As a voluntary benefits insurance broker, you understand the importance of a seamless claims process in fostering client satisfaction and trust. Wellfleet Workplace is committed to improving the claims experience for broker partners, clients, and customers.
Claims reimagined
We understand the significance of a streamlined claims process, and our commitment lies in delivering an efficient claim resolution process without the frustration of confusing procedures and payment delays.
We are dedicated to delivering a claims experience that goes above and beyond, supporting brokers in delivering exceptional service to their clients.
“My son suffered a serious head injury a few months ago…Wellfleet really helped me and my husband cover his medical expenses. The entire process was simple and fast. I will forever sing Wellfleet’s praises!”
Wellfleet Workplace Customer
Simplified process and maximized benefits
Wellfleet Workplace’s Claims Navigator is designed to improve the claims process and help maximize benefits for your clients. Here are some of the features that help improve the claims experience:
Intuitive claims
With more than 30 years of experience in insurance administration, we’ve gained valuable insights into the outcomes of various types of claims. By utilizing predictive analytics, we can proactively process benefits for commonly associated treatments without the need for additional claims submissions.
Event-based claims
Our members can carry multiple products and may not realize that their claim qualifies for benefits from each plan. So, we’ve designed a process where we automatically review claims submissions across all enrolled products, ensuring that if covered benefits exist, only a single submission is required to receive eligible benefits.
Medical claims integration
Voluntary benefits products often accompany core medical insurance. To make claims easier for our members, Wellfleet can work with our client’s medical payor to identify medical procedures and services that may be eligible for benefits under their Wellfleet supplemental health coverage. Once identified, we notify the member to start the claims process.
Simplified wellness claims
Submitting health screening and wellness claims is now easier than ever. No medical documentation is required, providing a faster and easier experience. Often claims can be paid in as little as one day!1
Advanced technology for enhanced service
Our technology, powered by application programming interfaces (APIs), provides a personalized member portal and unparalleled data transfer, helping ensure faster turnaround and an exceptional claims experience.
Personalized member portal
- Members can easily navigate their portal to:
- View the products they are enrolled in
- File claims with reduced submission errors
- Track submitted claims conveniently without the need for a claim number.
Unparalleled data transfer
- Our API technology helps power near-real-time data transfer. This means enrollment data is loaded faster, allowing members to view coverage and submit claims immediately following the effective date.
Faster turnaround
- Claims can be burdensome for members. We help alleviate their burden with single claims submission. So, members only need to provide information once per claim, helping ensure a smoother, more efficient process for everyone involved.
Metrics that matter
We’re proud to deliver:
- One-day average claims turnaround time1
- 3% denial rate1
Committed to enhancing the claims experience
We’re committed to enhancing the claims experience, empowering brokers to offer clients a superior service that exceeds expectations.
With Claims Navigator, we’re reimagining the claims experience for our partners, clients, and customers. Connect and learn more today.
Learn more about Claims Navigator
Wellfleet Workplace’s Claims Navigator was developed to help remove friction and enhance the claims experience for broker partners, clients, and customers.
Contact us today to learn more about Claims Navigator and find the transformation in claims management your clients deserve.
Reference
1 Wellfleet Workplace, 2023. Unpublished internal company document.
WB-JULY-2024-01
