D&R Insurance Administrators Inc. provides full administration of day to day procedures including, but not limited to, claims inquiries, explanation of procedure(s), and schedule of benefits.
It designates a consultant to each client to oversee the account and to ensure that all members of the team are performing in a timely and efficient manner. The consultant makes sure the plan meets the client’s objectives and apprises the client of current benefit issues.
As a member of the team, a technical consultant is responsible for all financial matters pertaining to an account and negotiates the renewal, audits financial statements and determines proper funding requirements of any amendments.
A client service representative handles all the administrative, claims and services issues of specific account. The representative is supported by other D&R professionals who are available to offer any assistance a client may require.
D&R provides a single invoice and a single point of contact for the employer and employee. This is both convenient and cost efficient.
Standard TPA services covered by D&R Insurance Administrators Inc. include:
- Control of employee data and information
- Preparation of employee wallet certificates
- Monthly invoicing
- Premium collection
- Claims management
- Collective bargaining agreement audit and compliance
Unique, value-added services offered by D&R Insurance Administrators Inc.
- Full administration support
- Flexible benefit programs
- Program administrations automation
- Benchmarking- Industry, region, province, employee type, age/sex
- Preferred provider organizations (PPOs)
- Preferred volume discounts negotiated with insurers
- Absenteeism and disability management programs
- Managed drug consulting disease state review
- ASO alternative funding on a per transaction basis
- Workplace wellness strategies
- Protective stop-loss products
- Employee Family Assistance Programs (EFAPs)
