing eligibility for your members and their families. Built on a secure and reliable calculation engine with adaptable parameters under your control, FundOfficeXG streamlines even the most intricate tasks, such as administering multiemployer health eligibility, managing hour banks, handling retiree health benefits, processing premium billing, and facilitating COBRA procedures. By leveraging this powerful tool, organizations can improve their overall operational efficiency and ensure compliance with benefits regulations seamlessly.

AgencyBloc's Plus Suite offers a comprehensive set of tailored solutions for health, senior, and benefits agencies, enabling them to streamline their data management, maintain compliance, automate processes, and enhance client and policy management, ultimately facilitating a smoother path to sustainable growth while overcoming various obstacles. This innovative platform is designed specifically to cater to the unique needs of the insurance industry, ensuring agencies can thrive in a competitive landscape.

Damco's InsureEdge Insurance Software is an all-in one software designed to help insurance companies gain maximum value from its extensive modules. This highly configurable and customizable software features the best insurance processing functions in the industry. InsureEdge is suitable for multiple insurance lines and can efficiently and effectively manage and streamline workflows to increase profitability, performance, and accuracy. It supports a variety daily operations via back office automation and other modules such as customer relationship management, policy administration and claims processing. InsureEdge, an insurance software that is flexible and scalable, is the key to future-proofing your business.

Healthcare.gov has made it easier for HealthSherpa to enroll in Affordable Care Act plans. We work with employers, insurers, agents, nonprofits, and consumers to help them enroll as many people as they can in these comprehensive, subsidy-eligible health plans. We power insurance companies' websites so they can enroll people in Affordable Care Act plans. We offer superior enrollment technology, a CRM and communication tools for insurance agents so they can enroll more clients in plans that are right for them, faster. We have over 40,000 agents using our platform. We offer decision support tools for consumers to help them choose the right plan for their healthcare needs. HealthSherpa has more than 5,000,000 consumers enrolled in coverage. We offer all the same plans, prices and benefits as HealthCare.gov.

Introducing the Insurance Agency Management System, a robust software solution that adheres to HIPAA regulations, tailored for independent agencies and agents to address the daily challenges they encounter. With industry-specific technology readily accessible, you can oversee your insurance operations from anywhere at any time. Apizeal is a cloud-enabled management system designed to empower independent agencies and agents, facilitating business growth through a specialized platform. This system seamlessly combines policy and client management with commission processing, E-Contracting, marketing automation, and tools for lead generation, consolidating everything you need in a secure and well-organized environment. Why opt for Apizeal? Position yourself as a market leader with the optimal solutions we’ve crafted specifically for the success of insurance agencies and agents. Our tools enhance agency administration, allowing you to run a highly efficient, HIPAA-compliant agency. By streamlining your workflow, Apizeal ultimately saves you valuable time, reduces costs, and optimizes resource allocation, making it a vital asset for your agency's growth and efficiency.

Ensure that employees grasp the full extent of your investment in them. A Total Reward Statement provides a comprehensive overview of employees' total compensation and benefits, allowing them to appreciate the complete value of their roles. Leverage the platform’s communication tools to deliver personalized and targeted messages effectively. Ensure that the right information reaches the appropriate individuals through the optimal channels. Additionally, with the Benify app, you can connect with your workforce wherever they may be by utilizing push notifications. From the moment they begin their journey until their departure, streamline the employee lifecycle with the platform's preboarding, onboarding, and offboarding capabilities. Facilitate easy digital enrollment in benefits through either desktop or mobile app, thereby minimizing administrative burdens. Manage your entire global workforce seamlessly from a single platform. By adopting a global-but-local strategy, administrators can extract valuable insights from benefits and compensation data, empowering them to make informed strategic decisions. This comprehensive approach not only enhances employee engagement but also fosters a culture of transparency and appreciation within the organization.

We are committed to ensuring that the administration of employee benefits is a straightforward process. By offering top-notch technology alongside personalized customer support, we transform the experience of selecting and overseeing benefits into an enjoyable and effortless task. Our groups can easily achieve employee involvement, maintain ACA compliance, and benefit from automation and cost savings. We have developed an engaging solution that connects employers, brokers, and employees throughout the entire benefits journey. From collaborating with your broker to create a tailored benefits program to facilitating seamless online enrollment, we are here to assist you. Our approach simplifies employee education, provider integration, and consumer payment solutions. We deliver a comprehensive answer for all your benefit requirements. Our clients, brokers, and consumers consistently see improved outcomes. As healthcare systems evolve and grow increasingly intricate and costly each year, our services become even more vital. We strive to navigate these challenges together, ensuring that everyone involved reaps the advantages.

