We’re committed to keeping self-funded plans healthy with our fast, accurate claim service

Outstanding Service

You can be confident in Berkley Accident and Health’s claim service. You can count on our accurate, consistent service and fast reimbursements. Our claim professionals have developed strong working relationships with national and regional third party administrators (TPAs) for smooth, streamlined service.

To protect our clients’ cash flow, we offer optional features, such as electronic deposit, Monthly Aggregate Accommodation, and Simultaneous Reimbursement.

The Berkley Advantage

Claim management

  • Majority of claims processed within 7 business days or less
  • More than 11,000 Stop Loss claim requests processed in 2018
  • Claim analysts have an average of 12 years of experience

Strong relationships

Established claim processes with more than:

  • 100 TPAs
  • 60 ASO providers

Figures based on 2018 year-end results.

Easy to work with

  • Copies of bills not required, if complete paid claims report is provided
  • Itemized bills not required, except in limited situations
  • Initial claim submissions automatically prescreened for missing information, prior to assignment to a claim auditor
  • Simultaneous Reimbursement available, even during the last month of the policy

eServices

  • Online claim submissions via DY
  • Electronic claim reimbursement via automated clearinghouse

Stop Loss Marketing Materials

You can find helpful tools to support you with your clients.

Insurance coverage is underwritten by Berkley Life and Health Insurance Company and/or StarNet Insurance Company, both member companies of W. R. Berkley Corporation and both rated A+ (Superior) by A.M. Best. Not all products and services may be available in all jurisdictions, and the coverage provided is subject to the actual terms and conditions of the policies issued. Payment of claims under any insurance policy issued will only be made in full compliance with all United States economic or trade and sanction laws or regulation, including, but not limited to, sanctions, laws and regulations administered and enforced by the U.S. Treasury Department’s Office of Foreign Assets Control (“OFAC”).