Benefit Audits

An integral part of every benefit plan

Audits are key to independently measuring and validating a vendor’s performance, as well as ensuring that the plan sponsor is an exemplary steward in providing ongoing comprehensive benefit programs to its participants.

Our auditors are experienced in claims administration, providing extensive industry knowledge in all aspects of benefits administration and auditing of leading carriers, administrators and pharmacy benefit managers (PBMs).

Independent, objective benefit audits

Neutral & independent

We have no affiliations or partnerships with any carriers, third-party administrators or PBMs.

Critical & constructive

Our audit team employs a collaborative and strategic approach with carriers and claim payors to improve processes.

Client focused

We customize services to meet your review objectives and evaluate vendor performance with consultative recommendations.

Historic success

We've been in claims auditing since 1973, working on thousands of insured and self-funded plans of all sizes.

Here's what we cover

Benefit audits can cover a range of benefit and vendor programs. We perform audits on all of them, including:

Medical

Pharmacy Benefit Managers (PBMs)

Dental

Vision

Life Insurance

Short and Long Term Disability (STD/LTD)

Flex Spending Accounts (FSAs), Health Savings Accounts (HSAs), Health Reimbursement Arrangements (HRAs)

If your benefit isn’t covered in the list above, tell us.

Have a question about benefit audits?

Get in touch.

Segal holds practical, real world, professional claims experience. Our people are subject matter experts in claim and benefit audits.

Our team of experts has a balance of technical depth and strategic sense along with extensive experience evaluating and auditing complex contract and benefit plans.