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Easily Adapts to
Change
The Benefits-Selection system is built to adapt to
change. Through the use of "plug-ins", its design has
already anticipated trends now impacting the benefits industry
(including more benefit choices, consumer-directed health care
plans, and compliance with HIPAA regulations).
The result? You get a flexible, scalable
system that not only adapts easily to change, but also enables
"controlled evolution" to whatever new requirements come your
way.
Ensuring
Timely Data
Insurance carriers understand that receiving and
loading eligibility data on a timely basis is key to ensuring
member satisfaction. Selerix helps ensure timeliness of
data file transfers by providing electronic transmissions to
carriers in a variety of ways depending on the specific
situation. These include:
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Let's face it. Benefits
administration is a tough business. It's
filled with a lot of details and a focus on complex
transactions. It's a time-consuming and
expensive process.
The Benefits-Selection system
provides web-based tools and integrated services
that automate most aspects of benefits
administration including enrollment, eligibility
management, employee communications and connectivity
to payroll, HRIS and carrier systems.
Comprehensive Benefits
Functionality
The system provides both ongoing and
annual enrollment services to address all employee
health and welfare benefits enrollment needs.
It is designed to handle virtually any plan
complexity including multiple plan options offered
to geographically diverse populations, complicated
eligibility rules, unique plan features, and more.
Flexible by Design
Rather than require employers to
adopt pre-defined business processes based on
technology or system capabilities, Selerix has
designed the system to work the way each employer
works. For example, the system is built to handle
unique business rules - such as dual spouse coverage
policies, domestic partner coverage, grandfathered
eligibility groups, and any plan bundling or cross
dependency requirements an employer may have.
Benefit Administrator Tools
Administrator tools enable the HR
staff to monitor enrollment activity, process events
on behalf of employees requiring assistance, handle
the approval of pended benefits which require
evidence of insurability, the ability to implement
batch updates, comprehensive history tracking and a
variety of other tools.
Reporting
The Benefits-Selection
system delivers a comprehensive set of standard
reports which provides Administrators an array of
options in generating, filter, sorting and
communicating eligibility, coverage and cost data.
Standard report topics include benefit deductions,
eligibility data, enrollment data, payer reports,
form transmittals and pre and post-enrollment
confirmation statements. [more]
Electronic Data Feeds
We appreciate the significance
and understand the complexity involved in managing
enrollment data. Failing to accurately update
enrollment and financial data in a timely fashion
may result in unexpected administrative costs and
financial reconciliation problems. It can also
lead to delays and/or denial of coverage for
employees and dependents. We use sophisticated
data integration technology to support a wide array
of electronic links to payroll, HRIS and carrier
systems. [more]
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