Strategic Benefit Resources partners with employee benefit advisors, third party administrators and other intermediaries to provide specialized self-funded health plan expertise, customized outsourced stop-loss insurance services, and unique technology-driven solutions.
This is all achieved through strong stop-loss carrier and vendor relationships, extensive industry expertise and proprietary risk analysis and decision support tools.
Our team of self-funding experts understand the complexity of medical stop-loss insurance, the underlying contract details and why they are so important. Negotiations are not specific to rate alone. We work with industry leading carriers to analyze their contracts, their value added services and their coverage terms and pricing so that we can deliver the right stop-loss solution for each policyholder and plan sponsor.
Risk analysis is part of every decision we make. We are constantly faced with uncertainty, ambiguity, and variability. And even though we have unprecedented access to information, we can’t accurately predict the future. To better understand these risks, SBR utilizes several actuarial and risk decision support tools to help brokers and their clients better assess the impact of risk on a self-funded health plan and allow for better decision making under uncertainty.
Once a decision has been reached, our account management and implementation team will take ownership of the placement priocess including:
Collecting all required new business applications and documents
Managing the disclosure process
Conducting a thorough review of the final stop-loss policy and endorsements to ensure accuracy
Minimizing mistakes, contract gaps and potential future claim liability issues
SBR provides varying levels of stop-loss claims management services based on the unique characteristics of each client. During the policy implementation process, our team will work with you to determine the appropriate level of stop-loss claims management services and our stop-loss claims management team will execute on these services. These services include:
Individual Stop-Loss Claims Filing, Eligibility Verification and Reporting (Monthly)
Individual Stop-Loss Claims Facilitation, Eligibility Verification and Reporting (Monthly)
Individual Stop-Loss Claims Review (Quarterly or Annually)
Aggregate Stop-Loss Claims Management
As a fully licensed and bonded third-party administrator, SBR Administrative Services provides full premium administration services including:
Premium/Fee Invoicing
Premium/Fee Collection
Premium/Fee and Commission Remittance
Premium/Fee Reconciliation
This ensures fast and accurate payments to carriers, brokers and vendors, while also providing an additional layer of quality control.
SBR Analytics’ data-driven solutions, combine comprehensive analytics with innovative technologies to enable our broker partners and their clients to better manage their self-funded health plans.
