Third Party Administrators
Corporate Benefits Group works with the highest quality Third Party Administrator (TPA) partners, ensuring our clients best in class customer service, reporting, and overall client experience. Working in tandem, CBG acts as a trusted client liaison to provide clients with the most comprehensive data available to make sound financial decisions.
TPAs provide responsive and personalized customer service, as well as full access to employer’s claims data. Data access and TPA claim reviews allow employers to make informed decisions regarding their benefit plan, ensuring self-funding as the best option for long term cost control of healthcare expenses. Finally, both HR staff and employees have access to their respective data via dedicated web portal.
Unlike fully insured carriers, TPAs provide a customized approach to service, utilizing a dedicated team of personnel encompassing claims, compliance, billing and customer service. This helps create a personal relationship with the client, and ensures the highest level of service available.
Trusted Vendor Partners
TPA service contracts include access to various vendors to ensure a completely customized approach to employee benefits. These can include PPOs, UR/LCM vendors, wellness vendors, COBRA administration, HRA administration, and more.
TPA service contracts include both employee and HR administrator access via secure web portal. Data available via the web portal includes eligibility, claims lookup, compliance data (SPD/SBC), forms and customer service integration. This ensures 24/7/365 access to all relevant healthcare data for all parties.
Standard Reporting / Data Analysis
Standard reporting includes monthly billing and claim reports, as well as customized quarterly reviews. In addition to the default reports available from the claims system, TPA administration includes access to fully customizable and “drill down” reporting functions via Zywave.