About Us

We are a digital consultancy that focuses on building cutting edge platforms to serve employee benefits market place. Our services have helped transform brokers and Third-Party Administrator (TPA) operations. This includes plan administration for self-funded market, cafeteria plans and voluntary benefits products across carriers.

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Self-funded Plans

Many employers are finding that insurance is taking too big of a bite from their benefits budget. Self-funding can be a way to save benefit dollars, improve cash flow and monitor performance.

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Cafeteria Plans

allow employees to make a choice between receiving taxable cash compensation or tax-free qualified benefits. The considerable tax-savings that cafeteria plans afford have made them popular with employers and employees.

Digital Platform

Efficience is a fully integrated benefit platform that serves TPA’s with scalable, flexible and customizable plan design and administration capabilities. Unlike other TPAs and carriers, our benefit system is fully integrated so that our eligibility, claims and accounting processing allow for real-time updates and detailed data analysis.

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The platform provides capabilities for members:

Members
  • View Claims Detail
  • Reprint Explanations of Benefits
  • Request an ID Card
  • View Plan Document (if authorized by the plan)
  • Integration with Wellness 360
Employers
  • Review Member Coverages
  • Terminate Member and/or Coverages
  • Enroll New Member
  • View Claims Detail
  • View Current Invoice
  • View Plan Document (if authorized by the plan)
  • Customer friendly billing process with no-hassle electronic bills and ACH payments
Brokers
  • Benefit analyzer
  • Plan Design
  • Online Benefit Enrollment
  • Open Enrollment integration
  • Carrier Integration
  • Consolidated Invoicing
  • Compliance reporting
  • Advance Analytics

Our platform offers an intelligent automated solution to integrate files, documents, wokflows to various software platforms. The platform integrates with

Enrollment Software
HR/Payroll
Analytics & Reporting Software
Accounting Software