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Employee/Members both Religious and Lay

With a distressed economy and uncertain future of Healthcare Benefits for employees, Dioceses and Orders are constantly in search of how to provide more for their employees with the least economic impact on their budgets. Members deserve the best service available. Assuming your employees have ANY contact with your broker/advisor, do they provide these services to your members?

• Personalized enrollments at every location, helping every employee one on one and face to face?
• True concierge services for all employees?
• Phones answered by a live person during office hours, NEVER an auto-attendant or voicemail?
• Direct intervention with employee's provider (doctor or hospital) to get any information that may be needed to have claims processed; clinical information, claim forms, itemized billing, prior authorizations, etc.?
• Aid employees/religious with getting medications at the applicable co-pay when traveling out of town (vacation override)?
• Aid employees/religious with getting medications when a problem arises at the pharmacy i.e. step therapy; verify correct data at the pharmacy?
• Aid lay employees with arranging for mail-order drugs for maintenance pharmaceuticals?
• Order and track medications for the Religious who utilize the mail order programs with either insurance company or Medicare Part D?
• Arrange International Insurance for priests/religious and seminarians?
• Monitor and renew International Insurance to insure there is no gap in coverage?
• Obtain and update Personal Health information?
• Electronically and securely store all correspondence with redundant databases?
• Represent the member's on billing or benefit disputes with providers or the insurance carrier?
• Aid employees and religious in finding in-network providers?
• Review all billing statements received to insure that not only that the claim has been processed by the insurance company correctly, but also that the provider is charging the insured the correct amount?
• Track payments made by the insurance company(s) and verify receipt of payment(s)?

• Facilitate Case Management for members with chronic illnesses which helps lower the out of pocket cost for these members?
• Aid employees/religious in understanding their insurance benefits?
• Prepare and track Life and LTD claims?
• Aid with Coordination of Benefits (COB) with not only Medicare but also for those employees covered by a spouse's insurance?