Employee Benefits (EB) firms play a crucial role in safeguarding workforce well-being by administering diverse programs, including Major Medical, Dental, Vision, and Workers' Compensation (WC). However, their workflows are often complex and challenging, leading to inefficiencies and potential compliance risks.
Firms in the EB sector frequently encounter a range of operational hurdles:
Claims Processing & Adjudication: The intricate process of managing eligibility verification, claims, payments, and appeals.
Communication & Education: The need to simplify benefits information and effectively address employee inquiries.
Compliance Management: The ongoing challenge of adhering to complex regulations such as ACA, HIPAA, ERISA, and state-specific WC rules.
Enrollment & Onboarding: The task of processing new hires, managing benefit elections, and ensuring timely coverage activation.
Operational Visibility: The lack of key performance indicators (KPIs) and actionable insights needed to optimize operations.
Manual & Repetitive Processes: High dependency on paper-driven, repetitive tasks that consume significant time and resources.
Employee Experience Gaps: Issues like slow claims processing, unclear communication, and limited self-service options that negatively impact employee satisfaction.
Regulatory Complexity: The continuous effort required to keep pace with evolving mandates and legal requirements.
Reporting & Analytics: The necessity of generating timely and accurate reports for compliance and performance benchmarking.
Siloed Systems: The use of fragmented platforms that can lead to data inconsistencies and errors.
NewgenOne unifies Enterprise Document Management (EDM), Business Process Management (BPM), and Customer Communication Management (CCM) into a single, comprehensive platform. It helps EB firms by:
Automating Workflows: Streamlining processes from claims routing to compliance checks, significantly reducing manual effort.
Centralizing Information: Creating a unified, single source of truth for all employee data, documents, and interactions.
Ensuring Compliance: Implementing automated checks, providing real-time updates, and maintaining complete audit trails for regulatory adherence.
Delivering Actionable Insights: Utilizing advanced analytics to support data-driven decision-making and performance tracking.
Streamlining Communication: Enabling personalized, multi-channel engagement to enhance employee satisfaction and clarity.
As a trusted Newgen Partner, GHIT Digital combines deep domain expertise with a proven track record to help EB firms fully leverage the power of NewgenOne.
Our services include:
Comprehensive Services: A full suite of services, from initial assessment and design to implementation, training, and ongoing support.
Deep Domain Knowledge: Specialized expertise in EB regulations, workflows, and industry best practices.
Client-Centric Approach: Tailored implementations that are precisely aligned with your specific business objectives.
Proven Delivery Record: A history of successful deployments across the healthcare, insurance, and government sectors.
By partnering with GHIT Digital, EB firms can achieve:
Improved compliance and reduced regulatory risks.
Streamlined operations and lower operational costs.
Enhanced employee experience and increased engagement.
A significant competitive advantage in the market.
GHIT Digital is a specialized and forward-thinking IT services and digital transformation firm, headquartered in New Jersey, USA. As a Minority and Women-Owned Business (MWOB), our mission is built on a foundation of diversity, inclusion, and growth.
We specialize in the implementation and optimization of NewgenOne and other enterprise solutions for the Government, Healthcare, Insurance, and Technology sectors.
Our core capabilities encompass Agile Project Management, Data & Cloud Services, AI-powered Low-Code Platforms, Integration, Migration, and IT Infrastructure Services.
For Employee Benefits firms, Medicaid agencies, Managed Care Organizations (MCOs), and other stakeholders, GHIT Digital and Newgen Software offer the combined expertise and technology to transform your operations.
Connect with us for a personalized demo to discover how NewgenOne can streamline your EB workflows or MMIS deployment.
Monika Vashishtha, President of GHIT Digital
Phone: 201.792.8924 | 646.734.6482
Email: Monika@GHIT.digital
Website: GHIT.digital
