To solve the disputed claim case against insurer, we offer fast and efficient claims services with professional knowledge and experience.
One-on-One Claim consulting service
Try to help the client to get the best benefits of the claim by providing consultation on the claim application.
Claim paid service
Speedy Payment : Try to pay the claims within 3-5 days since receipt of application in the event of medical case.
Claim payment details notice service
Inform claim payment status and details of different amount between the requested and the actual paid for helping the client understand the claims paid amount.
Provide Claim Report Template to client HR regularly with supporting data of year-end tax adjustment.
Provide the claim trend report by analyzing of claim cause of the client for updating of their following year plan.
Claim Application by CAPACITY Claim App
Provide quick and simple claim application for checking of claims process in real time.
HR related Consulting
CAPACITY would provide the best service for meeting client needs by making of the simple application, quick payment, and kind guide of payment details.
Classify the type of popular claims out of medical claim cases for helping to reflect next year’s benefits plan.
Make a premium analysis by line of coverage through evaluating of premium allocation by their own claim experience.
Comparison of Quotes by insurer
Compare insurers by the price, credit, underwriting, claim process system and administration flexibility on behalf of client.
Employee Satisfaction Survey
Provide feedback by satisfaction survey after 6 months of policy commencement and find out the problem and improve of claim service during the policy period.
In case of Trouble of Claim Payment
Try best to solve the following problems of claim payment against the insurer as a representative of the client.
· Dispute case
· Big case
· Rejected case
Launch Onsite Help-desk for consulting of claim service with receiving of claim application on site by dispatching claims staff to the client office, if the client requests .
Assist Outsourcing service of Employee Benefits
In the case of client who provides group health insurance as well as self-insurance as an employee benefits program, CAPACITY would provide free outsourcing service by assisting of the administration work besides the insurance for execution of whole employee benefits program on behalf of the client.
Group Insurance Consulting
For the best consulting service, we offer coverage plan designing, policy management and additional data report based on the client’s decision.