Claims adjudication services cover a range of areas including medical, dental, vision, and prescription claims, as well as short and long-term disability cases. These services can be accessed either on-site with a license or through a hosted application model (ASP). Utilizing Microsoft technology, the system is powered by an SQLServer database paired with a Windows front end. Our customer service is highly regarded, staffed by healthcare claims professionals who boast a minimum of 12 years of industry experience. All support inquiries are recorded, and their statuses can be monitored online. The system features a plan copy and modification tool that facilitates rapid plan implementation. Auto-adjudication is achieved through benefit codes that are constructed using business rules derived from over 25 variables connected to both the claims and the claimants, which are then processed by the adjudication engine. Claims can be submitted in various formats, including scanned images, EDI, or paper submissions. The system is compliant with HIPAA EDI 5010 transaction sets, ensuring secure and efficient processing. Additionally, re-pricing fees and UCR schedules can be pre-loaded into the system prior to their effective dates, while the date-driven logic ensures that re-pricing occurs based on the service date, optimizing the claims processing workflow. The comprehensive nature of this system allows for a more streamlined and efficient claims management experience.

Streamline the administration of COBRA and tax-advantaged benefits through our adaptable program design and dedicated support services. Reduce expenses while maintaining essential benefits for employees, utilizing either a conventional HSA or our innovative HSA On Demand® option. Our COBRA Administration Services ensure that employees can maintain their insurance coverage without interruptions, granting them peace of mind. Encourage a consumer-driven approach to healthcare with options like Health Care FSAs, Limited Purpose FSAs, and Dependent Care FSAs. Strengthen employee well-being by providing corporate programs for Health & Wellness, Adoption, and Education reimbursement. Introduce an HRA to enhance your oversight of covered costs while addressing employee requirements. Additionally, our Commuter Benefits program enables individuals to allocate pre-tax dollars for qualifying transit and parking expenses, enhancing their financial flexibility. This comprehensive suite of services not only supports employees but also fosters a culture of wellness and responsibility within the organization.

Swiss Re provides an extensive array of reinsurance solutions aimed at assisting insurers in refining risk management and enhancing analytical capabilities throughout the insurance value chain. Their portfolio includes both property & casualty and life & health reinsurance options, delivering customized coverage and cutting-edge tools that address the dynamic requirements of the re/insurance sector. By utilizing state-of-the-art technology and insights driven by data, Swiss Re empowers its clients to manage risks proficiently, boost operational efficiency, and seize emerging market opportunities. The company engages directly with clients and collaborates through brokers, serving a diverse clientele that includes insurance firms, mid-to-large corporations, and public sector entities. Whether offering standard products or bespoke coverage across various business lines, Swiss Re leverages its financial strength, deep expertise, and innovative capabilities to support the risk-taking essential for enterprise growth and societal advancement. This commitment to innovation and client support positions Swiss Re as a leader in the ever-evolving landscape of reinsurance.

I-underwrite delivers world class auto-underwriting. We offer a complete set of software modules that can be used to deliver an end-to-end, online insurance sales process. This includes needs analysis and quote, digital signature, auto-underwriting and up-sell or cross-sell, offer and acceptance, payment processing and reporting. Auto-underwriting software Our auto-underwriting rules engine is the foundation of our digital insurance software. It is easy to quickly and easily configure underwriting rules to auto-decision life and critical illness, disability, income protection, and medical products to meet any insurer's specific needs. The rules engine can be used as a'self-contained module' that can be integrated into an insurance's hosted environment, or as a Software – as a Service model. You can access the i-underwrite U/W engine via any electronic distribution system.

Since 1980, msg life has been a leader in the market by providing innovative software and consulting services tailored for insurance companies. Our clients worldwide trust our extensive expertise and professional insights. With a presence across Europe and additional branches in the United States, we deliver both swift standard solutions and tailored services across all areas of insurance. The depth of our industry knowledge sets us apart, equipping your organization with critical competitive advantages. Our offerings are effectively utilized not just in life insurance and retirement planning, but also encompass non-life, personal liability, and health insurance sectors. At msg life, we develop smart concepts and solutions that play a vital role in your success. We assist our clients in navigating the complexities of digitization in a sustainable and reliable manner, always with a strategic outlook. Our extensive range of services includes bespoke consultancy, professional support, and comprehensive software products, ensuring we meet diverse client needs effectively. Ultimately, msg life is committed to empowering insurance companies to thrive in a rapidly evolving market landscape.

Samedi is an innovative web-based software designed to enhance patient coordination while simultaneously reducing costs and improving services. This secure networking tool is applicable in various healthcare settings, including medical practices, clinics, and operating rooms. By utilizing effective resource planning, process management, online appointment scheduling, and task assignments, the system streamlines workflows. Additionally, the inclusion of video consultations and online forms allows for a more adaptable process, all while ensuring top-notch data security. Serving as an e-health software solution for physicians, clinics, and health insurers, Samedi connects the healthcare ecosystem and refines medical operations. With a focus on simplicity, efficiency, and security, our 12 years of experience in the e-health sector enables us to cater to your specific needs, providing customizable options for both straightforward and complex workflow demands. Our software integrates seamlessly with nearly all practice and clinic management systems, facilitating a hassle-free operational experience. This adaptability not only enhances productivity but also fosters better patient outcomes.

