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 8 business days or less
  • More than 21,000 Stop Loss claim requests processed in 2024
  • Claim analysts have an average of 15 years of experience

Strong relationships

Established claim processes with more than:

  • 100+ TPAs
  • 60+ ASO providers

(As of year-end 2024)

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 xchangecentre
  • Electronic claim reimbursement via automated clearinghouse

Stop Loss Marketing Materials

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

| a Berkley Company