• Group Benefits
• Voluntary Benefits
• Retirement Planning & Executive Benefits
• Wellness
• HR Professional Services
• HR & Payroll Consulting
• Property & Casualty

Our Approach

Now, more than ever, running your employee health plan like a business is essential.  Cost transparency, budget forecasting, predictive modeling, medical management strategy; these are terms rarely discussed in traditional employee benefit plan design.  Traditional approaches no longer satisfy the demands of today’s employer.
 
WorkforceTactix™ understands that employee benefit plans are now businesses unto themselves that require structure, analysis, routine monitoring and market benchmarking.
 
Focused on helping clients understand and navigate the complex healthcare system, our seamless integration of people, methods and tools delivers tailored employer plan solutions from start to finish.

Solutions

From health care analytics measurement and strategic design, to HR professional services and retirement plan development, our clients leverage advanced technology solutions, high-performance benefit programming and certified market expertise.  The following is an overview of what you can expect from WorkforceTactix™:

Brokerage & Procurement

The right amount-and type-of quality, reliable insurance is imperative to business owners.  At WorkforceTactix™, we work in cooperation with you to fully understand your business, your objectives and your budget.  We partner with you to evaluate your risk potential, to review your current employee benefit use, and to study your benefit claims history.  Only after we are well-aware of the characteristics and needs of your organization do we assist you with the development of a versatile, cost-effective employee benefits program.
 
Our expert team supports every aspect of your plan management responsibility from plan documentation and enrollment; to claims dispute resolution, monitoring plan performance, and employee communication.  We remain at your side throughout the life of your plan, routinely studying the marketplace to consistently satisfy the requirements of your corporate employee benefits strategy.

Funding Alternatives

Today’s marketplace requires new funding options and strategies to help offset increasing health care costs. To satiate your immediate needs as well as provide long term stability, our comprehensive portfolio of management solutions offers, flexible, scalable platforms for employers of all sizes.

Whether your group is Fully-Insured or Self-Funded, we uncover all available methodologies and alternatives within the terms of your benefits philosophy via a sophisticated plan analysis and review.

The result: a funding plan that operates within the parameters of your financial resources; and one that puts you back in the driver’s seat of your plan.

Compliance & Legislation

Whether your plan is fully insured, self-funded or a combination of both, compliance with ERISA, state mandated benefits laws, the Internal Revenue Code, and/or a variety of other regulations require employers to be savvy in many areas of benefits administration.

As the decision making responsibility of health care continues to shift via consumer driven benefit plans, employees are looking to employers more than ever for health care guidance regarding wise plan investments, such as HRAs, FSAs, or HSAs.

With WorkforceTactix™, our Compliance department is your on-going, credible resource for changing regulations, news & demands and their related impact on benefit plans, human resources policies and ultimately, your bottom line. Our expertise include; but, are not limited to:

• COBRA
• FMLA or Leave of Absence Provisions
• HIPAA Portability, Privacy and Security Regulations
• Section 125 Plans Health Care Flexible Spending Account Plans
• Health Reimbursement Arrangements (HRAs)
• Health Savings Accounts (HSAs)
• Domestic Partner Benefits
• Qualified Medical Child Support Orders
• Medicare Part D
• FMLA and Coordination of Leave

Data/Reporting

Utilization, claims, trend analysis, administrative fees and disease management are all common data points that employers encounter over the life of the plan. While many employers are aware of these terms, many are not and/or how and what impact they can have on a plan. Our reporting capabilities drill down the many aspects of your plan to ensure maximum efficiency, and to design the most cost-effective, structurally beneficial management solution possible.

Claims Advocacy & Dispute Resolution

Many sales professionals are excellent at negotiating the deal, but too often come up short in service follow-through. In the employee benefits arena, this shortcoming results in Human Resources departments shouldering the burden of complicated plan concerns, errors and discrepancies that can ultimately impact their bottom-line.

With WorkforceTactix™ you have a dedicated claims advocate to navigate the complexities of today’s health care market, expedite the resolution process, and diligently work with your employees to meet their level of satisfaction.

Communications

The health care industry is full of complex language that can both overwhelm and confuse. We work with clients one-on-one to deliver the communication resources, and channels that support the evolving needs of their unique group. From print-based literature, to online webinars and onsite education, we connect your team with the information needed to effectively navigate today’s health care marketplace.

Vendor Management

Clients frequently offer more than one benefit option to provide the most comprehensive selection of high quality products and services to employees. They then increase the number of vendor relationships they must manage as a result. WorkforceTactix™ knows how to get results effectively, efficiently and routinely.

Our extensive marketplace experience, allows us to quickly resolve issues (i.e. underwriting, competitive rates, claims, bill remittance) while navigating differing vendor platforms with ease and perseverance to ensure the streamlined management of your employee benefits plan.

Eligibility Management

The definitive terms of benefits eligibility can influence a group's enrollment, billing, payroll, vendor agreements and more. Life events, enrollment guidelines, employee and dependent classification, cost; they all come into consideration when managing and determining eligibility.

Furthermore, like many facets of today's plan management, eligibility does not remain constant. It changes. When you partner with WorkforceTactix™ a trained and knowledgeable professional accurately monitors and transmits key employee data to plan participants, vendors and service providers.

Billing Administration

In the employee benefits market, multiple billing and remittance formats often create a burdensome unending cycle of review and reconciliation. High-quality, multi-faceted benefit administration is imperative.

Our tactical business model resolves and monitors your billing administration needs from enrollment timeliness and accounts receivable management to adherence to credit and collection policies.

COBRA Administration

Approximately 90 percent of all employers subject to federal COBRA law are out of compliance, according to the Department of Labor. For each day of non-compliance the IRS may impose an employer tax daily up to $100 per individual, and up to $200 per family.

Employers often assume an additional administrative burden to properly manage their COBRA process and to ensure procedural accuracy, due diligence and the completion of required documentation. Our HR professional services reduce, control and systematically monitor this sensitive variable of benefits administration.