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Operational Support Services

Claim Audit
Services to evaluate the claims process to ensure compliance with applicable policies and procedures and operative policy language.  This service includes a review of systems, processes, workflows, and performance monitoring and reporting.  Recommendations for improvements will be developed. Project management and support services are also provided for implementation of improvement recommendations.
Premium / Benefit Modification Communications and Processing 

Policyholder communication and process management services that present complex premium, benefit, and policy information in a clear, understandable, and customer-friendly manner. Incorporating relevant, personalized policyholder information in the communications and development and deployment of helpful, educational videos to aid in policyholder decision-making are important components of this service offering. Use of a proprietary streamlined platform to process policyholder premium and benefit modifications and follow-up communication provides a full-service approach.

 

Learn more about how Fuzion has been nationally recognized for designing and producing award-winning policyholder communications.

Policyholder Engagement
Customer-centric communications programs and service performance monitoring tools designed to engage policyholders and enhance the policyholder experience. This service includes the development and management of Customer Experience Satisfaction Surveys (CXSS) with optional services including survey mailing, CXSS response processing and results reporting, follow up with policyholders, and development of action plans based on policyholder feedback. Development and implementation of policyholder newsletters is a popular service to provide a positive connection to policyholders including information about wellness initiatives, policy administration, and other topics of interest. Additional services available include targeted educational communications, proactive outreach programs, and preparation and mailing of statements of current benefits to policyholders.
Policyholder Communication Review and Consulting
Services to review policyholder communications and recommend communications improvements. General policyholder communication, education, and consulting services are provided. Project management and support services are also available to implement recommended communications improvements.
TPA Communication / Training Support
Services to Third Party Administrator’s to evaluate communication with their clients, recommend improvements to communications, facilitate implementation of improvement initiatives, and deliver ongoing training support.
Compliance and Regulatory Alerts
Monitoring and education services to inform clients of new compliance and regulatory developments. Managing the required compliance regulatory filings can be an additional aspect of this service.
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