 |
 |
With over six and a half years of experience in servicing Insurance companies across the United States, HTMT Global understands the finer nuances of the industry and is geared to meet the requirements of global insurance companies.
With operational excellence gained and process improvements made over time, HTMT Global has moved up the value chain to provide high end services like plan building & payout of claims without any dollar limit. Today the company’s claims’ help desk handles escalations with regard to the process & systems from clients’ own captive centers across the world. |
 |
Marketing
- Building & Maintenance of insurance plans
- Creating & Updating Product Contracts
- Insurance Plans/Product Testing
- Up-Sell and Cross-sell of insurance plans
|
Pre-Adjudication
- Claims data entry (workers compensation, automobile, property & liability)
- Co-ordination of Benefits (COB)
- Claims Resolution Processing (CRP)
- Paper Referral Processing (PRP)
- ECHS Claims (Provider & Member)
- Medical Triage
- Provider Details Verification Through Calls
- Eligibility Exception Process (EEP)
|
Adjudication
- Claims Adjudication
- Health Maintenance Organization (HMO) - Medical, Hospital & Dental claims
- Traditional PPO - Medical, Hospital & Dental claims
- Medical Bill Review Process
- Workers Compensation
- Transfer Of Counters
- Requesting Information for processing
- Other Insurance Information processing
|
Post Process & Backend Support
- Overpayment Recovery Research
- Medical Claims Management/Patient Management
- Provider & Member Correspondence
- Handling Member Queries (HMO & Traditional)
- Claims Worldwide Help Desk
- Claims Audit
- Special Investigation Unit for fraud detection
|
 |
- Over 6.5 years of experience in providing services for US based Fortune 150 Insurance clientele.
- Significant domain expertise which reduces the learning curve starting from transition to ongoing operations.
- Transitioned over 65 queues since inception; 1750+ processors working in the Insurance division handling 36 million transaction & 2 million calls per annum.
- HIPAA & BS 7799 certification ensures stringent security measures.
- Readily available transition & key management team, coupled with plug & play infrastructure significantly reduces the project implementation timeline; HTMT Global is able to deliver seamless transitions in less than 30 days.
- Use of proprietary performance management tools to track productivity & quality besides improving processes to eliminate time wastage and enhancing overall efficiency across each project.
- SMEs engaged in delivering services to HTMT Global’s clients also provide help desk & audit services for other offshore vendors and for the captive centers of the client.
|
 |
| |
