Third-Party Administrators

Third-party administrators (TPAs) operate in a highly competitive market. To gain and retain business, they must go beyond basic claims administration, and provide a comprehensive offering, including loss control services, medical bill review, litigation management, technological automation, advanced reporting, and compliance with the latest state regulations.

In today’s market, clients expect TPAs to deliver all of these services and more – at a competitive price – while also providing them with bottom-line savings that help to reduce claims costs, total costs of risk, and insurance premiums.

However, TPAs struggle with many operational challenges, including a shortage of claims professionals, high claims volume, increased caseloads, backlogs, and a wide variation in claim-handling results.

Aon eSolutions offers an advanced technology platform that enables TPAs to automate operations, provide the data that clients demand, and improve performance, transparency, and accountability. Early adopters of these solutions have gained many competitive advantages.

Benefits

• apply cost containment at each juncture of the claims process
• ongoing updates to comply with the latest rules and regulations
• improve operational efficiency and claims-handling productivity
• automate routine administrative functions, so claims staff can focus on high-priority tasks that directly affect costs, outcomes and service
• sophisticated business rules ensure claims best practices are performed on a timely and consistent basis
• system flexibility enables responsiveness to customer needs and ongoing process innovation
• browser-based technology acts as a shared platform to enhance the partnership between TPAs and clients
• deliver performance reports that track clients’ claims activity and key performance measures
• perform ongoing analysis to identify clients’ high-cost, high-risk areas, and recommend plan to improve costs and outcomes
• facilitate client audits that validate TPA’s high level of performance
• put business intelligence into the hands of client risk managers more quickly, so they have the insight to improve loss experience