The Complexities of Claims Processing and Cost Management

Navigating self-insurance as an employer can be challenging. Rising costs, complicated claims processes, and constantly changing regulations can make it even harder. Businesses strive to ensure employees are as healthy as they can be with as little hassle as possible. A few of the most prevalent challenges are described below.

Typical Self-Insurance Challenges

1. Refining the claims process. Automating and integrating your claims process can be difficult if you don’t have the right tools. An unrefined claims process can lead to issues with cash flow and unnecessary cost.
2. Cost containment. Often, self-insurance is reactive rather than proactive. This leads to higher rates and inefficient programs.
3. Navigating regulations. Regulations in healthcare are changing all the time. Employers who self-insure must be aware and on top of regulations at all times, requiring extra vigilance.
4. Employee health. Employers are responsible for ensuring their employees are able to remain productive. Providing accessible and comprehensive health programs that are tailored to your specific workforce is vital to maintaining productivity and reducing absenteeism.
5. Collecting and utilizing data. Every business has access to tons of data about their employees and beyond. Analyzing that data and leveraging it to optimize health plans is a complex process that companies might not have resources to navigate on their own.

How Blackhawk Can Help with These Challenges

Addressing these self-funded employer challenges head-on can help ensure the well-being of your employer groups and the continued success of your business. Blackhawk Claims Service is your trusted partner when it comes to mitigating the typical self-insurance challenges. Their technology streamlines the claims process and assists in managing costs. Their services integrate smoothly with any established business to ensure the most successful insurance and programs are chosen.

Claims Administration: Blackhawk has decades of claims experience, and their in-house utilization management ensures your employer groups get the best, most personalized assistance with claims administration. Their technology measures trends and projects future exposure, making sure the chosen programs remain as efficient as possible. 

Financial Reviews: Blackhawk’s utilization and financial reviews leverage their technology to understand cost trends and contain costs for your employer groups. Their predictive modeling helps deliver the best care and minimize financial burdens.