TPA Services

TPA Services

IIS Benefit Administrators offers Third Party Administrator (TPA) Insurance services to clients and brokers . This is one more way to make the provision and maintenance of a group health plan for employees easier. Because of all the regulations required to remain compliant with the Affordable Care Act, as well as the general detail-oriented activity of tracking finances for health claims, health insurance coverage can feel detailed and overwhelming very quickly, especially for smaller businesses that may not have the time or resources.

TPA Insurance services can unload much of this burden. Learn more about how IIS Benefit Administrators’s TPA Insurance services can help your business .

What Is A TPA?

A third party administrator is an outside organization that steps in to handle the management of group benefit plans on behalf of an employer. In other circumstances, companies with sufficient administrative staff may assign this task to an internal department. Another alternative is to let the insurance carrier itself manage the claims.

Many businesses choose to work with IIS Benefit Administrators as their TPA, but why? What is the advantage of letting us handle it? There are several benefits, but some of the big, general perks include:

More Choices

If you try to manage and deal with different carriers yourself, this will mean researching your options and approaching them yourself to try to find the best policies and practices for you and your employees. This may even limit how many you can contact in the area.

When you work with a TPA, like IIS Benefit Administrators, decades of experience and solidly established professional networks with carriers, doctors, and other healthcare providers are all at your fingertips under one banner. You get more choice, but with less legwork.

Simpler Enrollment

In some instances, different employees may require different health coverage plans. It can be complicated to handle the requirements for multiple enrollments. However, when a business chooses to work with a TPA, this vastly simplifies the enrollment process.

The TPA approaches and processes the enrollments with different carriers and providers while you and your workers spend less time on the bureaucratic details to make sure everything is adequately addressed.

Faster Fraud Response

Fraud claims are an ugly reality of any insurance-related activity, and unfortunately, health insurance is no exception. However, an experienced TPA, like IIS Benefit Administrators has both the knowledge and tools to quickly deal with fraud claims when they happen.

You may not have a plan in place at your company for identifying fraud or escalating and dealing with fraud cases, but IIS Benefit Administrators has the people and the expertise to see the early warning signs and take the appropriate action to ensure transparency and a measured response.

Configured To Work Your Way

Your company and your employees are unique, and that means you have your preferred way of doing business and handling administration duties. TPA Insurance is not a generic, one-size-fits-all service. IIS Benefit Administrators works closely with you to not only find the right coverage for you and your employees but to handle your health coverage needs the way you want.

Safety & Privacy

The data that is used and compiled for health insurance records and claims is private and confidential. IIS Benefit Administrators has extensive experience and security measures to protect the confidentiality of the data that is worked with. Whether it is actual medical data or important financial information such as credit card and bank account numbers, everything is valuable.

You don’t have to worry about how to secure your data, or whether employee privacy rights are being protected. An experienced TPA has both practices and the technology to ensure that everything remains safe, stored, documented, and free from theft or spying.

IIS Benefit Administrators Can Help

If your business is ready to offer health insurance coverage to employees, we can help. IIS Benefit Administrators has decades of experience to help you handle your claims efficiently and thoroughly with our TPA Insurance services.