WEB-TPA

Emerging industry demands are forcing companies to cut costs while improving business outcomes such as profitability, revenue growth and underwriting quality. One method to accomplish this is to implement a more strategic use of outsourcing. When you work with AmWINS Group Benefits, you can anticipate reduced operations and administrative costs, reduced errors with improved accuracy and increased business growth and capacity without increased operational costs.

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Administrative Outsourcing

At AmWINS Group Benefits, administration is what we do. From managing records, claims and collections to handling cost analysis, marketing, banking and more, we quickly become an invaluable partner to the insurance companies we serve. We have become one of the most trusted and successful benefit wholesalers and third-party administrators in the country. Across our operations, we offer in-depth experience in insurance carrier outsourcing, group benefits, retiree medical and pharmacy benefits management.

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Community Based Healthcare

Community-Based Healthcare

Utilize our experience and technology – and gain the competitive edge to control the healthcare dollars in your local community. We developed the Communitas Program to empower local healthcare providers and employer coalitions, who want to drive the management of the premium dollars within their own communities. While large traditional managed care players are focused on selling greater provider discounts and using new lives to further reduce provider reimbursement, we assist local providers in understanding their own community’s employer needs, as well as the need for insular accountability to ensure the most efficient use of the system as a whole. Utilizing a multi-faceted outsourcing program and proprietary technology platform, Communitas offers a comprehensive suite of health plan administrative solutions to meet the needs of healthcare organizations. These include provider-sponsored health plans, insurance companies, HMOs, TPAs, networks and utilization management entities.

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Healthcare Advocacy

Navigating the world of healthcare claims, networks, referrals and deductibles takes special knowledge – often overwhelming employees and their family and leaving HR departments with more than they can or should support. That’s why we’ve created the Benefit Advocacy program to give your company crucial resources to serve employees and make sure they are satisfied. The program provides individuals and families with a personal Advocate Team to coordinate, research and support the employee’s specific needs. To help get answers and/or resolve difficult issues, our specialists work one on one with your employees as well as with your HR professionals. It’s just one more example of how we always seek to find a better way.

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Third Party Administration

Entrust your private-label benefits administration to us - and make health plans more affordable. We can be your best ally in managing healthcare costs. Furnishing continuous data to help you monitor your client’s health plans, meeting with you regularly to review claims reports, and always providing our members with outstanding service, we can reliably help your clients manage and control your healthcare costs.

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