Health, Dental & Disability Claims Processing

Seamless, Timely Health, Dental & Disability Claims Processing

Health Insurance Claim form

Amalgamated Employee Benefits Administrators has been providing a high level of Health, Dental and Disability Claims Processing for over 30 years. Its processes and proven track record have stood the test of time and have benefitted diverse employee benefit plan sponsors and their members. Covered within this solution are the following components:

Seamless administration of claims processing
Accurate adjudication of claims in compliance with benefit rules
Thorough utilization reporting and management tailored to meet each client’s needs and guide its fiscal decisions
Full compliance with benefits administration, information security and privacy legislation including COBRA/HIPAA and HITECH regulations
Member-friendly communications designed to promote conscientious benefits utilization
Performance management programs for all Analyst and Quality Assurance staff
Liaison with the medical management team for clinical and high dollar claim reviews
Response to member inquiries regarding eligibility and claims status

In the past few weeks there have been numerous restrictions placed on businesses throughout the United States. Many states and localities across the country have enacted temporary restrictions on non-essential business operations, requiring millions of workers to stay home. Amalgamated Life Insurance Company, which is based in New York, is considered an essential business and therefore is not subject to these temporary restrictions.

However, in an effort to protect the health and safety of our employees, their families and communities, we have taken a series of company-wide actions, across all Amalgamated Family of Companies locations, to implement work from home and other flexible arrangements where feasible. Despite these changes, we will continue to provide you and your members with the customer service levels you have come to expect from us prior to the coronavirus outbreak.

We are diligently working with our partners and vendors to utilize our remote capabilities and infrastructure. We are also in constant communication with UPS and the USPS to stay informed of any potential changes in service. For the duration of this state of emergency, Amalgamated Life Insurance Company will comply with any required Notice Obligations by emailing and/or mailing notices to all consumers.

If you have any questions or concerns please reach out to your Amalgamated Family of Companies representative or our customer service center at: 914-367-5000. They are well-prepared to answer your questions and can address your specific needs.