Self-Funded

Use your health, even to the point of wearing it out. That is what it is for. Spend all you have before you die; do not outlive yourself.
- George Bernard Shaw

Self Fund is a convenient method adopted by corporates to offer employee benefits with its own fund. This is unlike the fully insured plan wherein the corporate are under contract with the insurance company for governance of its benefits under policy regulated by a law.

In such a plan the corporate is more responsible for the administration of claims, data management, and settlement of the claims directly to the employee. While the core responsibility of an organization would not be insurance, for this process the corporate invest in-house claims administration team and sometimes lacks the expertise information as available in the industry.

At UnitedHealthcare India we liberate the corporate by taking over their responsibility and aid them with the following

  • Management of enrolment data
  • End to end management of claims
  • Payment to employees
  • Claims advocacy
  • Networks of hospitals
  • Network of diagnostic centers
  • Helpdesk implant at the corporate office
  • 24/7 Call Center assistance
  • Customer Service Support
  • Dedicated Account Manager
  • Escalation matrix
  • Analytics support (Number of claims, allowed/disallowed)

Benefits

 

  • Relieve the corporate from data management
  • Precise analytical support
  • Review on the claims administration
  • Projection on the fund required on YOY to sustain claims
  • Help them to modify the benefits to reduce the claim ratio
  • At ease information available on Networks and discounts
  • Round the clock assistance available to their employees
Our Promise
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