Benefits 1 Group offers TPA services specific to the needs of Self-Insured Employers in addition to core service offerings. Excess or stop loss insurance, risk management, benefits payment, and regulatory documentation are among the services available to Self-Insured Employers.
Our complete portfolio of Self-Insured TPA Services includes:
Risk Management & Financial Expertise
- Offer smart solutions for alternative risk financing
- Work with Agent or Broker to determine best risk financing
- Secure excess or stop loss insurance
- Assimilate prior claim financial records into our MIS database
- Evaluate the client experience and future needs
- Create an Action Plan customized for each employer
- Submit periodic claim reports to Excess Carrier
- Produce accurate periodic loss run reports to risk management
- Provide case management reports to the risk, their bank or both
Claims Management
- Evaluate all established claims with ongoing payments for control possibilities
- Assist in new claim investigation and reporting
- Actively work with QHP or medical providers to obtain an early return to work by arranging prompt medical care
- Calculate and document the FWW and/or AWW
- Calculate and pay correct compensation
- Work with QHP or medical providers for timely, medical benefit payments
Accident and Loss Prevention
- Proactive analysis and loss control recommendations
- Periodic Safety Self-inspection
- OSHA Record Keeping Consultation
- OSHA Regulation Compliance
- OSHA Citation Defense
- Ergonomic Assessment and Remediation
- Computer-based Accident and Injury Analysis