We’re Experienced

Each member of our team is critical to the administration and oversight of a client’s program.

As an ESOP company, each employee is invested literally in our clients' success. With an average employment of 17 years, our employee longevity lends credence to an internalized commitment and a client partnership culture.

 

Each employee is invested literally
in our clients’ success.


 
 
 

Learn More:

Your Client Service Representative is the primary source of contact regarding your program’s structure, special reporting, management instructions or simply to respond to a question you may have. The CSR manages the business aspect of your program and assists you with compliance elements.

  • New Business Proposals
  • New Client Program Roll-Out – Special Handling Compliance
  • Renewal Processes- Facilitate-Communicate
  • Service Audit and Invoicing
  • Excess Placement & Excess Recoveries
  • Process Subrogation
  • Facilitation of Actuarial Reporting
  • State Form Compliance Renewals
  • State Tax Reporting
  • Experience Mods
  • Special Reporting & Client Visits

Our Group clients’ programs are supported by a staffed Call Center that services members and providers regarding benefits, medical, dental, pharmaceutical and other plan provision questions.

  • Issue discussed with resolution. Average 2-5 minutes
  • Complex resolution requiring call back within 2 calls

Our Group Claims Division performance is routinely audited with a less than 1% error ratio.

  • Claims Entry: EDI & Scan
  • Claims Processing: Verification & Payment
  • Auditing: Multiple Internal Practices

TOTAL CARE MANAGEMENT is the managed care division of Hewitt Coleman staffed with Registered Nurses who oversee the Cost Containment aspects of your program.

  • Utilization Review
  • Large Case Management
  • Disease Management
  • Short-Term Disability Management
  • Medical Case Management