Products and Services

HEALTH INSURANCE PLANS

  • Self Funded Health Plans
  • Fully Insured Health Plans
  • Pharmacy Benefits Management
  • Voluntary Benefit Plans: Critical Illness, Accident, Cancer, Group Term Life
  • Individual Health Plans
  • COBRA Administration (ensures compliance with coverage changes and plan adminstration)
  • Flexible Spending Accounts
  • Dental and Vision Plan Administration
  • Enrollment Services
  • Benefit Administration and Management Services

CREATIVE COST CONTAINMENT

  • Administrative Tools to analyze claims data for tight plan management plus claims and dependent eligibility audits
  • Risk and Funding solutions to keep our clients prepared for the unexpected
  • Negotiated Savings through PPO networks and Pharmacy Management
  • Coverage Flexibility to meet individual employers’ needs and budget

GROUP INSURANCE PRODUCTS

  • Fully Insured/Self-Funded Group Medical
  • Fully Insured/Self-Funded Group Dental
  • HSA/HRA/MERP
  • Basic Group Life/AD&D
  • Supplemental Life
  • Short/Long Term Disability
  • Employee Benefit Communications/Enrollments
  • Group Vision
  • Group Long Term Care
  • EXEC-U-CARE – Medical Reimbursement
  • Legal Services
  • Pet insurance
  • Identity Theft
  • Group Long Term Care

REGULATORY AND COMPLIANCE GUIDES

  • COBRA Administration
  • Section 125/Flexible Spending Account
  • Human Resource Services
  • HR Consulting/Program Development
    & Implementation/Administration
  • Employee Training & Development
  • Regulatory Compliance
  • Payroll & Benefits Administration

WORKSITE PLANS

  • GAP Plans
  • Cancer Plans/Critical Illness
  • Accident Plans
  • Pre-Paid Legal

CLAIMS MANAGEMENT

What do you do when a claim incident occurs? Do you have a thorough understanding of the process?

Would you feel more assured knowing that you have an advocate and a claims management team with the experience to guide you?

We are here to help you through the process when claims problems need arise and we want that experience to be as smooth as possible for our clients.

We serve as a liaison between you and the insurance carriers and challenging claims. Our aim is to facilitate open communication between all parties and encourage fast and fair solutions.

We are available to analyze challenging claims situations and walk with you through the process until your claim is finalized.

Helping you to get back to “business as usual” quickly and with minimal inconvenience is our goal.

In addition to offering claims management services, we will conduct regular claims reviews and help you to understand the potential impact on your bottom line.

Claims Management Services

  • Educate clients on the claims process and reporting information
  • Educate clients on the impact of claims and potential future effects on premiums
  • Serve as liaison between client and insurance carrier on more complex claims
  • Conduct quarterly claims reviews, mid-term reserve reviews and end of year reviews
  • Meet with insurance carrier managers to facilitate communication and service for clients
  • Serve as resource and reference for claims handled by different carriers regarding their individual policies and procedures
  • Attend mediation with client when requested
  • Work closely with Senn Dunn’s Risk Control Manager to provide comprehensive service to clients

HUMAN RESOURCE SERVICES

Are you putting your company at risk?Are you in compliance with employment laws and regulations?

Do you have strong human resource policies and procedures in place?

Do you have training and development needs? Are you spending too much time on HR and not enough on your business?

Coomer Plans HR Consulting Services was established in response to our clients’ needs for professional human resource services. Our professionals can provide you with a high level of human resource expertise in a broad range of consulting and project services, without the costly overhead. We will meet with you to assess your particular needs and prepare a customized action plan.

Whether you need HR retained services, HR consulting and project services, HR start-up packages, HR outsourcing, compliance assistance, or training and development, we can handle it.

Human Resource Services

HR audit of key areas including:

  • Regulatory compliance
  • Recruitment and selection
  • Compensation and benefits
  • Employee relations and communications;
  • Training and development
  • Performance management
  • HR programs and initiatives

POLICY, PROCEDURE, AND PROCESS DEVELOPMENT

  • Employee handbook and HR policies
  • Personnel file audit
  • Recruitment and selection process
  • Performance management
  • Compensation management

Training and development sessions on numerous topics including:

  • Employment law
  • Unlawful harassment
  • Performance managementli>
  • Violence in the workplace
  • Progressive discipline
  • Compensation planning
  • Successful recruiting, interviewing and selection techniques

RECRUITING

  • Ad placement
  • Resume reviews
  • Candidate interviews;
  • Applicant assessments
  • Reference and background checks
  • Provide qualified candidates summa

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