Stop Loss
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 10 business days or less
- More than 8,405 Stop Loss claim requests processed in 2016
- Claim auditors have an average of 10 years of experience
Strong relationships
Established claim processes with more than:
- 100 TPAs
- 60 ASO providers
Figures based on 2016 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
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”).