Independent, constructive claims audits that make sure your benefit plans are clean and clear.
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).
We have no affiliations or partnerships with any carriers, third-party administrators or PBMs.
Our audit team employs a collaborative and strategic approach with carriers and claim payors to improve processes.
We customize services to meet your review objectives and evaluate vendor performance with consultative recommendations.
We've been in claims auditing since 1973, working on thousands of insured and self-funded plans of all sizes.
Benefit audits can cover a range of benefit and vendor programs. We perform audits on all of them, including:
If your benefit isn’t covered in the list above, tell us.
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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.
Tell us where you’d like to begin. Submit an RFP. Ask any question you like.
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