Our Team and Services

Focusing always on the needs of our clients, we are constantly developing new methods and enhancing services to meet the demands of an ever changing industry.  We provide you with a highly qualified, efficient and professional team. Our team of professionals includes our Director of Administration and Customer Service with over twenty-five years of management experience; your dedicated Customer Service Representative with over ten years in insurance claims customer service; COBRA and Retiree Services Manager also with more than ten years of insurance administration and your Billing/Accounting Services Department with many years of insurance billing experience to assist you with your administration and customer service requirements.  In today’s medical climate of streamlining and reducing staff for greater cost controls, quality service can sometimes suffer.  Some organizations feel a need to fill this gap for their employees with specialized customer service sensitive to their distinctive needs.  We provide a vehicle to accomplish this goal.  It has been shown that employees who feel valued will work harder and give the extra effort that makes an organization successful. 

Our team relieves the employee and the Human Resources Department of the time consuming burden and aggravation of unresolved claims questions and problems.  We provide a knowledgeable staff that can expedite and resolve problems leaving you free to do what you are in business to do.

Our administrative services bring flexible, state of the art systems capable of handling some of the most complex plan variations.  COBRA administration, retiree billings and collection are performed with compassion, patience and understand while adhering to the contractual and legal requirements mandated.

Fiabane Associates is readily available to assist and coordinate the efforts of members, pharmacists, physicians, dentists and other payers to help provide satisfactory outcomes for all involved.  We have proven customer service methodologies that enable us to respond in a way that goes beyond just being there to answer phone.  Our team cares and gets to the root of the issue.  Frustration in not a word we want in your vocabulary.

Fiabane Associates On-Line Eligibility System – an on-line management system with the following capabilities:

• On-line employer access system
• On-line employer customer service
• On-line employer benefit profile
• Over secure encrypted web access
• Company, Carrier and Community communications
• Custom reporting
• COBRA/Retiree administration
• Individual Benefits

Your HR Department, through their own secure log-in, will be able to view and make changes to your employees’ eligibility, review benefits reports and interact directly through the website with your Customer Service Manager.

Eligibility Administration
Our benefit administration services include:

• Day to day interface with the employer/employee regarding eligibility, billing premium and claim issues.
• Enrollment Services – Web enrollment through our FA on-line eligibility system
• Eligibility Status Changes – Compliance review, tracking, processing and carrier notification
• Forms generation and processing – Enrollment forms, confirmation statements, and dependent verifications.
• Monthly Bill Processing – Multiple carrier single billing system, premium statement and eligibility audits.

COBRA Administration

• Produce and send initial notification letters to all employees and dependants who become eligible after Fiabane Associates begins administration.
• Produce and send Qualifying Event Notifications, which include general information about COBRA, and enrollment form, a premium calculation form and a HIPAA certificate.
• Accept and process payments from the qualified beneficiary.
• Work directly with your insurance carriers to report eligibility, changes and terminations.
• Generate detailed monthly reports for clients and insurance carriers.

Premium Billing & Eligibility Administration Services

• Premium Billing – carrier premium statement audits and enrollment changes.
• Enrollment Services – Web enrollment through our FA on-line eligibility system.
• Eligibility Status Changes

Compliance  Review, Tracking, Processing & Carrier Notification

• Forms generation and processing – Enrollment forms, confirmation statements, and dependent verifications. 

PRIVACY STATEMENT FOR EMPLOYEE & EMPLOYER

Fiabane Associates recognizes that protecting the privacy and security of the personal information we obtain about the Plan participants is an important responsibility. We collect non public personal information about Plan participants from the following sources:

• Information we receive from participants on applications or other forms.
• Information gathered from Client Services Calls are utilized in analysis of data gathered regarding issues that may help us develop better programs and reporting to enhance our products and services.
• Information about participants’ transactions with us, our affiliates or others.

We do not disclose any nonpublic personal information about Plan participants or former Plan participants to anyone, except as permitted by Law.

Confidentiality and Security