efficient and effective
administration
No cost control strategy can be
successful without first addressing the efficient and
effective administration of existing benefit plans.
Examples include: • Accurate eligibility and claims
adjudication
• Efficient administration
• Use of audit programs, out-of-network fee
negotiations
• Aggressive pursuit of subrogation opportunities
• Identification of cost-effective networks, providers
and PBM’s
• Use of reporting and data mining to identify costly
trends and cost centers
Klais & Company,
Inc.
aggressively uses all of these techniques, and
more, to make certain that our clients pay no more than
is required by their plan design. Generally, these
services, including the use of audit programs and
subrogation recovery, are part of our standard
administration fee.
Using the industry-leading
QicLink™ system from Trizetto®,
Klais &
Company, Inc. seamlessly
manages key health claims transaction processes,
including membership, provider files, plan definition
and re-insurance.
While technology and systems are important, so is
experience. The Benefits Analysts at
Klais & Company,
Inc.
are among the most experienced and professional in the
industry. Many had extensive backgrounds with various
national carriers before joining our firm.
Whereas the average length of industry experience for
most claims examiners is five years, Klais & Company,
inc.
benefit analysts average more than 10 years of industry
experience.
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