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Adjudication Service

At Segic, our claim adjudication service (TPP) is designed to provide transparent and efficient management of health benefits, including drug, dental care, and other health services. With full integration into our technology platform, we simplify the claims management process for insurers and plan sponsors, while ensuring fast and accurate claim processing for employees.

Simplicity and Efficiency

Our solution is built on modern technology capable of real-time claim processing, reducing reimbursement times and improving the user experience. We ensure that claims management is fully compliant with regulations while maintaining a high level of data security and confidentiality.

Customizable Plans

Segic allows organizations to tailor their benefits plans to meet the specific needs of their employees. We offer flexible options for managing health benefits, including a wide range of services for health, wellness, drug, and dental care. This customization helps maximize the efficiency of each plan while optimizing costs.

Experts at Your Service

Our team of claim adjudication experts ensures proactive management of complex cases and provides personalized support. With decades of experience in the health insurance industry, we deliver quick and effective claim resolutions while anticipating the changing needs of your employees and clients.

Integration with the Segic Marketplace

When you choose Segic as your claim adjudication partner, you also gain access to our Benefits Marketplace—a unique platform offering complementary products and services (health, wellness, legal, insurance) that go beyond traditional insurance. This helps employers offer comprehensive, innovative solutions tailored to the needs of each employee.

With Segic, simplify your claims management while improving the experience for your insureds. Our technology-driven and customizable approach ensures smooth and cost-effective management of your health programs.