Employee Benefit Management

Our years of experience in the field of Benefits Management and expertise on SaaS implementations has strategically placed us at a pivotal position to clearly understand, communicate and deliver Benefits management solutions and support services. With a cross section of service vertical (Complete SDLC and support) we seamlessly transition client and carrier information in a multi system environment with the help of engineers, EDI analysts and Business analysts.

Highlights of services that we provide to our partner client:

Standard Services

Client Support

• Support checking Benefit Eligibility
• Real-time and open enrollment for all “Life Events” and family status changes
• Reports on all benefits, participants, dependents and Plan financials
• Support to manage; export Payroll data of employee in the system
• Supporting continuous monitoring of HIPAA compliance (4010 and 5010)
• Providing comprehensive COBRA administration through application

EDI Service Management

• EDI mapping for 834 format and Data Integration for any new client implementation which further goes through number of processes
  • Initiation phase – Receiving the requirement from the client/carrier
  • Analysis phase – Analyzing mapping for 834 transaction and file transmission
  • Audit phase - Verifying the data received from carrier
  • Testing phase – Verified data is further tested with the mapped fields where structural errors, mapping errors and data discrepancies are passed through various tests and test file sent to carrier
  • Sign-off – Verification of Test File by carrier

• Managing and exporting ongoing EDI transactions through secure channels to Carriers using the following types:
  • Full File
  • Full File with changes
  • Change File
• Handling EDI error
  • Resolving any data discrepancies by EDI analysts / Data Analysts
• Regular and prompt communication with Carriers to handle any data discrepancies

Engineering Services

• Software development and maintenance
• Software quality check for accuracy of data and performance
• L1 and L2 Support for the software 24X5 Support