Audit

We analyze your HR processes and benefit offerings to find the hidden dollars and costs that plague bottom line performance

Implement

We develop, design, and implement customized Best-Shore solutions to streamline existing processes, reduce the workload on your HR department, and capture lost dollars.

Manage

We efficiently manage the ongoing, complex flow of data and dollars between you, your benefit providers, and your employees.

MAXIMIZE YOUR INVESTMENT IN EMPLOYEE BENEFITS

Administering a complex benefits program in today's corporate landscape has become both time-consuming and expensive. In addition to being the biggest drain on the time demands of your HR staff, today's benefit offerings comprise the biggest source of confusion for your employees.

Delivering HR and Benefit Administration services that are cost effective, comprehensive, and results-driven requires a precise blending of technology and expertise. The ultimate goal is to provide employees with access to the right information and support they need while minimizing the financial impact to the corporate bottom line.

For HR departments, reaching this goal is often complicated by the lack of time and resources to manage a growing number of HR processes. HR is frequently faced with a lack of experienced resources to fill in the gaps and provide employee support that technology alone can't address. When precious technology resources are deployed they are often incomplete and inadequate to get the job done right.

Our service team provides the expertise required of your own HR staff…extending the depth and reach of your HR department so you can manage issues that affect costs instead of being reactive to day-to-day demands. BPO-1 helps you increase employee satisfaction — and comprehension — by providing a centralized source of information and accountability for you and your employees.

BENEFITS ADMINISTRATION SERVICES

Benefits Administration includes:

Offloading these tasks to BPO-1 allows your staff to focus on more strategic initiatives and reduces or eliminates issues before they affect your employees.

Enrollment Services

Eligibility Management

Premium Billing & Reconciliation Services

Vendor Management

Direct Bill and Retiree Services

COBRA Administration

Enrollment Services

Enrollment in today's world has moved beyond being just an annual activity, once a year at open enrollment. As workforces evolve & turnover, employee's encounter life altering events, and as corporate M&A activity continues to grow, the need to efficiently collect, manage, and message all of these changes has grown increasingly important.

Eligibility Management

As workforces become more geographically disperse, eligibility rules become more precise, and changes become more common than ever before, the need to accurately manage eligibility data to ensure you are covering for the right members has become increasingly important. BPO-1 maintains dedicated data interfaces with hundreds of benefits providers and systems, making it seamless to collect & provide them with the information they need, in the format they need.

Eligibility Management services include:

• Electronic interfaces with vendors
• Eligibility verification
• Comprehensive life event processing
• Reconciliation and post-enrollment auditing

Our eligibility management services enable us to audit carrier records and proactively manage eligibility which leads to saved premium and claims dollars by avoiding overpayments and discrepancies.

Premium Billing & Reconciliation Services

For both fully insured and self funded companies with a need to manage multiple plans, vendors, rates and bills, BPO-1 Premium Billing & Reconciliation services help identify, document, and resolve data and premium issues that lead to lost dollars.

BPO-1 calculates, audits, and prepares monthly premium billing reports as an objective party on your behalf so you can accurately pay your bills.

Premium Billing & Reconciliation services include:

• Automated and line-by-line reconciliation
• Discrepancy resolution
• Single-remittance billing
• Premium and funds transfer
• Periodic reconciliation and auditing

BPO-1 works with you to establish a data baseline and performs the more difficult, detailed work of finding irregularities, determining their cause, and fixing problems before they become serious. We take on the responsibility of reconciling employee data, making sure plans and vendors are using the right information as well as resolving any billing discrepancies.

Vendor Management

By leveraging BPO-1 as a single point of contact for administration activities, your vendors can be identified, procured, and managed proactively instead of reactively allowing you to identify issues that are vendor specific but more importantly can be costing you money or driving down employee satisfaction. Vendor

Management services include:

• Dedicated interfaces with carrier information systems
• Secure and flexible data exchange
• Reconciliation and auditing of post-enrollment data
• Vendor assessment and performance analysis

As a key component of Benefits Administration, Vendor Management greatly simplifies the administration process by reducing your company's need to respond to every request for information or every issue regarding eligibility or payments from your vendors.

Direct Bill and Retiree Services

BPO-1 direct bill and retiree services help you invoice, collect, and administer benefits that are billed individually. We can assist you with the preparation of monthly billing statements for your active participants, saving your staff the time and trouble of reconciling vendor billing invoices.

Direct Bill and Retiree services include:

• Participant enrollment
• Premium billing and collection
• Grace/reminder letters
• Premium remittance to employer
• Periodic status reports

We can also provide full home billing services for retired participants.

COBRA Administration

BPO-1’s COBRA Administration service has been designed to fairly and accurately address the needs of both the potential continuant and the employer organization. We have extensive experience providing these services and currently monitor and managing over 500,000 eligible participants on behalf of our clients.

