Cafeteria Plan and Human Resource Outsourcing Services
SandMartin is a pioneer in the field of Cafeteria Plan Administration. We have a well-trained and experienced team dedicated to this function, which requires a high degree of precision and understanding of the process. We have been assisting Third Party Administrators (TPA's) in not only processing claims but also adjudicating the same including preparing denial letters and disbursement checks.
We deploy resources from our proven team of competent claim processors and adjudicators who have good analytical skills and have been trained on various healthcare processes like claims processing & adjudication, enrollments, COBRA etc. The team goes through a rigorous training on our client's processes and develops expertise in their process. Our services are tailored to meet the client's specific needs. We can work on any Cafeteria Administration software as we already have proficiency on majority of the Cafeteria software's used in US.
We at SandMartin ensure a quick TAT and understand the importance of the same in regards to claim processing. With SandMartin being in India the time advantage is automatically passed over to the client and in turn to their participants.
The trained Cafeteria Plan Administrator can help in the following areas
Enrollment Processing
Payroll Processing
Claims Processing
(FSA, HRA, HSA, PCRA)
Health Care
Dependent Care
Personal Choice
Tuition Claims
Transport Claims
Bank Reconciliation
Plan Reconciliation
Non Discrimination Testing (Sec 125 & Sec 129)
125 General Eligibility Test
25% Concentration Test
55% Average Benefit Test
5% Owner Test
COBRA Administration
The activities listed above are at the higher end of the BPO HR Outsourcing ladder and would encompass all the activities that can be provided; the only difference would be that instead of working in your office, this trained resource would be working from here in India.
Software's used
Lighthouse1
Metavante Benefit Payment System
PW Software -Power Plus
Winflex
Relius
DATAIR
TRAVIS COBRA
COBRA Point
(*All Software Logos mentioned above are the property of their respective owners and should be treated as such.)