PRODUCTS AND SERVICES

Through our partnerships with employer, brokers, and underwriters, Pro-Claim is a qualified full service TPA that provides a wide array of employee benefit products and services:

¨  Total Claim Adjudication:
· Medical
· Dental
· Short Term Disability
· Prescription Drug
· Vision

¨  Employee Benefit Statements

¨  Comprehensive Customer Service

¨  FSA (Flex) Administration

¨  COBRA Administration

¨  HIPAA Administration

¨  Benefit Consulting

¨  Third Party Recoveries

¨  PPO Interface

¨  PPO Repricing

¨  Utilization Reporting

¨  PBM – Rx Coordination

¨  Reinsurance Management

¨  UR/Case Management

¨  Plan Document Development