COBRA Administration includes:

Eligibility determination

Auto generated notices

Participant access to election information via web and HR Answer Center Coordinators

Determination of premium to be billed

Administration of passive annual enrollment

And, as an added option to help you save time and money, we offer Best Shore services allowing you to generate an ever greater return on your investment.

HR SUPPORT SERVICES

BPO-1’s HR Answer Center services come in a variety of combinations, all designed to help you focus your efforts on more strategic issues.

HR Answer Center includes:

• Call Center
• Employee & Retiree Support
• Enrollment Services
• Eligibility Verification
• HR & Benefits Coordination

Call Center

BPO-1’s HR Answer Center allows you to build a customized service model based on the Call Center's three levels of service - HRAC Basic, HRAC Advanced, and HRAC Professional. HRAC Special Projects provides even more flexibility.

HRAC Basic Services:

These services are designed to provide employees with general enrollment support and responses to benefits-related questions.

Basic Services include:

• Eligibility verification
• Benefit enrollment and support
• Plan coverage inquiries
• Enrollment fulfillment
• Life events support

Basic Services are the foundation of the BPO-1 call center platform, designed to keep your employees informed with consistent and accurate, up-to-date information.

HRAC Advanced Services

HRAC Advanced Services are the next level of support, designed to provide a single point of contact for escalated HR and benefits related issues.

Advanced Services include:

• Life events administration
• Domestic partner, dependent and over age dependent verification
• Third party eligibility inquiries
• HR forms management and fulfillment
• Initial termination services

Advanced services provide your company with an additional resource to help address issues that require a higher level of expertise.

HRAC Professional Services

HRAC Professional Services provides your organization with the capability to resolve high priority issues that require extensive, personal attention.

Professional Services include:

Professional HR - life insurance, EOI, domestic partner, and dependent verification

Medical and dental claims resolution services

FSA claims support

Professional HR - new hire support

Leave tracking support

With the help of BPO-1 senior HR coordinators, HRAC Professional provides the ultimate support for your HR team.

HRAC Special Projects

BPO-1 offers services to support special projects and shorter duration engagements.

Special Projects include:

• Open enrollment period facilitation and support
• Open enrollment form data entry
• Enrollment fulfillment
• Advanced surveying - outbound surveys and analysis
• Expanded call center hours of operation

HRAC Special Projects can provide one-time or seasonal support designed to meet your company's specific needs.

Employee and Retiree Support

BPO-1 provides comprehensive support for both active employees and retirees to assist them with questions, forms, enrollment, and other issues they might have.

Employee and Retiree Support include:

• Answering employee and retiree questions
• Information and forms processing
• Eligibility and claims issue resolution
• Facilitate pension and retirement processes

Enrollment Services

The experts at BPO-1 work with you to develop customized enrollment solutions including telephonic and paper based, to the benefit of your HR staff and employees alike.

Telephonic Enrollment Services

BPO-1 provides knowledgeable counselors that walk employees step-by-step through the enrollment process.

Telephonic Enrollment services include:

• Personalized, hands-on enrollment process
• Increased employee benefit comprehension
• Mitigation of routine questions traditionally fielded by HR
• Employee single point of contact
• Scalability according to the needs of your company

BPO-1 telephonic services increase your HR department's productivity as well as employee comprehension of and satisfaction with their benefit plan.

Manual Forms Processing

For those companies who are not ready to transition to an online system, BPO-1 offers a comprehensive paper based service to handle your entire enrollment process.

Manual Forms Processing services include:

• Complete distribution and fulfillment of benefit and enrollment information
• Forms collection and documentation
• Data entry and discrepancy resolution
• Enrollment confirmation

BPO-1 paper-based enrollment services are designed to fully integrate with our online enrollment solution as well as our Call Center Support Service.

Enrollment Coordination Services

BPO-1 experienced consultants can coordinate, schedule, and facilitate all or part of your enrollment process.

Enrollment Coordination services include:

• Distribution of benefits information and enrollment forms
• Online employee meetings and follow-up
• Receiving and processing employee elections
• Individual employee follow-up when necessary

Enrollment coordination relieves your staff from the time-consuming enrollment process, freeing them to concentrate on more strategic activities.

Eligibility Verification

BPO-1 can be your company's single point of contact for all benefits coverage related issues, general information requests, and eligibility verification issues.

Eligibility Verification services include:

• Response to employee questions regarding coverage, co-pays, etc.
• Answers to inquiries from doctors and pharmacies re: eligibility verification, pre-authorization, and coverage levels
• Information for third-party administrators related to employee eligibility, research, and other issues
• Tracking, reporting and analysis

The eligibility verification support you received from BPO-1 will relieve your staff from managing these time consuming inquiries as well as help identify trends and potential improvements in the communication process.

HR & Benefits Coordination

The eligibility verification support you received from BPO-1 will relieve your staff from managing these time consuming inquiries as well as help identify trends and potential improvements in the communication process.