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Participants with medical insurance receive care from their provider who then submits claims to the insurance carrier. Have you ever wondered what happens from there? Well, once the carrier receives the claim, their claims team interprets the claim and reviews it relative to the plan document for that particular medical plan. Then they either pay…

Successful companies rely on quality control to ensure the services or products they provide clients represent the best of their expertise. Who provides quality control for your benefits? Who reviews the success of your benefits platform as a cohesive system of services? Every ClearscopeHR client has a dedicated account manager who oversees all lines of…

Only hear from your broker at the time of your yearly renewal? Can’t get a call back when an off-cycle issue comes up that needs broker assistance? It’s a story we at ClearscopeHR have heard time and time again. Part of the premium dollars employers and employees spend goes to compensating the broker for his/her…

The concept of a PEO (professional employer organization) makes great sense on the surface. Why not outsource the employee management and HR functions to a third party so you can focus on growing your business? The challenge becomes dealing with the strict guidelines that many PEO’s require. The largest PEO’s typically require that clients use…