Accident & Health Claims Services

Broadspire Accident & Health (A&H) claims programs provide highly knowledgeable and dedicated teams delivering superior end-to-end claims handling and a level of customer service that is second to none. Our specialists understand the needs of both claimants and insurers to effectively manage A&H claims, including affinity-type claims, using state-of-the-art technology to facilitate prompt resolution. Broadspire’s staff is properly trained and licensed as required by law to handle Accident, P&C and other benefit administration and claims adjudication.

All team members, including call center, administrative, adjuster and management personnel, have gone through compliance, privacy, security, regulatory, customer service, policy, technical and client specific training programs. The services we offer are unbiased and customer-focused with data security as a top priority. For affinity-type claims, the information technology services utilized by Broadspire have undergone the rigorous PCI Data Security Standard (PCI DSS) compliant process, giving us a unique differentiator in the industry in the measures we take to protect your

Michael J. Hoberman

Chief Client Officer

Phone: 973-439-6761

Michael_Hoberman@choosebroadspire.com

Our Services

Broadspire provides a consumer-centric approach to handling Accident & Health (A&H) claims, including affinity-type claims. We offer proven reliability, cutting edge innovation and global resources to assist you and your clients with all of your A&H needs in a streamlined and efficient manner.

Comprehensive Claim Management

Our program design offers many unique advantages to our customers. These include:

  • Dedicated account managers who only oversee A&H and affinity business
  • Broadspire team works directly with customer on initial transition and ongoing management of claims
  • Customized claim forms and call scripts
  • Dedicated claim adjusters and call center staff for accident claims
  • Dedicated toll free 800 numbers
  • Track and report on key performance indicators (SLAs)
  • State of the art RMIS tools (Broadspire InView™)
  • Online self-service claims portal

Dedicated Accident and Health Claim Adjusters

  • Dedicated and experienced A&H claim staff only handle A&H and affinity-type claims
  • Specialized training provided to adjusters
  • Licensed nationwide
  • Follow a customized, systematic workflow process, utilizing our proprietary claims management system designed specifically for handling sensitive documents in a PCI DSS compliant environment via MyClaims Agent for affinity-type claims

State-of-the-Art Claim Center

  • Highly experienced and versatile ClaimsAlert® intake staff and customer service staff
  • Customizable claim reporting scripting and first-party voice greetings, “Thank you for calling the __________benefits center”
  • State-of-the-art call center technology enabling end-to-end claims handling with live operators
  • Inbound calls recorded with call metric reporting at client level
  • Strong and effective quality assurance program
  • Multilingual capable center
  • White Labeled self-service FNOL sites that enable the customer to report, validate eligibility and monitor progress of their claim