Dedicated Benefit Call Center

RT Representatives act as an on-demand benefits “concierge” for all clients handling:

  • Medical Plan inquiries and information
  • Claim issue resolution
  • ID Cards
  • Act as client advocate with the carrier

 

Eligibility and Enrollment
  • Enrollments and changes are handled at the Benefit Center
  • Electronic retention of employee documents for research, confirmation of benefits and communications
  • Weekly Electronic Data Interface (EDI) file with Carrier
  • Audits of carrier files

 

Claims Administration
  • Monthly claims analysis
  • Monthly claims audits
  • Monthly experience reporting, by plan, to Client
  • Cross check reports and systems to ensure payment accuracy and catch costly errors

 

COBRA Administration
  • Notify terminated members of rights via mailing of COBRA packets
  • Assist members with elections, eligibility and invoice questions
  • Monitor election and premium payment guidelines
  • Invoice COBRA premiums
  • Monitor COBRA eligibility dates for impending terminations

 

Accounts Receivable
  • Daily payment posting and reconciliation reports
  • Monthly medical premium invoicing to Client
  • Month end premium balancing and reconciliation reports

 

Register to Learn More