Our mission is to revolutionize your business model, streamline your operational processes, and enhance your customer experience using cutting-edge cloud-based API-enabled solutions. Additionally, we aim to deliver top-tier software utilized by leading insurance companies. With a team of over 150 skilled IT professionals, we employ the most advanced technologies, frameworks, and methodologies to provide exceptional and high-quality services. By collaborating closely with you, we assess potential opportunities and harness innovative systems that benefit your insurance business. EnoviQ Technologies stands out as a premier platform specializing in cloud-based API management solutions, designed specifically to meet the demands of contemporary cloud-based APIs. We are committed to ensuring our software remains compatible and effective for insurance providers, making us a valuable partner in your digital transformation journey. Our expertise positions us to support your organization in navigating the complexities of digital advancement.

Amplify HR stands out as a premier Professional Employer Organization (PEO), expertly managing all the administrative duties associated with business operations so that clients can concentrate on expanding their enterprises. Their extensive offerings encompass payroll processing, benefits administration, human resources, retirement solutions, as well as risk management and compliance services. Utilizing a cloud-based technology platform, Amplify ensures clients have seamless access to payroll details, benefit deductions, and time-tracking information. The strategic practices they implement are designed to enhance the financial performance of their clients, while also providing administrative relief through personalized support, controlling costs, boosting employee engagement, and sharing the burden of workplace risks. The firm prioritizes complete client satisfaction across all products and services, reinforcing their commitment to quality. By distributing the various work-related risks and responsibilities, businesses can create a more balanced work environment. Additionally, expanding HR offerings can significantly elevate company culture and employee morale.

Novo Connection revolutionizes the process of obtaining self-insured health insurance quotes, allowing it to be accomplished in mere minutes rather than enduring a lengthy wait of days. This innovative platform enables advisors to easily explore various self-funding strategies, assess the unique risks of a group, tailor plan designs and elements, and secure competitive stop-loss coverage that aligns with those designs. By removing the uncertainty involved in selecting program components, we streamline the decision-making process. Each vendor featured on our platform has undergone a comprehensive vetting process conducted by industry specialists, guaranteeing you receive top-notch quality and service. Utilizing Novo Connection not only enhances efficiency by saving you precious time but also translates to significant financial savings. Our pre-negotiated vendor rates ensure considerable cost reductions on a range of offerings, from stop-loss coverage to bespoke program solutions. With Novo Connection, you can confidently navigate your health insurance options while enjoying peace of mind and financial benefits.

We are dedicated to providing employers, employees, and their dependents with improved access to superior benefits. Our suite of platform solutions, products, and services is tailored to simplify benefits for small and mid-sized businesses, ensuring they are both straightforward and readily available. The app we offer enhances user experience by demystifying benefits and empowering individuals with the knowledge they need to enhance their lives. Bennie operates as a comprehensive employee benefits broker, licensed across all 50 states, and fosters strong national and regional connections with various insurance carriers. Our team of specialists also complements your HR technology needs by offering connections to our trusted partners. With the Ask Bennie feature, members receive guidance from healthcare professionals who prioritize their interests over those of insurance companies. The Ask Bennie advocates provide assistance with a variety of tasks, such as navigating open enrollment, resolving billing errors, addressing benefits inquiries, locating healthcare providers, and much more. By helping your members effectively manage their benefits, Bennie allows you to focus on what truly matters for your organization’s success. This holistic approach ensures that both employers and employees can thrive amidst the complexities of benefits management.

Collect immediate insights through customizable, on-demand solutions that feature automated workflows, integrated eligibility and compliance guidelines, and a user-friendly enrollment process tailored to enhance your employee benefits strategy. Streamlined integration options reduce administrative challenges by ensuring secure links to your providers, encompassing everything from payroll and HRIS systems to wellness initiatives and consumer accounts. Capture real-time data with tailored reporting while utilizing sophisticated analytics to assess and enhance program efficiency. Your committed Client Service Team delivers specialized configuration, thorough testing, optimal best practices, and agile support for your workforce, adapting continuously to the evolving needs of your organization. This comprehensive approach not only simplifies processes but also empowers your team to make informed decisions that drive success.

PeopleKeep provides software for employee stipend administration and health reimbursement arrangement (HRA). This software allows organizations to create customized benefits packages to increase employee engagement and strengthen the workplace culture. Today's employees expect more personalized and diverse benefits from their employers. Employers need to offer more flexibility and inclusion in their benefits packages to attract and retain top talent. Employers can create a customized benefit plan with PeopleKeep that increases employee satisfaction, reduces administrative tasks, and is essential in retention and recruitment.