Services to simplify administration, payments and follow-ups.
Administering employee benefits requires rigour, follow-up and good coordination between several stakeholders. Segic helps simplify operational execution, payments, reimbursements, claims processing, single invoicing and the administration of accounts such as health or wellness accounts, when these solutions are part of the program.
THE OPERATIONAL CHALLENGE
Operations get heavy when too many elements must be coordinated manually.
The more a program involves insurers, providers and distinct accounts — such as health or wellness accounts — the more enrollments, changes, payments, claims and invoices multiply. Without structured support, every step falls on HR and finance teams, with the risk of delaying a reimbursement or losing track of a request.
Multiple follow-ups
Enrollments, status changes, claims and validations arrive from several channels at once, often with more than one insurer or provider involved, and every stakeholder expects a quick follow-up.
Payments and reimbursements
Every payment and reimbursement touches an employee’s or member’s money: the slightest error or delay must be detected, corrected and documented, especially for health or wellness accounts.
Claims
A poorly tracked claim means a late reimbursement, a lost supporting document or an untraceable decision — which directly affects employees’ and members’ trust in the program.
Invoicing
Several insurers, several providers, several billing cycles: without consolidation, every discrepancy requires manual reconciliation before you even know whether the amount is right.
TPA AND TPP
More structured administrative and financial execution.
Depending on your organization’s needs, Segic can support administration, claims processing and payment activities related to employee benefits. The goal: reduce follow-ups, clarify responsibilities and simplify execution, especially for programs involving reimbursements or accounts such as health and wellness accounts.
Third-party
administration
Support for the day-to-day administration of programs: enrollments, status changes, file updates and follow-ups with HR teams, even when several insurers or providers are involved in the same program.
Third-party
payment
Support for processing claims, payments, reimbursements and financial flows related to eligible programs, including health or wellness accounts when these solutions are activated.
Operational coordination
When an employer works with several insurers, brokers and providers at once, Segic clarifies who does what and maintains a single line of follow-up between all parties, rather than multiplying contacts.
Single invoice
One consolidated invoice, no matter how many insurers or providers are involved, to simplify reading, reduce manual reconciliation and keep a clear view of costs.
SERVICES
Modular services to match your reality.
Segic does not necessarily replace all your stakeholders. The approach is to structure responsibilities, support the operations that create the most friction and use the systems needed to process claims, payments and reimbursements for eligible programs.
✓
Administration: managing enrollments and status changes, tracking active files, routine administrative validations and direct support for HR teams, day to day and during renewal periods.
✓
Payments and reimbursements: processing, coordination, tracking and support for financial operations, including reimbursements related to health or wellness accounts when these solutions are part of the program.
✓
Claims: receiving, processing, tracking and paying eligible claims through a structured system, for a clearer user experience and better traceability for the organization.
✓
Provider coordination: A clear organization of roles and responsibilities between insurers, providers and other stakeholders, with structured follow-up of exchanges to avoid information loss between parties.
Let’s see where your operations could be simplified.
Let’s talk about your follow-ups, your programs and your operational pain points: single invoicing, coordination between several insurers or providers, continuity when changing insurers. We can identify the administration and payment services most relevant to your organization.