Wednesday, December 30, 2009

Should my company have an employee advocacy program to help my employees with their medical benefits?

The majority of the time that you speak with business owners they’ll tell you “I don’t handle the benefits”. It’s usually the CFO, Office Manager, or HR Representative. The challenge they face is benefits are PART OF THEIR JOB, not THEIR ENTIRE JOB.

This causes quite the dilemma because benefit management is an around the clock job. Most of the aforementioned people can handle new employee paperwork or answering a simple question about a Co-Payment.

But what about the tough questions that happen everyday?

What about questions like “Why was my claim rejected?”, “Is this procedure covered?”, or “How do I appeal this bill?”

That’s where they usually refer the employee to the insurance company. Now let me ask you a question, Who’s looking out for your employees best interests? Do you think if your employee calls the insurance company they can actually get someone on the phone, nevertheless get the problem resolved in a timely manner?

We live in a world of answering machines, when a last resort is an actual person.

That’s why a business should have an employee advocacy program. Whenever you’re dealing with insurance companies it can be confusing, frustrating and difficult. An employee advocacy program provides a central administration point to help employees manage problematic claims issues. It serves as the personal benefits advocate for every employee to make sure they receive all of the benefits you've intended to give them. Employees simply make one phone call and an employee advocate helps them solve any issues directly with their provider.

This results in more productive work time and fewer distractions for everyone involved!

Who's advocating for you and your employees?

If you have any questions you can always reach me at 631-338-9917.

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