Claims Consulting

Claims Consulting

We offer claims consulting services to ensure consistency and improve accuracy.

We know that, in addition to maintaining the health of your long-term care insurance block, keeping the promises made to your policyholders is important to you. Our collective operational expertise allows us to accurately assess current performance in claim management, administration, and payment.

We offer claims review and audit services that lead to recommendations for improving performance, increasing compliance, and reducing risk, based on proven tools, leading practices, and extensive industry-specific knowledge.

Our approach is designed to help bridge performance gaps with:

  • Claims audit services
  • Claims process review and improvement
  • Performance measurement and quality assurance

Our business model is built on the simple premise
of putting ourselves in our customers' shoes.

Our Customers Say It Best

“I recently spoke with one of your staff, Gage, who was extremely helpful and understanding so I wanted to mention what a great employee you have. Thank you.”

Policyholder

“Thank you for your quick and efficient handling of our claim.  It was certainly appreciated and the assistance was a great help.”

POA of Policyholder

“I would just like to take a moment and thank your company for its fantastic processing on each and every claim we have submitted thus far. Your customer service team is awesome, polite, professional and most of all, very helpful.  In a world where we are always so quick to find fault and complain about the service received, I am a firm believer in offering kudos when kudos are due and this has been a long time coming.  Thank you for everything.  As the primary contact for Mama’s care I have to deal with several other companies, pharmaceutical, equipment, etc. and the like — and it is an absolute pleasure dealing with TriPlus.”

Daughter of Policyholder

“I would also like to take this opportunity to compliment Chris on the way he spoke to me yesterday.  He was thorough, patient, and a pleasure to deal with.  As you can imagine, dealing with insurance companies and everything else involved with becoming a caretaker for an ageing parent can be time-consuming and frustrating.  It was a change to speak with someone not only knowledgeable, but able to explain things clearly and pleasantly!”

Daughter of Policyholder

“We have been very happy with service we received from the first phone call I made in August until the claims were paid in November.  I have notes of some of the calls from Gage, Bill, Thomas, Melissa, Amy and Donna.  Your crew is great, never had to repeat myself, and the communication between your staff is great.  Thank you.”

Family of Policyholder